LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION

May 15, 2023

TO:	Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
FROM:	Jerry McGinty, Director, Legislative Budget Board
IN RE:	HB4091 by Johnson, Ann (Relating to a request for admission to a specialty inpatient stabilization treatment program by the Department of Family and Protective Services of certain minors in the managing conservatorship of the department.), As Engrossed

No significant fiscal implication to the State is anticipated.

The bill would allow the Department of Family and Protective Services (DFPS) to request admission of a minor to an inpatient mental health facility if the minor would benefit from a specialty inpatient stabilization treatment program. Including for minors 13 to 17 years where the court has determined that the minor would benefit from a specialty inpatient stabilization treatment program.

DFPS has indicated they anticipate that youth who no longer meet medical necessity for inpatient psychiatric hospitalization will have to remain in the hospital pending a court's decision on admission into the inpatient psychiatric stabilization treatment program. DFPS believes that this delay would require the agency to enter into child specific contracts with the hospital. The agency is unable to determine the fiscal impact of increased child specific contracts.

It is assumed that any costs to the DFPS and the Health and Human Services Commission could be absorbed using existing resources.

Local Government Impact

No fiscal implication to units of local government is anticipated.

Source Agencies:

529 Health and Human Services Commission, 530 Family and Protective Services, Department of

LBB Staff:

JMc, NPe, ER, AN