PREPARED BY: Nikki Swope
LB 533 DATE PREPARED: February 04, 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 533 expands the Pharmacy Benefit Manager Licensure and Regulation Act to provide additional provisions relating to clinician-
administered drugs, specialty pharmacie s and pharmacy benefit managers.
No fiscal impact.
ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE
LB: 533 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 533, appears reasonable.
ADMINISTRATIVE SERVICES STATE BUDG ET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE
LB: 533 AM: AGENCY/POLT. SUB: Department of Administrative Services (DAS)
REVIEWED BY: Ryan Walton DATE: 2/3/2025 PHONE: (402) 471- 4174
COMMENTS: DAS’s assessment of no fiscal impact from LB 533, appears reasonable.
Please complete ALL (5) blanks in the first three lines. 2025
LB
(1) 533 FISCAL NOTE
State Agency OR Political Subdivision Name:
(2)
Department of Administrative Services (DAS) –
Employee Wellness & Benefits
Prepared by:
(3) Jennifer Sommars-Link Date Prepared:
(4)
01/28/2025 Phone:
(5)
402-471-1405
ESTIMATE PROVIDED BY STATE AGENCY OR POLITICAL SUBDIVISION
FY 2025-26 FY 2026-27
EXPENDITURES REVENUE EXPENDITURES REVENUE
GENERAL FUNDS
CASH FUNDS
FEDERAL FUNDS
REVOLVING
FUNDS
TOTAL FUNDS
Explanation of Estimate:
LB 533 would place requirements on a specialty pharmacy. A pharmacy benefit manager or health carrier that
requires dispensing of a clinician-administered drug through a specialty pharmacy is to establish and disclose a
process which allows the health care provider or pharmacy to appeal and have exceptions to the use of a specialist
pharmacy as provided in the bill.
Further, it provides that a pharmacy benefit manager or health carrier shall not require a specialty pharmacy to
dispense a clinician-administered drug directly to a covered person with the intent that the covered person will
transport such drug to a health care provider for administration.
LB 533 has no fiscal impact to the Department of Administrative Services.
_____________________________________________________________________________________________________ _
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……………………………… .....
Please complete ALL (5) blanks in the first three lines. 2025
LB
(1) 533 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……………………………… .....
0533Provide requirements relating to clinician-administered drugs under the
Pharmacy Benefit Manager Licensure and Regulation Act
__________________________________
EXPENDITURESEXPENDITURES
NUMBER OF POSITIONS
Please complete ALL (5) blanks in the first three lines. 2025
LB
(1)
FISCAL NOTE
State Agency OR Political Subdivision Name:
(2)
University of Nebraska System
Prepared by:
(3)
Anne Barnes Date Prepared:
(4)
02/04/2025 Phone:
(5)
(402) 559-6300
ESTIMATE PROVIDED BY STATE AGENCY OR POLITICAL SUBDIVISION
FY 2025 - 26 FY 2026 - 27
EXPENDITURES REVENUE
GENERAL FUNDS
0.00 0.00
CASH FUNDS
0.00 0.00
FEDERAL FUNDS
0.00 0.00
OTHER FUNDS
0.00 0.00
TOTAL FUNDS
0.00 0.00
EXPENDITURES REVENUE
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
Explanation of Estimate:
No Fiscal Impact
The bill may require changes to business practices managed by our prescription drug benefit manager, but we anticipate these changes can be
made with little or no fiscal impact to the University of Nebraska.
BREAKDOWN BY MAJOR OBJECTS OF EXPENDITURE
Personal Services:
POSITION TITLE
Benefits..............................................
Operating...........................................
Travel.................................................
Capital outlay....................................
Aid...................................................
Capital improvements........................
TOTAL......................................
25 - 26
0
0
26 - 27
0
0
2025 - 26 2026 - 27