PREPARED BY: Nikki Swope LB 467 DATE PREPARED: January 28, 2025 PHONE: 402-471-0042 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. LB 467 relates to the Utilization Review Act to require a health carrier or utilization review agent to implement and maintain a prior authorization application programming interface pursuant to 45 C.F.R. 156.223(b) , as such regulation existed on January 1, 2025. The Act is to be in effect on January 1, 2028. The bill would not apply to the prior authorization request for coverage of drugs , as defined in 45 C.F.R. 156.221(b)(1)(v). No fiscal impact. ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE LB: 467 AM: AGENCY/POLT. SUB: Department of Insurance REVIEWED BY: Ryan Walton DATE: 1/28/2025 PHONE: (402) 471-4174 COMMENTS: The Department of Insurance’s assessment of no fiscal impact from LB 467, appears reasonable. Please complete ALL (5) blanks in the first three lines. 2025 LB (1) 467 FISCAL NOTE State Agency OR Political Subdivision Name: (2) Department of Insurance Prepared by: (3) Jordan Blades Date Prepared: (4) 1/24/24 Phone: (5) 402-471-4638 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 Explanation of Estimate: The Department does not anticipate any fiscal impact at this time. _____________________________________________________________________________________________________ _ BREAKDOWN BY MAJOR OBJECTS OF EXPENDITURE Personal Services: POSITION TITLE NUMBER OF POSITIONS 25-26 26-27 2025-26 EXPENDITURES 2026-27 EXPENDITURES Benefits………………………………...…… Operating…………………………...………. Travel……………………………………….. Capital outlay…………………...………….. Aid…………………………………………... Capital improvements……………………... TOTAL……………………………… .....