Austin, Texas
April 4, 2011

Honorable Richard Pena Raymond, Chair, House Committee on Human Services
John S O'Brien, Director, Legislative Budget Board
HB3197 by Coleman (Relating to creating a pilot program to implement the culture change model of care at certain state supported living centers.), As Introduced

No significant fiscal implication to the State is anticipated.

The bill would implement a recommendation in the report, "Modernize Care Delivery at State Supported Living Centers" in the Legislative Budget Board's Transform State Residential Services for Persons with Intellectual and Developmental Disabilities submitted to the Eighty-second Texas Legislature, 2011.

The bill would implement the culture change model of care at one state supported living center. In the selection of the state supported living center (SSLC) to implement the culture change model of care, the Health and Human Services Commission would select an SSLC that is representative of the state supported living center system based on criteria in the bill. The Department of Aging and Disability Services (DADS) would implement policies and procedures, to the extent possible, at the selected SSLC to shift decision-making to the individual with the disability, improve the quality of care, and the workforce. DADS may contract for consulting services to assist the agency in implementing the culture change model.
The bill would require DADS to submit a status report by May 1, 2012 to the Legislative Budget Board (LBB) and the governor about the implementation of the culture change process and certain performance measures. DADS would also report quarterly to the LBB’s Automated Budget and Evaluation System the number of confirmed abuse, neglect, or exploitation allegations and the number unfounded abuse, neglect, or exploitation allegations. The Act would expire on September 1, 2013.
The Act would take effect immediately if it receives a two-thirds vote of each house, if not, then the Act would take effect on September 1, 2011.
It is assumed the Department of Aging and Disability Services (DADS) could contract with consulting entities that have experience and knowledge about the culture change model of care to receive assistance and training in its implementation at one state supported living center (SSLC) using existing resources. This estimate assumes that the culture change model of care would be implemented gradually at one SSLC to ensure successful implementation campus-wide. It is further assumed DADS would determine the scope and size of the model's implementation based on the selected SSLC’s characteristics, existing funding, and other resources that may affect its implementation.  

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: