LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 10, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB1877 by Nelson (Relating to the creation of the Texas Medical Child Abuse Resources and Education System grant program.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for SB1877, Committee Report 1st House, Substituted: a negative impact of ($23,400,000) 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
April 10, 2009
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB1877 by Nelson (Relating to the creation of the Texas Medical Child Abuse Resources and Education System grant program.), 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: SB1877 by Nelson (Relating to the creation of the Texas Medical Child Abuse Resources and Education System grant program.), 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
SB1877 by Nelson (Relating to the creation of the Texas Medical Child Abuse Resources and Education System grant program.), Committee Report 1st House, Substituted
SB1877 by Nelson (Relating to the creation of the Texas Medical Child Abuse Resources and Education System grant program.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for SB1877, Committee Report 1st House, Substituted: a negative impact of ($23,400,000) 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 SB1877, Committee Report 1st House, Substituted: a negative impact of ($23,400,000) 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 ($11,700,000) 2011 ($11,700,000) 2012 ($11,700,000) 2013 ($11,700,000) 2014 ($11,700,000)
2010 ($11,700,000)
2011 ($11,700,000)
2012 ($11,700,000)
2013 ($11,700,000)
2014 ($11,700,000)
All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 2010 ($11,700,000) 2011 ($11,700,000) 2012 ($11,700,000) 2013 ($11,700,000) 2014 ($11,700,000)
Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 2010 ($11,700,000) 2011 ($11,700,000) 2012 ($11,700,000) 2013 ($11,700,000) 2014 ($11,700,000)
2010 ($11,700,000)
2011 ($11,700,000)
2012 ($11,700,000)
2013 ($11,700,000)
2014 ($11,700,000)
Fiscal Analysis
The bill requires the Department of State Health Services (DSHS) to establish the Texas Medical Child Abuse Resources and Education System (MEDCARES) program to award grants for the purpose of developing and supporting regional programs to improve the assessment, diagnosis, and treatment of child abuse and neglect as described by the report submitted to the 80th Legislature by the Advisory Committee on Pediatric Centers of Excellence relating to abuse and neglect. The bill also requires the executive commissioner of the Health and Human Services Commission to establish an advisory committee to advise on the creation of rules and priorities for the use of the grant funds. Additionally, the bill requires DSHS to submit a report to the governor and the legislature regarding the activities of this grant program. This act takes effect September 1, 2009.
The bill requires the Department of State Health Services (DSHS) to establish the Texas Medical Child Abuse Resources and Education System (MEDCARES) program to award grants for the purpose of developing and supporting regional programs to improve the assessment, diagnosis, and treatment of child abuse and neglect as described by the report submitted to the 80th Legislature by the Advisory Committee on Pediatric Centers of Excellence relating to abuse and neglect. The bill also requires the executive commissioner of the Health and Human Services Commission to establish an advisory committee to advise on the creation of rules and priorities for the use of the grant funds. Additionally, the bill requires DSHS to submit a report to the governor and the legislature regarding the activities of this grant program. This act takes effect September 1, 2009.
Methodology
The bill provides that DSHS may solicit and accept gifts, grants, and donations from any public or private sources for purposes of implementing the MEDCARES grant program. It also specifies that DSHS is not required to award a MEDCARES grant unless the agency is specifically appropriated money to do so. According to DSHS, the Pediatric Centers of Excellence Advisory Committee Findings and Recommendations Report submitted to the 80th Legislature recommends that MEDCARES grant funding be provided to 12 medical facilities across the state at a cost of $975,000 per facility, which represents 65% of the total cost to implement a medical child abuse program. For purposes of this fiscal note it is assumed that all 12 facilities receive grant funds of $975,000 annually for a total cost of $11,700,000 each fiscal year. It is also assumed that these costs would come out of General Revenue Funds. It is assumed that any administrative costs associated with implementing the MEDCARES grant program and other provisions of the bill would be absorbed within existing agency resources.
The bill provides that DSHS may solicit and accept gifts, grants, and donations from any public or private sources for purposes of implementing the MEDCARES grant program. It also specifies that DSHS is not required to award a MEDCARES grant unless the agency is specifically appropriated money to do so. According to DSHS, the Pediatric Centers of Excellence Advisory Committee Findings and Recommendations Report submitted to the 80th Legislature recommends that MEDCARES grant funding be provided to 12 medical facilities across the state at a cost of $975,000 per facility, which represents 65% of the total cost to implement a medical child abuse program. For purposes of this fiscal note it is assumed that all 12 facilities receive grant funds of $975,000 annually for a total cost of $11,700,000 each fiscal year. It is also assumed that these costs would come out of General Revenue Funds. It is assumed that any administrative costs associated with implementing the MEDCARES grant program and other provisions of the bill would be absorbed within existing agency resources.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 537 State Health Services, Department of
537 State Health Services, Department of
LBB Staff: JOB, CL, JF, LR
JOB, CL, JF, LR