LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session May 8, 2001 TO: Honorable James E. "Pete" Laney, Speaker of the House, House of Representatives FROM: John Keel, Director, Legislative Budget Board IN RE: HB772 by Haggerty (relating to the eligibility of certain offenders for medically recommended intensive supervision and the provision of facilities for those offenders.), As Passed 2nd House ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB772, As Passed 2nd House: positive impact of $1,612,000 through * * the biennium ending August 31, 2003. * * * * The bill would make no appropriation but could provide the legal * * basis for an appropriation of funds to implement the provisions of * * the bill. * ************************************************************************** General Revenue-Related Funds, Five-Year Impact: **************************************************** * Fiscal Year Probable Net Positive/(Negative) * * Impact to General Revenue Related * * Funds * * 2002 $533,000 * * 2003 1,079,000 * * 2004 1,439,000 * * 2005 1,799,000 * * 2006 2,159,000 * **************************************************** All Funds, Five-Year Impact: ***************************************************** * Fiscal Year Probable Savings/(Cost) from * * General Revenue Fund * * 0001 * * 2002 $533,000 * * 2003 1,079,000 * * 2004 1,439,000 * * 2005 1,799,000 * * 2006 2,159,000 * ***************************************************** Fiscal Analysis The bill would amend the Government Code to include inmates significantly ill with a chronic disease in the eligible pool of inmates for special needs parole. The bill would require the Texas Council on Offenders with Mental Impairments (TCOMI) and the Texas Department of Human Services (DHS) to issue a request for proposal for a skilled nursing facility located in an urban area for offenders released from prison on special needs parole. The bill would partially implement PSC-4 of the Comptroller's e-Texas report. The bill would take effect September 1, 2001. Methodology The Texas Department of Criminal Justice (TDCJ) estimates that there are currently over 600 inmates with a chronic disease that would be eligible for special needs parole consideration. The majority of special needs offenders would be released to alternative care in nursing home facilities. Medicaid funding for this population would be provided by the federal government (60.6 percent) and the state (39.4 percent). For the 2002-03 biennium, the Comptroller's Office assumes 150 additional inmates would be released under the special needs parole program and that this number would increase by 50 each year starting in fiscal year 2004. The current average daily cost for a special needs inmate is $53.50. To realize the savings shown above, the appropriations to TDCJ would have to be reduced by the estimated costs for housing the special needs inmates ($1,444,500 in fiscal 2002 and $2,929,125 in fiscal 2003). The estimated savings in 2002 are reduced to reflect a six-month implementation lag. The current cost of nursing home care averages $86 per day and would be covered under Medicaid. The appropriations to DHS would have to be increased to qualify for the Medicaid match by $912,330 in fiscal 2002 and $1,850,003 in fiscal 2003. The estimated increases in expended Federal Funds are $1,401,000 in fiscal 2002, $2,842,000 in fiscal 2003, $3,789,000 in fiscal 2004, $4,736,000 in fiscal 2005, and $5,683,000 in fiscal 2006. Local Government Impact No significant fiscal implication to units of local government is anticipated. Local governments would only be impacted if they were awarded a contract to provide services for inmates released on special needs parole. Source Agencies: 324 Texas Department of Human Services, 304 Comptroller of Public Accounts, 696 Texas Department of Criminal Justice LBB Staff: JK, JC, JN, VS, RK, DB