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