LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE
74th Regular Session
April 24, 1995
TO: Honorable Hugo Berlanga, Chair IN RE: House Bill No. 1575
Committee on Public Health By: Maxey, et al.
House of Representatives
Austin, Texas
FROM: John Keel, Director
In response to your request for a Fiscal Note on House Bill No.
1575 (Relating to nurse aides in certain nursing facilities
funded through the state Medicaid program.; Relating to nurse
aides in certain nursing facilities funded through the state
Medicaid program.) 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 requires the Department of Human Services to include in
the Medicaid provider contract with nursing facilities, a
provision requiring that a sufficient ratio of nurse aides to
residents be maintained in order meet the needs of the residents.
The contract provisions at a minimum, require the nursing
facilities to maintain the following nurse aide to residents
ratios:
* morning shift: at least one nurse aide for each eight
residents;
* afternoon shift: at least one nurse aide for each 10
residents; and
* night shift: at least one nurse aide for each 14 residents.
The bill provides for delaying implementation if DHS determines
that waiver or authorization from the federal agency is
necessary.
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 GR Match For of Federal Funds Number of State
Medicaid 555 Employees from
FY 1995
1996 $28,385,277 $46,907,234 .0
1997 29,894,471 48,220,165 .0
1998 30,492,406 49,184,640 .0
1999 31,102,038 50,167,985 .0
2000 31,811,183 51,311,846 .0
Similar annual fiscal implications would continue as long as the
provisions of the bill are in effect.
The fiscal implications to units of local government cannot be
determined.
Source: Department of Human Services
LBB Staff: JK, MU, DF