LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 30, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB1060 by Ellis (Relating to the creation of a strategic plan to reform long-term services and supports for individuals with disabilities.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to develop a strategic plan by December 1, 2010 to reform long-term services and supports for individuals with disabilities. The bill would create the eleven member strategic plan advisory committee and require the committee to provide input to the development of the strategic plan. The plan would be required to assess the need for services; prescribe methods to expand access to community-based services; analyze current utilization management methods; examine local access issues for community-based services and identify appropriate solutions; examine current functional eligibility criteria, tools, and service planning reimbursement methodology for the home-and community based services (HCS) waiver system and prescribe methods for the waivers redesign; prescribe methods to improve services delivered in state schools and centers; prescribe methods to improve service quality; and identify barriers to system reform and make related recommendations. This analysis assumes the creation of the advisory committee and strategic plan will not result in a significant fiscal impact to HHSC for the 2010-11 biennium and costs can be absorbed within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission LBB Staff: JOB, CL, JI, LL LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 30, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB1060 by Ellis (Relating to the creation of a strategic plan to reform long-term services and supports for individuals with disabilities.), Committee Report 1st House, Substituted TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE: SB1060 by Ellis (Relating to the creation of a strategic plan to reform long-term services and supports for individuals with disabilities.), Committee Report 1st House, Substituted Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services John S. O'Brien, Director, Legislative Budget Board John S. O'Brien, Director, Legislative Budget Board SB1060 by Ellis (Relating to the creation of a strategic plan to reform long-term services and supports for individuals with disabilities.), Committee Report 1st House, Substituted SB1060 by Ellis (Relating to the creation of a strategic plan to reform long-term services and supports for individuals with disabilities.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to develop a strategic plan by December 1, 2010 to reform long-term services and supports for individuals with disabilities. The bill would create the eleven member strategic plan advisory committee and require the committee to provide input to the development of the strategic plan. The plan would be required to assess the need for services; prescribe methods to expand access to community-based services; analyze current utilization management methods; examine local access issues for community-based services and identify appropriate solutions; examine current functional eligibility criteria, tools, and service planning reimbursement methodology for the home-and community based services (HCS) waiver system and prescribe methods for the waivers redesign; prescribe methods to improve services delivered in state schools and centers; prescribe methods to improve service quality; and identify barriers to system reform and make related recommendations. This analysis assumes the creation of the advisory committee and strategic plan will not result in a significant fiscal impact to HHSC for the 2010-11 biennium and costs can be absorbed within existing resources. The bill would require the Health and Human Services Commission (HHSC) to develop a strategic plan by December 1, 2010 to reform long-term services and supports for individuals with disabilities. The bill would create the eleven member strategic plan advisory committee and require the committee to provide input to the development of the strategic plan. The plan would be required to assess the need for services; prescribe methods to expand access to community-based services; analyze current utilization management methods; examine local access issues for community-based services and identify appropriate solutions; examine current functional eligibility criteria, tools, and service planning reimbursement methodology for the home-and community based services (HCS) waiver system and prescribe methods for the waivers redesign; prescribe methods to improve services delivered in state schools and centers; prescribe methods to improve service quality; and identify barriers to system reform and make related recommendations. This analysis assumes the creation of the advisory committee and strategic plan will not result in a significant fiscal impact to HHSC for the 2010-11 biennium and costs can be absorbed within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 529 Health and Human Services Commission 529 Health and Human Services Commission LBB Staff: JOB, CL, JI, LL JOB, CL, JI, LL