LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session March 28, 2001 TO: Honorable Mike Moncrief, Chair, Senate Committee on Health & Human Services FROM: John Keel, Director, Legislative Budget Board IN RE: SB1242 by Moncrief (Relating to criminal history checks of employees and applicants for employment in certain long-term care facilities.), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * SB1242, As Introduced: positive impact of $767,200 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 $377,680 * * 2003 389,520 * * 2004 389,520 * * 2005 389,520 * * 2006 389,520 * **************************************************** All Funds, Five-Year Impact: *********************************************************************** *Fiscal Probable Probable Probable Probable Change in * * Year Savings/ Savings/ Savings/ Savings/ Number of * * (Cost) from (Cost) from (Cost) from (Cost) from State * * General General Federal Federal Employees * * Revenue Revenue Funds - Funds - from FY 2001 * * Fund Fund Federal Federal * * 0001 0001 0555 0555 * * 2002 $444,955 $(67,275) $112,683 $(32,812) (3.0) * * 2003 444,955 (55,435) 112,683 (27,652) (3.0) * * 2004 444,955 (55,435) 112,683 (27,652) (3.0) * * 2005 444,955 (55,435) 112,683 (27,652) (3.0) * * 2006 444,955 (55,435) 112,683 (27,652) (3.0) * *********************************************************************** Fiscal Analysis The bill would amend Chapter 242 of the Health and Safety Code and require long-term care facilities and home health care agencies to request criminal history checks directly from the Texas Department of Public Safety (DPS) and require that those facilities and agencies inquire with the Department of Human Services (DHS) Employee Misconduct Registry (EMR) and Nurse Aide Registry (NAR) prior to hiring staff. Methodology Pursuant to provisions of the bill the DHS assumed the processing of criminal history background checks by DHS would be eliminated and therefore provide a savings to the department by eliminating the costs DPS charges per background check. DHS estimated it would have processed 147,943 requests for long-term care facilities and 147,371 requests for home health agencies in FY 2002. By eliminating DHS from the process DHS estimated a cost savings of $296,972 on processing background checks, $147,983 by elimination of the postage costs both General Revenue, $112,683 in federal funds and a reduction of four positions. The savings would be realized in FY 2002 through FY 2006. The DHS estimate assumed phone calls to the NAR and EMR would double based on the proposed language that requires all employees of facilities be checked. The estimate included one new position to handle the manual entry of information into the Registries, provide notification, and handle direct caller inquiries. In addition, the estimate included a $17,000 cost to upgrade the phone system (VIPS automated voice) in FY 2002, an additional $2,000 per year for maintenance and a $4,000 per month for FY 2002 through FY 2006 cost incurred for accommodating the increased volume of calls to the 1-800 line. The Texas Department of Mental Health and Mental Retardation (MHMR) indicated if the bar on employment was absolute and retroactive to include persons who had committed minor offenses in the past, corrected or not, there could be a substantial fiscal impact upon MHMR due to the requirement that such persons be terminated and new persons attracted, hired and trained. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 405 Texas Department of Public Safety, 655 TX Dept. of Mental Health & Mental Retardation, 324 Texas Department of Human Services LBB Staff: JK, HD, ML