LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION
 
March 30, 2021

TO:
Honorable Stephanie Klick, Chair, House Committee on Public Health
 
FROM:
Jerry McGinty, Director, Legislative Budget Board
 
IN RE:
HB2333 by Howard (Relating to the establishment of the home nursing visitation for newborn caregivers competitive grant program.), As Introduced


Estimated Two-year Net Impact to General Revenue Related Funds for HB2333, As Introduced : a negative impact of ($21,527,262) through the biennium ending August 31, 2023.

The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.

General Revenue-Related Funds, Five- Year Impact:

Fiscal Year Probable Net Positive/(Negative) Impact to
General Revenue Related Funds
2022($10,790,888)
2023($10,736,374)
2024($10,737,623)
2025($10,738,909)
2026($10,740,236)

All Funds, Five-Year Impact:

Fiscal Year Probable (Cost) from
General Revenue Fund
1
Change in Number of State Employees from FY 2021
2022($10,790,888)7.1
2023($10,736,374)7.1
2024($10,737,623)7.1
2025($10,738,909)7.1
2026($10,740,236)7.1


Fiscal Analysis

The bill would require the Health and Human Services Commission (HHSC) to create a home visitation for newborn caregivers grant program.

The bill would require HHSC to submit an annual report regarding the performance of each grant recipient.

The bill would require HHSC to seek and apply for any available federal and state money to assist in financing the grant program.

The bill would require HHSC to coordinate with health benefit plan issuers to identify existing incentive and reimbursement strategies that could expand the grant program.

The bill would allow HHSC to solicit and accept gifts, grants, and donations to operate the grant program.

The bill would require HHSC to submit a report not later than December 1, 2022 regarding the implementation and status of the program.

Methodology

The analysis assumes HHSC would need an additional 7.1 Full-time Equivalents (FTEs) in each fiscal year to implement the provisions of the bill. FTE-related costs are estimated to be $0.8 in General Revenue in fiscal year 2022, and $0.7 million in General Revenue in subsequent years.

The analysis assumes an additional need of $10.0 million in General Revenue in each fiscal year for the grant program, consistent with grant funding at similar state programs. The actual need for General Revenue would decrease if HHSC is able to access other state or federal funding available and allowable for this purpose, including gifts, grants, and donations.


Technology

FTE-related technology costs are estimated to be $11,538 in fiscal year 2022 and $4,090 in each subsequent year.


Local Government Impact

No fiscal implication to units of local government is anticipated.


Source Agencies:
529 Hlth & Human Svcs Comm
LBB Staff:
JMc, AKI, JLI, RD