LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 86TH LEGISLATIVE REGULAR SESSION
 
April 16, 2019

TO:
Honorable Senfronia Thompson, Chair, House Committee on Public Health
 
FROM:
John McGeady, Assistant Director     Sarah Keyton, Assistant Director
Legislative Budget Board
 
IN RE:
HB3672 by Murr (Relating to the collection and reporting of data on services provided by chemical dependency treatment facilities.), As Introduced



Estimated Two-year Net Impact to General Revenue Related Funds for HB3672, As Introduced: a negative impact of ($2,162,090) 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 ($1,664,534)
2021 ($497,556)
2022 ($497,556)
2023 ($497,556)
2024 ($497,556)




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 ($1,593,634) ($70,900) ($90,897) 4.0
2021 ($476,745) ($20,811) ($26,742) 4.0
2022 ($476,745) ($20,811) ($26,742) 4.0
2023 ($476,745) ($20,811) ($26,742) 4.0
2024 ($476,745) ($20,811) ($26,742) 4.0

Fiscal Analysis

The bill would amend the Health and Safety Code to require the Health and Human Services Commission (HHSC) and the Department of State Health Services to collect substance use disorder data on the admission, discharge, and transfer from a licensed chemical dependency treatment facility. The data would not be public information and would not be subject to disclosure. The bill would take effect September 1, 2019.

Methodology

The bill would require the Health and Human Services Commission (HHSC) to collect, develop, and analyze data elements that are not currently reported, and update information technology systems within Clinical Management for Behavioral Health Services. The data collection required by the bill would be for a different set of providers and clients, which are not currently being served by Behavioral Health Services programs and tracked in existing systems. 

The analysis assumes that the design and development of the data would be done using contract resources. The analysis also assumes that HHSC would require an additional 4.0 full time-equivalent (FTE) positions for on-going data collection and analysis: 1.0 Programmer V to collect, develop, and analyze the data; 1.0 Program Specialist V and 1.0 Systems Analyst IV to monitor and assess quality to support the new function; 1.0 Business Analyst to provide technical assistance related to compliance.

It is assumed that the Department of State Health Services could implement the provisions of the bill within existing resources.

Technology

The technology impact for application and system modifications to Clinical Management for Behavioral Health Services (CMBHS) system and auxiliary technology services are estimated at a one-time cost of $1,199,380 in fiscal year 2020. FTE-related technology costs are estimated to be $23,880 in All Funds in fiscal year 2020.

Local Government Impact

No fiscal implication to units of local government is anticipated.


Source Agencies:
529 Health and Human Services Commission, 537 State Health Services, Department of
LBB Staff:
WP, AKi, MNa, CSt, RC, AMa