LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                               May 11, 2001
  
  
          TO:  Honorable Mike Moncrief, Chair, Senate Committee on
               Health & Human Services
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  HB1213  by Maxey (Relating to creation and implementation
               by the Health and Human Services Commission of
               family-based alternatives to the institutionalization of
               children.), As Engrossed
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  HB1213, As Engrossed:  negative impact of $(3,324,213) 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                         $(1,166,732)  *
          *       2003                          (2,157,481)  *
          *       2004                          (2,537,822)  *
          *       2005                          (2,017,403)  *
          *       2006                          (1,467,727)  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
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*Fiscal    Probable Savings/(Cost) from     Change in Number of State     *
* Year         General Revenue Fund           Employees from FY 2001      *
*                      0001                                               *
*  2002                      $(1,166,732)                             2.0 *
*  2003                       (2,157,481)                             2.0 *
*  2004                       (2,537,822)                             2.0 *
*  2005                       (2,017,403)                             2.0 *
*  2006                       (1,467,727)                             2.0 *
***************************************************************************
  
Fiscal Analysis
  
The bill would require the Health and Human Services Commission (HHSC) to
develop and implement a system of family-based alternatives for children
in institutions.  The HHSC would be required to ensure appropriate
waivers be made available for each child in an institution and such
waivers allow for services through family-based alternatives.  The HHSC
would also be responsible for providing an annual report to the
Legislature not later than January 1, 2003, which would include
information on the status of the system and the children in the system.
  
  
Methodology
  
It is assumed implementation of the system would be February 2002.

Services required for implementation would be contracted out, overseen by
the HHSC.

The HHSC assumed a sufficient number of wavier slots (estimated to be
409) would be made available for the children and are not included in the
numbers above.  It is assumed that funds would be authorized at agencies
operating the waiver programs to allow for placement of children in
family-based alternatives.

The HHSC estimates an additional two FTEs would be needed to oversee the
operations of the system, provide technical assistance, provide training,
and complete the necessary reporting.

The HHSC states estimates are for the six geographic regions of the state
with the highest concentration of children in institutions.

The HHSC also states estimates included are solely administrative and do
not include programmatic costs related to waiver slots; fiscal
implications for full implementation would be significant and would
require new funding.  Other health and human service agencies would also
be impacted; estimates for those costs are not included.
  
  
Local Government Impact
  
No fiscal implication to units of local government is anticipated.
  
  
Source Agencies:   529   Health and Human Services Commission
LBB Staff:         JK, HD