LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 18, 2009 TO: Honorable Patrick M. Rose, Chair, House Committee on Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB166 by Naishtat (Relating to providing home- and community-based support services under the Medicaid program to persons who are deaf-blind with multiple disabilities.), As Introduced No significant fiscal implication to the State is anticipated. The bill requires the Department of Aging and Disability Services (DADS) to provide home- and community-based services under the deaf-blind with multiple disabilities waiver program to persons without regard to age, subject to the availability of funds. The Health and Human Services Commission is required to adopt rules related to implementation. DADS indicates the bill would increase the pool of potentially eligible clients by fifty-five (55), but would not require that they be served. Medicaid waivers are currently not considered a federal entitlement and therefore the state has discretion as to how many individuals are served; however, if services were provided to these individuals, the agency estimates the biennial cost to be $5.6 million in All Funds with $2.4 million being General Revenue. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission, 538 Assistive and Rehabilitative Services, Department of, 539 Aging and Disability Services, Department of LBB Staff: JOB, CL, ML, LR
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
April 18, 2009
TO: Honorable Patrick M. Rose, Chair, House Committee on Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB166 by Naishtat (Relating to providing home- and community-based support services under the Medicaid program to persons who are deaf-blind with multiple disabilities.), As Introduced
TO: Honorable Patrick M. Rose, Chair, House Committee on Human Services
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: HB166 by Naishtat (Relating to providing home- and community-based support services under the Medicaid program to persons who are deaf-blind with multiple disabilities.), 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
HB166 by Naishtat (Relating to providing home- and community-based support services under the Medicaid program to persons who are deaf-blind with multiple disabilities.), As Introduced
HB166 by Naishtat (Relating to providing home- and community-based support services under the Medicaid program to persons who are deaf-blind with multiple disabilities.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill requires the Department of Aging and Disability Services (DADS) to provide home- and community-based services under the deaf-blind with multiple disabilities waiver program to persons without regard to age, subject to the availability of funds. The Health and Human Services Commission is required to adopt rules related to implementation. DADS indicates the bill would increase the pool of potentially eligible clients by fifty-five (55), but would not require that they be served. Medicaid waivers are currently not considered a federal entitlement and therefore the state has discretion as to how many individuals are served; however, if services were provided to these individuals, the agency estimates the biennial cost to be $5.6 million in All Funds with $2.4 million being General Revenue.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 529 Health and Human Services Commission, 538 Assistive and Rehabilitative Services, Department of, 539 Aging and Disability Services, Department of
529 Health and Human Services Commission, 538 Assistive and Rehabilitative Services, Department of, 539 Aging and Disability Services, Department of
LBB Staff: JOB, CL, ML, LR
JOB, CL, ML, LR