LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session April 4, 2001 TO: Honorable Mike Moncrief, Chair, Senate Committee on Health & Human Services FROM: John Keel, Director, Legislative Budget Board IN RE: SB1469 by Moncrief (Relating to creating a pilot treatment program for certain adults on community supervision.), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * SB1469, As Introduced: negative impact of $(402,500) 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 $(402,500) * * 2003 0 * * 2004 0 * * 2005 0 * * 2006 0 * **************************************************** All Funds, Five-Year Impact: ***************************************************** * Fiscal Year Probable Savings/(Cost) from * * General Revenue Fund * * 0001 * * 2002 $(402,500) * * 2003 0 * * 2004 0 * * 2005 0 * * 2006 0 * ***************************************************** Fiscal Analysis The bill would propose the development of a pilot Assertive Community Treatment (ACT) team in Tarrant County to serve adults (18 years and older) with severe mental illness who are currently on community supervision through the legal system. ACT is an integrated effort to provide intensive community-based care to high users of the system who have remained unresponsive to previous therapies. These are persons who have severe and persistent mental illness with a history of multiple hospitalizations and involvement with the criminal justice system, homeless shelters and /or community residential placements. Individuals eligible for ACT must also meet case management criteria for the most intensive level of service. The Department of Mental Health and Mental Retardation (MHMR) would be required to submit a report on the effectiveness of the pilot by January 15, 2003. The bill would be effective September 1, 2001. Methodology The annual average number of persons served estimated by Tarrant County is 35. The average annual cost per person is estimated to be $11,500. There is the additional probability that federal Medicaid funds could be available to address the costs at the Federal Medical Assistance Percentage rate for ACT services that qualify. MHMR assumes the pilot would be for one year only. Local Government Impact The fiscal impact to local government would be the costs of research prior to implementation of the pilot as well as costs of post-pilot evaluation required by the bill. These costs are estimated to be $25,000 for FY 2002 only. Source Agencies: 655 TX Dept. of Mental Health & Mental Retardation LBB Staff: JK, HD, KF, MB