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