Honorable Senfronia Thompson, Chair, House Committee on Public Health
FROM:
John McGeady, Assistant Director Sarah Keyton, Assistant Director Legislative Budget Board
IN RE:
SB633 by Kolkhorst (Relating to an initiative to increase the capacity of local mental health authorities to provide access to mental health services in certain counties.), Committee Report 2nd House, As Amended
Estimated Two-year Net Impact to General Revenue Related Funds for SB633, Committee Report 2nd House, As Amended: a negative impact of ($659,248) 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. The Health and Human Services Commission is required to implement a provision of this Act only if the legislature appropriates money specifically for that purpose. If the legislature does not appropriate money specifically for that purpose, the commission may, but is not required to, implement a provision of this Act using other appropriations available for that purpose.
Fiscal Year
Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2020
($348,129)
2021
($311,119)
2022
$0
2023
$0
2024
$0
Fiscal Year
Probable Savings/(Cost) from General Revenue Fund 1
Probable Savings/(Cost) from Federal Funds 555
Change in Number of State Employees from FY 2019
2020
($348,129)
($29,861)
3.3
2021
($311,119)
($26,687)
3.3
2022
2023
2024
Fiscal Analysis
The bill would amend Chapter 531 of the Government Code to require the Health and Human Services Commission (HHSC) to assign local mental health authorities (LMHAs) that are located in or serve a county with a population of 250,000 or less into regional groups no later than January 1, 2020. The bill would require HHSC to develop a mental health services development plan for each regional group that will increase the capacity of the LMHAs in the group. The bill would require HHSC to publish each plan, an evaluation of each plan, and a comprehensive statewide analysis of mental health services in counties with a population of 250,000 or less, on its website no later than December 1, 2020. The section of the bill requiring these plans expires September 1, 2021.
The bill would also amend the Special District Local Laws Code to allow the Midland County Hospital District to impose a sales and use tax.
Methodology
To implement the provisions of the bill, it is assumed HHSC would need to hire 3.0 Program Specialist VI to assist with developing and analysis of the plans and to assist with data analysis and program oversight. It is also assumed HHSC would need to hire 0.3 Research Specialist V to assist with data analysis and reporting requirements. This analysis assumes the cost of the additional FTEs, including salary and benefits, would be $377,990 in fiscal year 2020 and $337,806 in fiscal year 2021. This analysis also assumes the associated costs would expire September 1, 2021.
The Department of Family and Protective Services (DFPS) and the Department of State Health Services (DSHS) may have a cost associated with the Public Assistance Cost Allocation Plan. It is assumed these costs could be absorbed within DFPS's and DSHS's existing agency resources.
According to the Comptroller of Public Accounts, the provisions of the bill related to the Midland County Hospital District adopting, changing the rate of or abolishing a sales and use tax, would have no fiscal impact on the state.
Technology
Technology costs are expected to be $1,386 for data center costs and $11,072 for equipment costs.
Local Government Impact
The fiscal implications of the bill cannot be determined at this time because the method of funding to be used to implement the plans required by the bill are not known at this time.
According to Midland County, the provisions of the bill related to the Midland County Hospital District adopting, changing the rate of or abolishing a sales and use tax, are not anticipated to have a fiscal impact.