LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session March 26, 2001 TO: Honorable Mike Moncrief, Chair, Senate Committee on Health & Human Services FROM: John Keel, Director, Legislative Budget Board IN RE: SB498 by Truan (Relating to the training requirements for certain employees of nursing homes.), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * SB498, As Introduced: negative impact of $(2,436,043) 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 $(1,216,494) * * 2003 (1,219,549) * * 2004 (1,219,549) * * 2005 (1,219,549) * * 2006 (1,219,549) * **************************************************** All Funds, Five-Year Impact: *************************************************************************** *Fiscal Probable Savings/(Cost) from Probable Savings/(Cost) from * * Year General Revenue Fund Federal Funds - Federal * * 0001 0555 * * 2002 $(1,216,494) $(1,837,723) * * 2003 (1,219,549) (1,834,668) * * 2004 (1,219,549) (1,834,668) * * 2005 (1,219,549) (1,834,668) * * 2006 (1,219,549) (1,834,668) * *************************************************************************** Fiscal Analysis The bill would require the Department of Human Services (DHS) to adopt rules that would require nursing home employees who do not hold a license, certificate, registration, permit, or some other form of authorization under Title 3, Occupations Code, to have basic first aid and cardiopulmonary resuscitation training. Methodology The DHS estimated approximately 80 percent of nursing facility employees would be eligible for training. Based on the current number of 1,060 nursing facilities and the average number of employees per nursing facility equal to 30, of which 80 percent would require such training, DHS indicated the number of potential attendees of such a training program was estimated to be 25,440 individuals. For fiscal years 2003 through 2006, the subsequent number of potential attendees of training was based upon the high turnover that now exists at nursing facilities. The additional cost of replacement pay for attendees of such First Aid & Safety and CPR training was considered by DHS in the estimate, since nursing facility employees who attend would be required to obtain a certificate for further performance of their employment. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 324 Texas Department of Human Services LBB Staff: JK, HD, ML