LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 8, 2009 TO: Honorable Patrick M. Rose, Chair, House Committee on Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1186 by Homer (Relating to the transfer or discharge of certain residents in certain assisted living facilities.), As Introduced No fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code to prohibit assisted living facilities from discharging or transferring facility residents, who are enrolled in the Medicaid community-based alternative program (CBA program), based on the facility's voluntary withdrawal from the CBA program. The provisions of the bill would apply to residents residing in the facility on the day before the date the facility ceases to accept payment from the program. The bill would apply only to an assisted living facility accepting payment from the CBA program on or after September 1, 2009. The bill would take effect September 1, 2009. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:539 Aging and Disability Services, Department of LBB Staff: JOB, CL, SJ, LR LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 8, 2009 TO: Honorable Patrick M. Rose, Chair, House Committee on Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1186 by Homer (Relating to the transfer or discharge of certain residents in certain assisted living facilities.), As Introduced TO: Honorable Patrick M. Rose, Chair, House Committee on Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE: HB1186 by Homer (Relating to the transfer or discharge of certain residents in certain assisted living facilities.), As Introduced Honorable Patrick M. Rose, Chair, House Committee on Human Services Honorable Patrick M. Rose, Chair, House Committee on Human Services John S. O'Brien, Director, Legislative Budget Board John S. O'Brien, Director, Legislative Budget Board HB1186 by Homer (Relating to the transfer or discharge of certain residents in certain assisted living facilities.), As Introduced HB1186 by Homer (Relating to the transfer or discharge of certain residents in certain assisted living facilities.), As Introduced No fiscal implication to the State is anticipated. No fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code to prohibit assisted living facilities from discharging or transferring facility residents, who are enrolled in the Medicaid community-based alternative program (CBA program), based on the facility's voluntary withdrawal from the CBA program. The provisions of the bill would apply to residents residing in the facility on the day before the date the facility ceases to accept payment from the program. The bill would apply only to an assisted living facility accepting payment from the CBA program on or after September 1, 2009. The bill would take effect September 1, 2009. The bill would amend the Health and Safety Code to prohibit assisted living facilities from discharging or transferring facility residents, who are enrolled in the Medicaid community-based alternative program (CBA program), based on the facility's voluntary withdrawal from the CBA program. The provisions of the bill would apply to residents residing in the facility on the day before the date the facility ceases to accept payment from the program. The bill would apply only to an assisted living facility accepting payment from the CBA program on or after September 1, 2009. The bill would take effect September 1, 2009. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 539 Aging and Disability Services, Department of 539 Aging and Disability Services, Department of LBB Staff: JOB, CL, SJ, LR JOB, CL, SJ, LR