LEGISLATIVE SERVICES AGENCY OFFICE OF FISCAL AND MANAGEMENT ANALYSIS 200 W. Washington St., Suite 301 Indianapolis, IN 46204 (317) 233-0696 iga.in.gov FISCAL IMPACT STATEMENT LS 7075 NOTE PREPARED: Jan 24, 2022 BILL NUMBER: SB 266 BILL AMENDED: Jan 24, 2022 SUBJECT: Department of Child Services' Review of Base Rate. FIRST AUTHOR: Sen. Ford Jon BILL STATUS: CR Adopted - 1 st House FIRST SPONSOR: FUNDS AFFECTED:XGENERAL IMPACT: State & Local DEDICATED XFEDERAL Summary of Legislation: (Amended) The bill establishes a process by which a child caring institution, group home, secure private facility, or licensed child placing agency may request a review of base rates and other cost based rates approved by the Department of Child Services (DCS). It requires the DCS to give special consideration to approval of costs that are proven by a residential treatment provider to have been previously approved by the DCS. Effective Date: July 1, 2022. Explanation of State Expenditures: The RTSP’s payment rate is based on the eligible costs and the utilization (or number of placements). Certain costs are disallowed in calculating the rate, including staffing above the standard staffing ratio. If an RTSP proves that additional staff costs are related to child or staff safety, these additional costs may be included in the rate. Other changes in the reimbursement rate are indeterminate and would be based on whether the rules currently used to determine the rate would change based on the definitions in the bill. (Revised) The DCS will have increased workload to review and amend its rules to conform with provisions of the bill as needed. Also, the DCS’s workload will increase to provide notices to the RTSP, the legislator of the RTSP, the chairpersons of the House Committee on Family, Children, and Human Affairs and the Senate Committee on Family and Children Services, and post it on the DCS website. Additional Information - RTSP expenditures from state funds was about $222.7 M annually between FY 2017 and FY 2021. On average, state expenditures are 76% of the total spent for RTSP. Utilization decreased SB 266 1 43% between FY 2017 and FY 2021. Any expenditure outside of those allowed by Title IV-E programs would be a state expense. Explanation of State Revenues: Explanation of Local Expenditures: Explanation of Local Revenues: A RTSP of a local unit could receive additional reimbursement, but any increase will be based on the differences between current rules and the requirements of the bill. State Agencies Affected: Department of Child Services. Local Agencies Affected: Information Sources: Sarah Faulkner; Aaron Atwell; DCS, Rate Setting Process Overview 11.22.21, presented to the Child Services Oversight Committee on November 22, 2021. Fiscal Analyst: Karen Rossen, 317-234-2106. SB 266 2