LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION May 20, 2009 TO: Honorable Joe Straus, Speaker of the House, House of Representatives FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB802 by Davis, John (Relating to the creation of the lifespan respite services program.), As Passed 2nd House Estimated Two-year Net Impact to General Revenue Related Funds for HB802, As Passed 2nd House: a negative impact of ($1,400,000) through the biennium ending August 31, 2011. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
May 20, 2009
TO: Honorable Joe Straus, Speaker of the House, House of Representatives FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB802 by Davis, John (Relating to the creation of the lifespan respite services program.), As Passed 2nd House
TO: Honorable Joe Straus, Speaker of the House, House of Representatives
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: HB802 by Davis, John (Relating to the creation of the lifespan respite services program.), As Passed 2nd House
Honorable Joe Straus, Speaker of the House, House of Representatives
Honorable Joe Straus, Speaker of the House, House of Representatives
John S. O'Brien, Director, Legislative Budget Board
John S. O'Brien, Director, Legislative Budget Board
HB802 by Davis, John (Relating to the creation of the lifespan respite services program.), As Passed 2nd House
HB802 by Davis, John (Relating to the creation of the lifespan respite services program.), As Passed 2nd House
Estimated Two-year Net Impact to General Revenue Related Funds for HB802, As Passed 2nd House: a negative impact of ($1,400,000) through the biennium ending August 31, 2011. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
Estimated Two-year Net Impact to General Revenue Related Funds for HB802, As Passed 2nd House: a negative impact of ($1,400,000) through the biennium ending August 31, 2011.
The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
General Revenue-Related Funds, Five-Year Impact: Fiscal Year Probable Net Positive/(Negative) Impact to General Revenue Related Funds 2010 ($700,000) 2011 ($700,000) 2012 ($700,000) 2013 ($700,000) 2014 ($700,000)
2010 ($700,000)
2011 ($700,000)
2012 ($700,000)
2013 ($700,000)
2014 ($700,000)
All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 2010 ($700,000) 2011 ($700,000) 2012 ($700,000) 2013 ($700,000) 2014 ($700,000)
Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 2010 ($700,000) 2011 ($700,000) 2012 ($700,000) 2013 ($700,000) 2014 ($700,000)
2010 ($700,000)
2011 ($700,000)
2012 ($700,000)
2013 ($700,000)
2014 ($700,000)
Fiscal Analysis
The bill would amend Human Resources Code, Chapter 161, by adding Subchapter F requiring the Department of Aging and Disability Services (DADS) to implement a lifespan respite services program to promote the provision of respite services. Respite services are defined as support services including in-home or adult day-care services provided to give temporary relief to a primary caregiver who provides care to an individual with a chronic serious health condition or disability. DADS would be required to issue a request for proposals and contract with at least three community-based organizations or local governmental entities to provide respite services subject to the availability of funds and to facilitate access to respite services. DADS would be required to provide technical assistance and policy and program development support to community-based organizations or local governmental entities with which DADS contracts. The Health and Human Services Commission, in consultation with DADS, would be required to submit a report by November 1, 2010, to the governor and the Legislative Budget Board regarding the lifespan respite services program, including an evaluation of the effect of the program on access to respite services and Medicaid long-term care institutional spending. The bill would take effect September 1, 2009.
The bill would amend Human Resources Code, Chapter 161, by adding Subchapter F requiring the Department of Aging and Disability Services (DADS) to implement a lifespan respite services program to promote the provision of respite services. Respite services are defined as support services including in-home or adult day-care services provided to give temporary relief to a primary caregiver who provides care to an individual with a chronic serious health condition or disability. DADS would be required to issue a request for proposals and contract with at least three community-based organizations or local governmental entities to provide respite services subject to the availability of funds and to facilitate access to respite services. DADS would be required to provide technical assistance and policy and program development support to community-based organizations or local governmental entities with which DADS contracts.
The bill would take effect September 1, 2009.
Methodology
Promoting the provision of respite services has the potential to avoid future spending on Medicaid institutional long-term care by supporting informal caregivers. Based on DADS' analysis, it is assumed there would be costs associated with creation of a lifespanrespite services program. It is assumed that there would be contracts with four community-basedorganizations or local governmental entities that would total $700,000 per year in fiscal years 2010 through 2014. Costs include $300,000 for program activities related to facilitating access to respite services and $400,000 for respite services provided to 400 individuals each fiscal year.
Promoting the provision of respite services has the potential to avoid future spending on Medicaid institutional long-term care by supporting informal caregivers.
Based on DADS' analysis, it is assumed there would be costs associated with creation of a lifespanrespite services program. It is assumed that there would be contracts with four community-basedorganizations or local governmental entities that would total $700,000 per year in fiscal years 2010 through 2014. Costs include $300,000 for program activities related to facilitating access to respite services and $400,000 for respite services provided to 400 individuals each fiscal year.
Local Government Impact
No significant fiscal implication to units of local government is anticipated. The bill would require DADS to implement a lifespan respite services program and, as part of the program, to contract with community-based organizations or local governmental entities to provide or facilitate access to respite services.
No significant fiscal implication to units of local government is anticipated.
The bill would require DADS to implement a lifespan respite services program and, as part of the program, to contract with community-based organizations or local governmental entities to provide or facilitate access to respite services.
Source Agencies: 539 Aging and Disability Services, Department of
539 Aging and Disability Services, Department of
LBB Staff: JOB, SD, DM, CL, JI
JOB, SD, DM, CL, JI