| TO: | Honorable Patrick M. Rose, Chair, House Committee on Human Services |
| FROM: | John S. O'Brien, Director, Legislative Budget Board |
| IN RE: | SB1865 by Zaffirini (Relating to the creation of the lifespan respite services pilot program.), As Engrossed |
Estimated Two-year Net Impact to General Revenue Related Funds
for SB 1865, Committee Report 1st House, Substituted: a negative impact of ($325,586) 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.
| Fiscal Year | Probable Net Positive/(Negative) Impact to General Revenue Related Funds |
|---|---|
| 2008 | ($162,793) |
| 2009 | ($162,793) |
| 2010 | ($162,793) |
| 2011 | ($162,793) |
| 2012 | $0 |
| Fiscal Year | Probable Savings/(Cost) from GENERAL REVENUE FUND 1 |
Change in Number of State Employees from FY 2007 |
|---|---|---|
| 2008 | ($162,793) | 1.0 |
| 2009 | ($162,793) | 1.0 |
| 2010 | ($162,793) | 1.0 |
| 2011 | ($162,793) | 1.0 |
| 2012 | $0 | 0.0 |
This bill would implement recommendations 1 and 2 of the LBB Government Effectiveness and Efficiency Report entitled "Implement Efforts to Support Informal Caregivers."
The bill would amend the Human Resources Code to create a lifespan respite services pilot program to promote the provision of respite services. The bill defines respite services as support services that give temporary relief to a primary caregiver who provides ongoing care to an individual with a chronic illness or disability. The bill requires that the Department of Aging and Disability Services (DADS) develop and implement the lifespan respite services pilot program. The bill requires DADS to contract with community-based organizations or local governmental entities selected by DADS to provide respite services or to facilitate access to local respite services. DADS would be required to provide technical assistance to entities that receive a contract, provide policy and program development support, monitor program activities, and select the areas of the state in which to implement the pilot program.
The bill requires that DADS, in consultation with the Health and Human Services Commission (HHSC), submit a report to the governor and the Legislative Budget Board by November 1, 2008 regarding the lifespan respite services pilot program, including an evaluation of the effect of the pilot program on access to respite services and Medicaid expenditures for long-term care services provided in institutional care settings.
This bill would take effect September 1, 2007.
Implementing a lifespan respite pilot program has the potential to avoid future Medicaid insititutional spending by supporting informal caregivers. Based on the analysis of DADS, it is assumed there would be costs associated with creation of a lifespan respite services pilot program. It is assumed that there would be contracts with two community-based organizations or local governmental entities in the amount of $100,000 in fiscal years 2008 through 2011. It is assumed that DADS would need additional staff to administer the pilot program. Costs would include salary for 1.0 FTE (Program Specialist V) in the amount of $45,222 in fiscal years 2008 through 2011 with associated benefit costs of $12,793 in fiscal years 2008 through 2011. Other costs, including travel, are assumed to be $4,778 in fiscal years 2008 through 2011.
There is no anticipated cost in fiscal year 2012 because the lifespan respite services pilot program would end September 1, 2011.
| Source Agencies: | 529 Health and Human Services Commission, 539 Aging and Disability Services, Department of
|
| LBB Staff: | JOB, CL, JI, DM
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