PREPARED BY: Mikayla Findlay LB 42 DATE PREPARED: January 17, 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 political subdivisions are attached following the Legislative Fiscal Analyst Estimate. This bill allows for Nurse Aides to work for service providers under the Medicaid Comprehensive Developmental Disabilities Waiver under certain conditions. The Department of Health and Human Services (DHHS) anticipates no fiscal impact to this provision and there is no basis to disagree with this estimate. ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE LB: 42 AM: AGENCY/POLT. SUB: Nebraska Dept of Health & Human Services REVIEWED BY: Ann Linneman DATE: 1 -17-2025 PHONE: (402) 471-4180 COMMENTS: Concur with the Nebraska Department of Health & Human Services assessment of no fiscal impact. LB (1) 42 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 1-17-2025 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