LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 74th Regular Session May 3, 1995 TO: Honorable Harvey Hilderbran, Chair IN RE: House Bill No. 648, Committee on Human Services as amended House of Representatives By: Ramsay Austin, Texas FROM: John Keel, Director In response to your request for a Fiscal Note on House Bill No. 648 (relating to the personal needs allowance for certain Medicaid recipients who are residents of long-term care facilities) this office has determined the following: The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. The bill would require the Department of Human Services to set a personal needs allowance of not less than $35.00 a month for a resident of a convalescent of nursing home or related institution under Chapter 242, Health and Safety Code, personal care facility, ICF-MR facility or other similar long-term care facility who receives medical assistance. The effective date the legislation is September 1, 1995 and applies only to a personal needs allowance paid on or after that date. The probable fiscal implication of implementing the provisions of the bill during each of the first five years following passage is estimated as follows: Fiscal Probable Cost Out Probable Cost Out Change in Year of General of Federal Funds Number of State Revenue Fund 001 555 Employees from FY 1995 1996 $1,730,598 $2,208,822 .0 1997 1,755,756 2,203,644 .0 1998 1,843,471 2,288,909 .0 1999 1,880,365 2,334,695 .0 2000 1,917,988 2,381,372 .0 Similar annual fiscal implications would continue as long as the provisions of the bill are in effect. Source: Department of Human Services LBB Staff: JK, MU, DF