LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE
75th Regular Session
February 20, 1997
TO: Honorable Harvey Hilderbran, Chair IN RE: House Bill No. 663
Committee on Human Services By: Maxey
House
Austin, Texas
FROM: John Keel, Director
In response to your request for a Fiscal Note on HB663 ( Relating
to the assessment of needs of individuals served by long-term
care services offered by health and human services agencies.)
this office has detemined the following:
Biennial Net Impact to General Revenue Funds by HB663-As Introduced
Implementing the provisions of the bill would result in a net
negative impact of $(312,500) to General Revenue Related Funds
through the biennium ending August 31, 1999.
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 Health and Human
Services Commission to develop a functional needs assessment
pilot program to determine the feasibility of a consistent process
to be used by long-term care service programs to assess the
functional needs of the populations served by the programs.
The Commission would be required to conduct the pilot program
using a test population that is representative of the types
of populations enrolled in or who seek enrollment in long-term
care services programs.
HHSC would be required to report
to the legislature by not later than November 1, 1998, the preliminary
results of the pilot program. Not later than November 1, 2000,
the Commission would be required to report to the legislature
on the feasibility of implementation of the consistent functional
needs assessment process developed pursuant to these provisions.
Fiscal Analysis
Cost estimates for the pilot program are based on an estimate
of a similar project proposed by the State Medicaid Office in
conjunction with the University of Houston. It is anticipated
that the services will be provided by a contracted provider
over a two year period. The $500,000 contract would be negotiated
with a large public university to develop and test a survey
instrument for use at health and human service intake points
in the selected pilot project service area.
Analysis and
interpretation of the data would be a part of the contracted
services. Other health and human service agencies who administer
the survey as part of screening, referral or intake, would incur
some costs but it is anticipated that these tasks can be performed
within existing staff and resources. No new FTEs would be added.
Methodolgy
It was assumed that federal matching funds (50:50) would be
available for 75% of the expenditures and that general revenue
would comprise the remainder.
The probable fiscal implications of implementing the provisions
of the bill during each of the first five years following passage
is estimated as follows:
Five Year Impact:
Fiscal Year Probable Probable Probable
Savings/(Cost) Savings/(Cost) Savings/(Cost)
from General from Federal Funds from General
Revenue Fund: Revenue Fund
Medicaid Match
0001 0555 0001
1998 ($93,750) ($93,750) ($62,500)
1998 (93,750) (93,750) (62,500)
2000 0 0 0
2001 0 0 0
2002 0 0 0
Net Impact on General Revenue Related Funds:
The probable fiscal implication to General Revenue related funds
during each of the first five years is estimated as follows:
Fiscal Year Probable Net Postive/(Negative)
General Revenue Related Funds
Funds
1998 ($156,250)
1999 (156,250)
2000 0
2001 0
2002 0
No fiscal implication to units of local government is anticipated.
Source: Agencies: 529 Health and Human Services Commission
340 Department on Aging
501 Department of Health
324 Department of Human Services
330 Rehabilitation Commission
655 Texas Department of Mental Health and Mental Retardation
LBB Staff: JK ,BB ,AZ