LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  March 24, 1997
         
         
      TO: Honorable Harvey Hilderbran, Chair            IN RE:  House Bill No. 2313
          Committee on Human Services                              By: Van de Putte
          House
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on HB2313 ( Relating 
to the provision of transportation services to entities that 
receive transportation funds from the federal government in 
connection with the provision of social services.) this office 
has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by HB2313-As Introduced
         
Implementing the provisions of the bill would result in a net 
negative impact of $(3,283,200) 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 amend Title 9 of the Human Resources 
Code by adding Chapter 136.  The bill would require a state 
agency, political subdivision of the state, or entity under 
contract with a state agency or political subdivision of the 
state which receives federal funding for social services which 
may be used for transportation services to contract with a metropolitan 
transit authority, a rural transit district, an urban transit 
district, or another recipient of public transportation funds 
to provide client transit services.
         
 
Fiscal Analysis
 
It is assumed the bill would oblige state agencies, political 
subdivisions of the state, and entities under contract with 
state agencies or political subdivisions of the state to contract 
with public transportation providers for all client transport 
services.

The bill would impact several state health and 
human service agencies' client transport programs.   For simplicity, 
this note will focus on how the bill would impact one of the 
state's largest client transport programs:  the Department of 
Health's Medicaid Transport (MT) program.  

(The Department 
of Mental Health and Mental Retardation indicates there would 
be an impact to its Community and Campus Transportation (CCT) 
program, but could not provide complete data at the time of 
this writing.)

It is estimated that the Department of Health 
provides 2,000,000 rides per year through its MT program at 
an average cost per ride of $11.52.  Rides are provided by private 
and public entities, and individuals who contract with the department.
 
Methodolgy
 
It is assumed only one public transit entity will be available 
in most regions of the state for state agencies or their affiliates 
to contract with.  Because of the lack of competition and the 
need for public transportation entities to acquire additional 
vehicles and employees to accommodate increased demand, we assume 
a 25% increase over current rates.   Additional costs for the 
MT program would be paid at the Medicaid client services match, 
approximately 38% state and 62% federal. 

It is assumed that 
contract negotiations and the transition to public transportation 
would require at least six months to complete.  Therefore, costs 
for FY 1998 are discounted by 50%.
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)    Probable (Cost)    
            to General         to Federal Funds                                                           
            Revenue Fund                                                                                  
            0001               0555                                                                        
       1998      ($1,094,400)      ($1,785,600)                                                      
       1998       (2,188,800)       (3,571,200)                                                      
       2000       (2,188,800)       (3,571,200)                                                      
       2001       (2,188,800)       (3,571,200)                                                      
       2002       (2,188,800)       (3,571,200)                                                      
 
 
         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         ($1,094,400)
               1999          (2,188,800)
               2000          (2,188,800)
               2001          (2,188,800)
               2002          (2,188,800)
 
          
No significant fiscal implication to units of local government 
is anticipated. It is assumed that any increased costs to local 
transit providers would be passed along through rate increases.
          
   Source:            Agencies:   655   Texas Department of Mental Health and Mental Retardation
                                         324   Department of Human Services
                                         529   Health and Human Services Commission
                                         501   Department of Health
                                         
                      LBB Staff:   JK ,BB ,PP