LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 77th Regular Session
March 7, 2001
TO: Honorable Mike Moncrief, Chair, Senate Committee on
Health & Human Services
FROM: John Keel, Director, Legislative Budget Board
IN RE: SB831 by Moncrief (Relating to the establishment of a
medical assistance buy-in pilot program for certain
persons with disabilities.), As Introduced
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* SB831, As Introduced: positive impact of $244,385 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 Net Impact:
****************************************************
* Fiscal Year Probable Net Positive/(Negative) *
* Impact to General Revenue Related *
* Funds *
* 2002 $(4,253) *
* 2003 248,638 *
* 2004 0 *
* 2005 0 *
* 2006 0 *
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All Funds, Five-Year Impact:
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*Fiscal Probable Revenue Probable Probable *
* Year Gain/(Loss) from Savings/(Cost) from Savings/(Cost) from *
* General Revenue Fund Federal Funds - GR Match for *
* 0001 Federal Medicaid *
* 0555 0758 *
* 2002 $183,600 $(718,147) $(187,853) *
* 2003 367,200 (214,188) (118,562) *
* 2004 0 0 0 *
* 2005 0 0 0 *
* 2006 0 0 0 *
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Technology Impact
For the pilot program, the Department of Human Services (DHS) estimates
automation costs of $715,000 for FY 2002 and $71,500 for FY 2003.
Fiscal Analysis
The bill would provide for a pilot program for a medical assistance
buy-in for certain recipients with disabilities in accordance with the
federal Ticket to Work and Work Incentives Improvement Act of 1999.
Eligibles would include persons who are (1) at least 16 years of age, but
not more than 64 years, and have earned income which exceeds the limit
for SSI but are otherwise eligible, and (2) employed with a medically
improved disability.
The bill would authorize the Health and Human Services Commission (HHSC)
to set income, assets, and resource limitations for purposes of the pilot
program.
The bill would provide for cost-sharing.
The bill would require HHSC to evaluate the effectiveness of the program
by December 1, 2002.
The bill would expire on September 1, 2003.
Methodology
1. It is assumed that funding related to the evaluation and required
systems changes at DHS would be funded with federal funds made available
specifically for infrastructure relating to "Ticket to Work."
2. Client medical benefits were estimated using a category relating to
disabled persons and include the full package of medical assistance
benefits.
3. It is assumed that 270 clients are currently receiving Medicaid but
would return to work and participate in this program and 30 clients are
clients new to the Medicaid program. It is assumed all clients would
contribute in cost sharing as follows: 150 clients would pay $68 per
month, and 150 clients would pay $136.
4. The project would begin providing services on March 1, 2002.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 324 Texas Department of Human Services, 501 Texas
Department of Health, 529 Health and Human Services
Commission
LBB Staff: JK, HD, KF, AJ