LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 75th Regular Session March 31, 1997 TO: Honorable Harvey Hilderbran, Chair IN RE: House Bill No. 2084 Committee on Human Services By: Hilderbran House Austin, Texas FROM: John Keel, Director In response to your request for a Fiscal Note on HB2084 ( Relating to the establishment of a pilot project in which vouchers are used for payment of certain health care services.) this office has detemined the following: Biennial Net Impact to General Revenue Funds by HB2084-As Introduced Implementing the provisions of the bill would result in a net negative impact of $(149,315) 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. Fiscal Analysis The bill would require the Health and Human Services Commission to establish by rule, a pilot project utilizing vouchers as a means of payment for long-term care services. The bill would require the commission to coordinate with the Rehabilitation Commission and the Department of Human Services. Certain reporting requirements are included for these three agencies relating to the effectiveness of the pilot and feasibility of expanding the concept statewide. Methodolgy Costs of implementing the provisions of the bill: 1) It is assumed that the Health and Human Services Commission will add one full-time equivalent position which will be hired during year one, thus allowing for a phase-in of year one costs. First year start-up costs related to salary, benefits, travel, equipment and supplies total $42,929 in general revenue with similar costs for each year thereafter totaling $56,386 in general revenue. 2) It is assumed that the Department of Human Services will incur costs in conducting an evaluation of the pilot project in year one, totaling $50,000 in general revenue. 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 (Cost) Change in Number from General of State Revenue Fund Employees from FY 1997 0001 1998 ($92,929) 0.7 1998 (56,386) 1.0 2000 (56,386) 1.0 2001 (56,386) 1.0 2002 (56,386) 1.0 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 ($92,929) 1999 (56,386) 2000 (56,386) 2001 (56,386) 2002 (56,386) Similar annual 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: Agencies: 324 Department of Human Services 529 Health and Human Services Commission 330 Rehabilitation Commission 304 Comptroller of Public Accounts LBB Staff: JK ,BB ,AZ