LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 80TH LEGISLATIVE REGULAR SESSION
 
April 2, 2007

TO:
Honorable Patrick M. Rose, Chair, House Committee on Human Services
 
FROM:
John S. O'Brien, Director, Legislative Budget Board
 
IN RE:
SB318 by Deuell (Relating to Medicaid incentive payments for direct nursing care provided by nursing homes.), As Engrossed

No significant fiscal implication to the State is anticipated.

The bill would amend Section 32.028 (g) and (i) of the Human Resources Code. The bill would require the Health and Human Services Commission (HHSC) to provide a program offering incentives for increasing direct care staff and direct care wages and benefits; and if money is available after allocation to base rate reimbursements, changes in funding for nursing facility payment rates intended to change the base rate and incentive-based rate by equal percentages.

Section 2 of the bill would allow HHSC to delay implementing the bill if a federal waiver or authorization is required.

The bill takes effect September 1, 2007.


Local Government Impact

No fiscal implication to units of local government is anticipated.


Source Agencies:
529 Health and Human Services Commission, 539 Aging and Disability Services, Department of
LBB Staff:
JOB, CL, PP, ML