LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION

April 30, 2009

TO:	Honorable Patrick M. Rose, Chair, House Committee on Human Services
FROM:	John S. O'Brien, Director, Legislative Budget Board
IN RE:	HB1589 by Rose (Relating to the creation of a strategic plan to reform long-term services and supports for individuals with disabilities.), Committee Report 1st House, Substituted

No significant fiscal implication to the State is anticipated.

The bill would require the Health and Human Services Commission (HHSC) to develop a strategic plan by December 1, 2010 to reform long-term services and supports for individuals with disabilities, and submit the plan to the presiding officers of the Senate Health and Human Services Committee and the House Human Services Committee.

 

The plan would be required to assess the need for services; prescribe methods to expand access to community-based services; analyze current utilization management methods; examine local access issues for community-based services and identify appropriate solutions; examine current functional eligibility criteria, tools, and service planning reimbursement methodology for the home-and community based services (HCS) waiver system and prescribe methods for the waiver’s redesign; prescribe methods to improve services delivered in state schools and centers; prescribe methods to improve service quality; and identify barriers to system reform and make related recommendations.

 

HHSC assumes costs associated with creation of the strategic plan can be absorbed within the agency’s existing resources.

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, JI, LL