LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 77th Regular Session
March 6, 2001
TO: Honorable Mike Moncrief, Chair, Senate Committee on
Health & Human Services
FROM: John Keel, Director, Legislative Budget Board
IN RE: SB751 by Shapleigh (Relating to providing the services
of promotoras to certain recipients of medical
assistance.), As Introduced
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* SB751, As Introduced: negative impact of $(625,147) 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. *
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General Revenue-Related Funds, Five-Year Impact:
****************************************************
* Fiscal Year Probable Net Positive/(Negative) *
* Impact to General Revenue Related *
* Funds *
* 2002 $0 *
* 2003 (625,147) *
* 2004 (3,126,519) *
* 2005 (6,253,519) *
* 2006 (7,503,646) *
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All Funds, Five-Year Impact:
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*Fiscal Probable Savings/(Cost) from GR Probable Savings/(Cost) from *
* Year Match for Medicaid Federal Funds - Federal *
* 0758 0555 *
* 2002 $0 $0 *
* 2003 (625,147) (940,853) *
* 2004 (3,126,519) (4,703,481) *
* 2005 (6,253,519) (9,406,962) *
* 2006 (7,503,646) (11,288,354) *
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Fiscal Analysis
The bill would direct the Department of Health (TDH) to provide the
services of a promotora as needed to a person under the medical
assistance program (Medicaid).
Methodology
TDH estimates that the following number of unduplicated clients would use
promotora services: 15,000 in FY 2003, 57,000 in FY 2004, 150,000 in FY
2005, and 180,000 in FY 2006. It is assumed that each client on average
would utilize promotora services 5.22 times per fiscal year. It is
assumed that the average cost per service would total $20. The federal
share of client services expenses would total 60.08% in FY 2003, and
60.07% in each subsequent fiscal year.
TDH has determined that a waiver from the federal government as well an
amendment to the state Medicaid plan would be required for
implementation. The agency estimates implementation would begin March
2003, with a staged increase in the number of clients accessing promotora
services. The agency also assumes that only state certified promotoras
would be able to provide services.
If promotora services were to made available to clients served at other
Medicaid-operating agencies, there would be additional costs.
Local Government Impact
No significant fiscal implication to units of local government is
anticipated.
Source Agencies: 324 Texas Department of Human Services, 529
Health and Human Services Commission
LBB Staff: JK, HD, PP