LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 29, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB63 by Zaffirini (Relating to a career ladder for interveners who provide services under the deaf-blind with multiple disabilities waiver program.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend Government Code, Chapter 531, Subchapter B by adding 531.0973 to require the Health and Human Services Commission Executive Commissioner to adopt rules to create a career ladder for persons who provide intervener services under the Deaf-Blind with Multiple Disabilities (DBMD) Medicaid waiver program. It is assumed any cost to implement provisions of the bill would be minimal and can be absorbed within available resources. 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 29, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB63 by Zaffirini (Relating to a career ladder for interveners who provide services under the deaf-blind with multiple disabilities waiver 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: SB63 by Zaffirini (Relating to a career ladder for interveners who provide services under the deaf-blind with multiple disabilities waiver 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 SB63 by Zaffirini (Relating to a career ladder for interveners who provide services under the deaf-blind with multiple disabilities waiver program.), Committee Report 1st House, Substituted SB63 by Zaffirini (Relating to a career ladder for interveners who provide services under the deaf-blind with multiple disabilities waiver program.), 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 amend Government Code, Chapter 531, Subchapter B by adding 531.0973 to require the Health and Human Services Commission Executive Commissioner to adopt rules to create a career ladder for persons who provide intervener services under the Deaf-Blind with Multiple Disabilities (DBMD) Medicaid waiver program. It is assumed any cost to implement provisions of the bill would be minimal and can be absorbed within available resources. 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