LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 6, 2009 TO: Honorable Garnet Coleman, Chair, House Committee on County Affairs FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB3654 by Marquez (Relating to certain duties of and reports submitted to the Commission on Jail Standards regarding county jail inmates who are pregnant.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend Government Code, Section 511.009(a) to require the Texas Commission on Jail Standards to establish specific minimum standards for the provision of medical, mental health, and dietary services to and the housing and work assignment needs of persons who are pregnant and confined in a county jail. The bill would also amend Government Code, Section 511.0101(a) to require counties to submit to the Texas Commission on Jail Standards monthly the number of offenders confined in the county jail who are known to be pregnant. Local Government Impact The Texas Commission on Jail Standards reports the bill could result in great costs to local governments. Existing standards, based on current case law, mandate the level of care to be adequate for all inmates. The bill may require counties to go beyond the adequate standard of care for a specific group of individuals. All facilities are mandated to submit to the commission for approval a Health Services Plan, which requires that all doctors orders are to be followed, including those addressing the medical, mental and dietary needs of pregnant inmates incarcerated in Texas county jails. Source Agencies:409 Commission on Jail Standards LBB Staff: JOB, DB, GG, MC, ESi LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 6, 2009 TO: Honorable Garnet Coleman, Chair, House Committee on County Affairs FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB3654 by Marquez (Relating to certain duties of and reports submitted to the Commission on Jail Standards regarding county jail inmates who are pregnant.), As Introduced TO: Honorable Garnet Coleman, Chair, House Committee on County Affairs FROM: John S. O'Brien, Director, Legislative Budget Board IN RE: HB3654 by Marquez (Relating to certain duties of and reports submitted to the Commission on Jail Standards regarding county jail inmates who are pregnant.), As Introduced Honorable Garnet Coleman, Chair, House Committee on County Affairs Honorable Garnet Coleman, Chair, House Committee on County Affairs John S. O'Brien, Director, Legislative Budget Board John S. O'Brien, Director, Legislative Budget Board HB3654 by Marquez (Relating to certain duties of and reports submitted to the Commission on Jail Standards regarding county jail inmates who are pregnant.), As Introduced HB3654 by Marquez (Relating to certain duties of and reports submitted to the Commission on Jail Standards regarding county jail inmates who are pregnant.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend Government Code, Section 511.009(a) to require the Texas Commission on Jail Standards to establish specific minimum standards for the provision of medical, mental health, and dietary services to and the housing and work assignment needs of persons who are pregnant and confined in a county jail. The bill would also amend Government Code, Section 511.0101(a) to require counties to submit to the Texas Commission on Jail Standards monthly the number of offenders confined in the county jail who are known to be pregnant. The bill would amend Government Code, Section 511.009(a) to require the Texas Commission on Jail Standards to establish specific minimum standards for the provision of medical, mental health, and dietary services to and the housing and work assignment needs of persons who are pregnant and confined in a county jail. The bill would also amend Government Code, Section 511.0101(a) to require counties to submit to the Texas Commission on Jail Standards monthly the number of offenders confined in the county jail who are known to be pregnant. Local Government Impact The Texas Commission on Jail Standards reports the bill could result in great costs to local governments. Existing standards, based on current case law, mandate the level of care to be adequate for all inmates. The bill may require counties to go beyond the adequate standard of care for a specific group of individuals. All facilities are mandated to submit to the commission for approval a Health Services Plan, which requires that all doctors orders are to be followed, including those addressing the medical, mental and dietary needs of pregnant inmates incarcerated in Texas county jails. The Texas Commission on Jail Standards reports the bill could result in great costs to local governments. Existing standards, based on current case law, mandate the level of care to be adequate for all inmates. The bill may require counties to go beyond the adequate standard of care for a specific group of individuals. All facilities are mandated to submit to the commission for approval a Health Services Plan, which requires that all doctors orders are to be followed, including those addressing the medical, mental and dietary needs of pregnant inmates incarcerated in Texas county jails. Source Agencies: 409 Commission on Jail Standards 409 Commission on Jail Standards LBB Staff: JOB, DB, GG, MC, ESi JOB, DB, GG, MC, ESi