PREPARED BY: Mikayla Findlay LB 312 DATE PREPARED: February 4, 2025 PHONE: 402-471-0062 Revision: 00 FISCAL NOTE LEGISLATIVE FISCAL ANALYST ESTIMATE ESTIMATE OF FISCAL IMPACT – STATE AGENCIES (See narrative for political subdivision estimates) FY 2025-26 FY 2026-27 EXPENDITURES REVENUE EXPENDITURES REVENUE GENERAL FUNDS CASH FUNDS FEDERAL FUNDS OTHER FUNDS TOTAL FUNDS See below See below Any Fiscal Notes received from state agencies and political subdivisions are attached f ollowing the Legislative Fiscal Analyst Estimate. This bill adds nurse anesthetists to the professions that qualify for the Rural Health Systems and Professional Incentive Act which requires partic ipants to practice in a designated health profession shortage area in Nebraska. Newly eligible nurse anesthetists can receive repayment for qualified educational debts up to $15,000 per year per recipient. This bill would not necessarily increase the funding for the progr am though an ac companying appropriations bill could do so . Without additional funding, the administering agency, the Department of Health and Human Services, may decrease per capita repayments or utilize a waitlist. ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE LB: 312 AM: AGENCY/POLT. SUB: Nebraska Department of Health & Human Services REVIEWED BY: Ann Linneman DATE: 2 -5-2025 PHONE: (402) 471-4180 COMMENTS: Concur with the Nebraska Department of Health and Human Services’ assessment of no fiscal impact. LB (1) 312 FISCAL NOTE 2025 ESTIMATE PROVIDED BY STATE AGENCY OR POLITICAL SUBDIVISION State Agency or Political Subdivision Name:(2) Department of Health and Human Services Prepared by: (3) John Meals Date Prepared 2-4-25 Phone: (5) 471-6719 FY 2025-2026 FY 2026-2027 EXPENDITURES REVENUE EXPENDITURES REVENUE GENERAL FUNDS CASH FUNDS FEDERAL FUNDS OTHER FUNDS TOTAL FUNDS $0 $0 $0 $0 Return by date specified or 72 hours prior to public hearing, whichever is earlier. Explanation of Estimate: LB312 adds a new provider type, nurse anesthetist, to the current student loan repayment program. There is no fiscal impact to the Department of Health and Human Services. MAJOR OBJECTS OF EXPENDITURE PERSONAL SERVICES: NUMBER OF POSITIONS 2025-2026 2026-2027 POSITION TITLE 26-26 26-27 EXPENDITURES EXPENDITURES Benefits............................................................................................................................... Operating............................................................................................................................ Travel.................................................................................................................................. Capital Outlay..................................................................................................................... Aid...................................................................................................................................... Capital Improvements......................................................................................................... TOTAL............................................................................................................ $0 $0