Honorable Garnet Coleman, Chair, House Committee on County Affairs
FROM:
Ursula Parks, Director, Legislative Budget Board
IN RE:
HB1528 by Farrar (Relating to the provision of services to certain HIV-infected individuals.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for HB1528, As Introduced: a negative impact of ($1,242,000) through the biennium ending August 31, 2017.
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
2016
($621,000)
2017
($621,000)
2018
($621,000)
2019
($621,000)
2020
($621,000)
Fiscal Year
Probable Savings/(Cost) from General Revenue Fund 1
2016
($621,000)
2017
($621,000)
2018
($621,000)
2019
($621,000)
2020
($621,000)
Fiscal Analysis
The bill would amend Chapter 85 of the Health and Safety Code as it relates to the Texas HIV Medication Program. The bill would require that the program assist in the provision of discharge planning and transitional primary care and social support services to HIV-infected persons in custody in local county jails in counties of 3.3 million or more residents, under certain conditions.
Methodology
According to the Department of State Health Services (DSHS), assistance required by the bill for all services except primary care are currently provided by DSHS through the Ryan White Part B and state services funds. These funds would be transferred from that program to the HIV program to implement the bill for no additional cost. The cost as shown relates to the transitional primary care services required by the bill. DSHS assumes that 108 inmates would receive transitional primary care. This is based on the average number of inmates in the Harris County jail who received AIDS Drug Assistance Program medication from 2012 to 2014. DSHS indicates that, for the health care system as a whole, the average annual treatment costs for one HIV-positive person with average health is approximately $23,000 per year. Because the bill limits services to those inmates nearing release or whose incarceration is of a short duration, calculations include three months of service for an estimated cost of $5,750 per inmate (one-twelfth of $23,000 x 3 months). The total cost to implement the bill would be $621,000 in General Revenue Funds per fiscal year (108 inmates x $5,750 per inmate).
The Commission on Jail Standards does not anticipate a fiscal impact related to the bill.
Local Government Impact
Because the bill would not have statewide impact on units of local government of the same type or class, no comment from this office is required by the rules of the House/Senate as to its probable fiscal implication on units of local government.
Source Agencies:
409 Commission on Jail Standards, 537 State Health Services, Department of