LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION

May 21, 2009

TO:	Honorable Patrick M. Rose, Chair, House Committee on Human Services
FROM:	John S. O'Brien, Director, Legislative Budget Board
IN RE:	SB2407 by Zaffirini (Relating to the creation of a strategic plan to improve long-term services and supports for individuals with disabilities.), Committee Report 2nd 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 and submit it to legislative committees by December 1, 2010 to improve long-term services and supports for individuals with disabilities.  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 improvement and make related recommendations. 

This analysis assumes the creation of the strategic plan will not result in a significant fiscal impact to HHSC for the 2010-11 biennium and costs can be absorbed within existing resources.

Local Government Impact

No significant 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, LI