LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 80TH LEGISLATIVE REGULAR SESSION

April 25, 2007

TO:	Honorable Patrick M. Rose, Chair, House Committee on Human Services
FROM:	John S. O'Brien, Director, Legislative Budget Board
IN RE:	HB3766 by O'Day (Relating to the establishment of a self-determination pilot program by the Department of Aging and Disability Services.), As Introduced

Estimated Two-year Net Impact to General Revenue Related Funds for HB3766, As Introduced: a negative impact of ($1,047,779) through the biennium ending August 31, 2009.

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
2008	($223,333)
2009	($824,446)
2010	($888,303)
2011	($888,303)
2012	($888,303)

All Funds, Five-Year Impact:

Fiscal Year	Probable (Cost) from GR MATCH FOR MEDICAID 758	Probable (Cost) from FEDERAL FUNDS 555	Change in Number of State Employees from FY 2007
2008	($223,333)	($303,683)	2.0
2009	($824,446)	($1,201,996)	2.0
2010	($888,303)	($1,297,942)	2.0
2011	($888,303)	($1,297,942)	2.0
2012	($888,303)	($1,297,942)	2.0

Fiscal Analysis

The bill would require the Department of Aging and Disability Services (DADS) to establish a pilot program to deliver department services currently provided to an individual with a disability through a Section 1915(c) waiver program, as defined by Section 531.001, Government Code, through a self-determination model under which the individual exercises control over the development and implementation of the individual's service plan and over the persons delivering the services directly to the individual.

Methodology

The DADS estimate assumes that a total of 50 consumers would be served in the pilot and would be achieved via a 1915(c) waiver. DADS assumed the adult/child split to mirror those found in Home and Community-based Services (HCS) and that the planning stage would extend until February 08, after which enrollments would begin. DADS estimated that enrollments would occur evenly over 12 months (approximately 4 per month, until reaching 50). The average cost used by DADS was the HCS average monthly cost, plus the financial management cost found in the Texas Home Living consumer directed services waiver amendment (approximately $3,400). DADS assumed the method of finance to include federal funds at a match rate comparable to HCS (approximately 40/60 percent state/federal match). Additionally, DADS assumed that two (2) Program Specialist V positions would be needed starting in FY 2008. DADS used the midpoint salary for the classification in the estimate.

Acute Care Medicaid costs have not been included in this estimate. 

Local Government Impact

No fiscal implication to units of local government is anticipated.

Source Agencies:

539 Aging and Disability Services, Department of

LBB Staff:

JOB, CL, PP, ML