PREPARED BY: Mikayla Findlay LB 332 DATE PREPARED: February 12, 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 Any Fiscal Notes received from state agencies and politica l subdivisions are attached following the Legislative Fiscal Analyst Estimate. This bill directs the Department of Health and Human Services (DHHS) to provide coverage in the Medical Assistance Program, Medicaid, for psychology services provided by qualifying advanced level practitioners supervised by a licensed psychologist. DHHS indicates there is no fiscal impact because Medicaid currently covers such services. Doctoral interns, provisional licensed mental health professionals with Master’s degrees, provisionally licensed PhDs, and specially licensed PhDs all have specific provider types w ithin Medicaid and provide services within their respective scope of practices. ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AG ENCY & POLT. SUB. RESPONSE LB: 332 AM: AGENCY/POLT. SUB: Nebraska Department of Health & Human Services REVIEWED BY: Ann Linneman DATE: 2 -12-2025 PHONE: (402) 471-4180 COMMENTS: Concur with the Nebraska Department of Health and Human Services’ assessment of fiscal impact. LB (1) 332 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 2-12-25 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: 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