PREPARED BY: Mikayla Findlay LB 553 DATE PREPARED: February 25, 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 politica l subdivisions are attached following the Legislative Fiscal Analyst Estimate. This bill expands eligibility for the Rural Health Systems and Profess ional Incentive Act to Dietitian Nutritionists. Newly eligible Dietitian Nutritionists can receive repayment for qualified educational debts up to $15,000 per year per recipient. This bill would not necessarily increase the funding for the program though an accompanying appropriations bill could do so. Without additional funding, the administering agency, the Department of Health and Human Services, may decrease per capita repayments or utilize a waitlist. ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE LB: 553 AM: AGENCY/POLT. SUB: Nebraska Department of Health & Human Services REVIEWED BY: Ann Linneman DATE: 2 -25-2025 PHONE: (402) 471-4180 COMMENTS: Concur with the Nebraska Department of Health and Human Services’ assessment of fiscal impact. LB (1) 553 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 2-25-25 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: LB553 adds the health profession “Dietitian Nutritionist” to the Health Professions Tracking Service (HPTS). The Division of Public Health will need to provide any relevant information that the Rural Health Advisory Commission (RHAC) needs in order to set up shortage area requirements for this new profession. An addendum to the existing contract with HPTS will need to be added to track “ Dietitian Nutritionist,” additional funding will be required to set up the program, and a new option will need to be added to the existing REDCap application. 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