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