PREPARED BY: Bill Biven, Jr. LB 457 DATE PREPARED: January 28, 2025 PHONE: 402-471-0054 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 f ollowing the Legislative Fiscal Analyst Estimate. LB457 amends §71- 1908 to require the Department of Health and Human Services (DHHS) in consultation with the Nebras ka Department of Education (NDE) to develop model policies relating to anaphylaxis for use in school districts & licensed child care programs. LB457 also: • changes the provisions of the Child Care Licensing Act • requires school districts to adopt a policy relating to anaphylaxis • provides powers & duties to DHHS & NDE • limits the out-of-pocket cost of medically necessary epinephrine injectors to a covered individual NO FISCAL IMPACT ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE LB: 457 AM: AGENCY/POLT. SUB: Nebraska Department of Education REVIEWED BY: Ann Linneman DATE: 2 -6-2025 PHONE: (402) 471-4180 COMMENTS: Concur with the Nebraska Department of Education’s assessment of no fiscal impact. ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE LB: 457 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) 457 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: 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 25-26 26-27 EXPENDITURES EXPENDITURES Benefits............................................................................................................................... Operating............................................................................................................................ Travel.................................................................................................................................. Capital Outlay..................................................................................................................... Aid...................................................................................................................................... Capital Improvements......................................................................................................... TOTAL............................................................................................................ $0 $0 Please complete ALL (5) blanks in the first three lines. 2025 LB (1) 457 FISCAL NOTE State Agency OR Political Subdivision Name: (2) Education Prepared by: (3) Lane Carr Date Prepared: (4) 2.5.25 Phone: (5) 402.419.3012 ESTIMATE PROVIDED BY STATE AGENCY OR POLITICAL SUBDIVISION FY 2025-26 FY 2026-27 EXPENDITURES REVENUE EXPENDITURES REVENUE GENERAL FUNDS CASH FUNDS FEDERAL FUNDS OTHER FUNDS TOTAL FUNDS 0 0 0 0 Explanation of Estimate: LB457 requires DHHS to collaborate with the NDE to develop a model policy on anaphylaxis for use in school districts and licensed child care programs. As part of Title 92, Nebraska Administrative Code, Chapter 59 – Regulations for School Health and Safety, all accredited and approved schools, and approved early childhood education programs must adopt and implement an Emergency Response to Life Threatening Asthma or Systemic Allergic Reactions Protocol and must maintain the equipment and medication necessary to implement the protocol. Therefore, the development of a policy should come with no fiscal impact. _____________________________________________________________________________________________________ _ BREAKDOWN BY MAJOR OBJECTS OF EXPENDITURE Personal Services: POSITION TITLE NUMBER OF POSITIONS 25-26 2 6-27 2025-26 EXPENDITURES 2026-27 EXPENDITURES Benefits………………………………...…… Operating…………………………...………. Travel……………………………………….. Capital outlay…………………...………….. Aid…………………………………………... Capital improvements……………………... TOTAL……………………………… ..... 0 0