LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 74th Regular Session March 19, 1995 TO: Honorable Harvey Hilderbran, Chair IN RE: House Bill No. 648 Committee on Public Health By: Cain House of Representatives 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 $40.00 a month for a resident of a convalescent or 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 of 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 Matching Probable Cost Out Year Cost Out of of Federal Funds General Revenue 555 1996 $3,542,222 $4,472,218 1997 3,614,614 4,488,026 1998 3,686,943 4,577,817 1999 3,760,730 4,669,390 2000 3,835,976 4,762,744 Similar fiscal implications would continue as long as the provisions of the bill are in effect. No fiscal implication to units of local government is anticipated. Source: Department of Human Services LBB Staff: JK, MU, DF