PREPARED BY: Mikayla Findlay
LB 554 DATE PREPARED: February 14, 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 See below See below
Any Fiscal Notes received from state agencies and political subdivisions are attached f ollowing the Legislative Fiscal Analyst Estimate.
This bill creates the Nebraska Health Professions Commission (Commission) to review applications and conduct directed reviews of the
regulation of health prof essions and scope of practice of each profession . The composition of the Commission is as follows :
• Co-chair: representative from a college of public health at the state’s largest post-secondary educational institution with a
college of medicine (UNMC College of Public Health)
• Co-chair: representative from a research institution focused on population health that operates under the auspice of a
difference post-secondary education institution with a college of medicine in Nebraska (Creighton University Institute of
Population Health)
• Chief Medical Officer of DHHS or designee
• Chairperson of the State Board of Health or designee
• No more than seven additional members designated by the co-chairs of the committee and approved by the Legislature
o Four of which from the most populous counties
o No more than two from the same regulated health profession
The bill states legislative intent to appropriate $300,000 annually to support the newly created Commission. The fund source is not
specified and as such, we assume General Funds. The bill states of this amount, $ 100,000 is allocated to UNMC for the Heal th
Professions Tracking Service. It is unclear if funding associated with this legislation is intended to be appropriated to DHHS or directly
to the University. Additionally, it is unclear which entity would sati sfy the reporting requirements.
ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE
LB: 554 AM: AGENCY/POLT. SUB: Nebraska Department of Health & Human Services
REVIEWED BY: Ann Linneman DATE: 2 -14-2025 PHONE: (402) 471-4180
COMMENTS: Concur with the Nebraska Department of Health and Human Services’ assessment of fiscal impact.
Technical Note: The current appropriation language is not sufficient to create an appropriation. The fiscal impact
assessment assumes an accompanying A-bill articulating appropriation in accordance with §49-804.
LB (1) 554 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 2-13-25 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:
LB554 creates the Nebraska Health Professions Commission that will review scope of practice proposals and
proposals to credential new health professions.
The bill appropriates $300,000 annually to the commission to support its activities with $100,000 of this amount
designated to support the Health Professions Tracking Service at UNMC.
It is unclear whether the funds will be appropriated directly to Department of Health and Human Services
(DHHS) or sourced from a DHHS fund.
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
0554Create the Nebraska Health Professions Commission
__________________________________
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)
01/29/2025 Phone:
(5)
(402) 559-6300
ESTIMATE PROVIDED BY STATE AGENCY OR POLITICAL SUBDIVISION
FY 2025 - 26 FY 2026 - 27
EXPENDITURES REVENUE
GENERAL FUNDS
125,000.00 125,000.00
CASH FUNDS
0.00 0.00
FEDERAL FUNDS
0.00 0.00
OTHER FUNDS
0.00 0.00
TOTAL FUNDS
125,000.00 125,000.00
EXPENDITURES REVENUE
125,000.00 125,000.00
0.00 0.00
0.00 0.00
0.00 0.00
125,000.00 125,000.00
Explanation of Estimate:
LB0554 is creating a non-partisan commission co-chaired by the UNMC College of Public Health and Creighton University Institute of Population
Health to initiate, review, and evaluate requests for scope of practice. This analysis will be used to make a recommendation to the legislature for any
changes that would be implemented by the appropriate state medical licensing boards.
The bill includes $100,000 for a position within UNMC Health Professions Tracking Program to provide data and $25,000 for UNMC analysis and
reports. The intent of the legislation is to better serve the health care needs of underserved areas of the state without compromising quality.
BREAKDOWN BY MAJOR OBJECTS OF EXPENDITURE
Personal Services:
POSITION TITLE
HPTP
Benefits..............................................
Operating...........................................
Travel.................................................
Capital outlay....................................
Aid...................................................
Capital improvements........................
TOTAL......................................
25 - 26
1
0
26 - 27
1
0
2025 - 26
64,000.00
36,000.00
25,000.00
125,000.00
2026 - 27
64,000.00
36,000.00
25,000.00
125,000.00