PREPARED BY: Mikayla Findlay
LB 332 DATE PREPARED: April 14, 2025
PHONE: 402-471-0062
Revision: 01
Revised to include provisions of AM 729 & AM 828 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 political subdivisions are attached f ollowing the Legislative Fiscal Analyst Estimate.
As amended, LB 332 combines provisions originally introduced this year in LB 119, LB 154, LB 332, LB 515, LB 555, and LB 697. The
resulting provisions have minimal fiscal impact.
LB 119
This bill establishes the Rural Health Opportunity Program, also known as RHOP, in statute. RHOP is a collaborative educational
initiative designed to address the healthcare needs of rural Nebraska by covering the cost of tuition. Funding for RHOP is appropriated
via the biennial budget process . The University of Nebraska Medical Center (UNMC) indicates the program requires 0.20 FTE Student
Success Coordinator however this position is currently staffed and funded therefore no additional appropriations are necessary.
LB 154
This bill amends the Hearing Instrument Specialists Practice Act. The changes in the bill may necessitate database changes resulting in
minimal fiscal impact.
LB 332
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 lic ensed 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.
LB 515
This bill permits pharmacists to dispense emergency refills in certain circumstances. No fiscal impact
LB 555
This bill establishes the role of assistant funeral direct ors. No fiscal impact.
LB 697
This bill adds three members to the Board of Pharmacy. Additional cost will be incurred by the Department of Health and Human
Services for increased per diem and travel expenses however the agency indicates ability to absorb such costs.
ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE
LB: 332 AM: 729,828 AGENCY/POLT. SUB: Nebraska Department of Health & Human Services
REVIEWED BY: Ann Linneman DATE: 4 -14-2025 PHONE: (402) 471-4180
COMMENTS: Concur with the Nebraska Department of Health and Human Services’ assessment of fiscal impact.
LB (1) 332 AM729 AM828 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 4-14-25 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:
LB332/AM729/AM828 combines the following standalone proposed bills: LB119, LB154, LB332, LB515,
LB555, and LB697. The language in LB332/AM729/AM828 varies slightly from the standalone bills, but any
changes to the fiscal impact from these differences is insignificant.
There is no fiscal impact to the Department of Health and Human Services (DHHS) related to LB119, LB332,
LB515, and LB555.
LB154 proposes to modify the existing Hearing Instrument Specialists Practice Act by expanding the scope of
practice for a licensed Hearing Instrument Specialist. This may result in additional cost to facilitate database
changes that the licensure database vendor will need to make. The additional costs may be the monthly
subscription fees paid to the vendor to maintain the system, or there could be additional programming costs,
depending on the extent of the changes that are needed.
LB697 will add three board members to the Board of Pharmacy. Additional costs will be incurred by DHHS for
board meeting related expenses which include per diems, meals for a working- lunch, direct-billed lodging
expenses, and reimbursement for mileage to and from the meeting location. DHHS will absorb these costs.
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