Honorable Senfronia Thompson, Chair, House Committee on Public Health
FROM:
John McGeady, Assistant Director Sarah Keyton, Assistant Director Legislative Budget Board
IN RE:
HB1335 by Price (Relating to the establishment of school-based behavioral health centers by public schools and a grant program administered by the executive commissioner of the Health and Human Services Commission for the operation of those centers.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for HB1335, Committee Report 1st House, Substituted: a negative impact of ($6,941,857) through the biennium ending August 31, 2021.
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
2020
($3,483,914)
2021
($3,457,943)
2022
($3,457,943)
2023
($3,457,943)
2024
($3,457,943)
Fiscal Year
Probable Savings/(Cost) from General Revenue Fund 1
Probable Savings/(Cost) from GR Match For Medicaid 758
Probable Savings/(Cost) from Federal Funds 555
Change in Number of State Employees from FY 2019
2020
($3,434,484)
($49,430)
($52,725)
3.0
2021
($3,413,151)
($44,792)
($47,778)
3.0
2022
($3,413,151)
($44,792)
($47,778)
3.0
2023
($3,413,151)
($44,792)
($47,778)
3.0
2024
($3,413,151)
($44,792)
($47,778)
3.0
Fiscal Analysis
The bill would amend Chapter 38 of the Education Code to allow community-based organizations to establish a school-based behavioral health center to provide services to students and their families. The bill would require the Health and Human Services Commission (HHSC) to administer a grant program to eligible entities to assist school districts with the cost of operating school-based behavioral health centers. The grants may only be used to pay for salaries of health care providers providing services through the centers and costs related to managing programs at the centers. The executive commissioner of HHSC would determine the amount of each grant awarded. The bill would require the executive commissioner of HHSC, in consultation with the commissioner of the Texas Education Agency (TEA) to adopt rules concerning the grant program. The bill would take effect immediately upon receiving a two-thirds majority vote in each house. Otherwise, the bill would take effect September 1, 2019.
Methodology
This analysis assumes the grant program would serve 10 percent of school districts that would choose to combine a school-based behavioral health center with a school-based health center, or 9 centers. This analysis also assumes HHSC would award approximately $360,000 in grants per recipient, based on the average amounts in grant funding HHSC awarded to entities to provide similar, school-based behavioral health services, for a total of $3.2 million in grant funding awarded per fiscal year. The grant amounts would be determined by the executive commissioner of HHSC; therefore, the cost could be more or less depending on the level of funding awarded and the number of awards provided each fiscal year.
This analysis assumes HHSC would require 1 Program Specialist V to assist with contracts, grants, and other policies and procedures; 1 Program Specialist VII to develop and oversee the grant program; and 1 Contract Specialist V to perform procurement-related and contract formulation and development activities. Total full-time equivalent (FTE) costs are estimated to be $0.3 million in All Funds in fiscal years 2020 through 2024.
It is assumed TEA can implement the provisions of the bill within existing resources.
Technology
FTE-related technology costs are estimated to be $4,938 in All Funds in fiscal year 2020.
Local Government Impact
Costs to school districts or other local entities would vary depending on whether the district chooses to establish a school-based behavioral health center under the provisions of the bill.
Source Agencies:
529 Health and Human Services Commission, 701 Texas Education Agency