LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 11, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB705 by Nelson (Relating to the Medicaid consolidated waiver program and other Medicaid long-term care waiver programs.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for SB 705, As Introduced: a positive impact of $430,771 through the biennium ending August 31, 2011.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
March 11, 2009
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB705 by Nelson (Relating to the Medicaid consolidated waiver program and other Medicaid long-term care waiver programs.), As Introduced
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: SB705 by Nelson (Relating to the Medicaid consolidated waiver program and other Medicaid long-term care waiver programs.), As Introduced
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
SB705 by Nelson (Relating to the Medicaid consolidated waiver program and other Medicaid long-term care waiver programs.), As Introduced
SB705 by Nelson (Relating to the Medicaid consolidated waiver program and other Medicaid long-term care waiver programs.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for SB 705, As Introduced: a positive impact of $430,771 through the biennium ending August 31, 2011.
Estimated Two-year Net Impact to General Revenue Related Funds for SB 705, As Introduced: a positive impact of $430,771 through the biennium ending August 31, 2011.
General Revenue-Related Funds, Five-Year Impact: Fiscal Year Probable Net Positive/(Negative) Impact to General Revenue Related Funds 2010 $206,021 2011 $224,750 2012 $224,750 2013 $224,750 2014 $224,750
2010 $206,021
2011 $224,750
2012 $224,750
2013 $224,750
2014 $224,750
All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Probable Savings/(Cost) fromFederal Funds555 Change in Number of State Employees from FY 2009 2010 $206,021 $206,021 (7.0) 2011 $224,750 $224,750 (7.0) 2012 $224,750 $224,750 (7.0) 2013 $224,750 $224,750 (7.0) 2014 $224,750 $224,750 (7.0)
Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Probable Savings/(Cost) fromFederal Funds555 Change in Number of State Employees from FY 2009 2010 $206,021 $206,021 (7.0) 2011 $224,750 $224,750 (7.0) 2012 $224,750 $224,750 (7.0) 2013 $224,750 $224,750 (7.0) 2014 $224,750 $224,750 (7.0)
2010 $206,021 $206,021 (7.0)
2011 $224,750 $224,750 (7.0)
2012 $224,750 $224,750 (7.0)
2013 $224,750 $224,750 (7.0)
2014 $224,750 $224,750 (7.0)
Fiscal Analysis
The bill would implement recommendations in the report, "Eliminate the Medicaid Consolidated Waiver Program and Transfer Clients to Other Existing Programs," in the LBB Government Effectiveness and Efficiency Report submitted to the Eighty-First Texas Legislature, 2009. The bill would amend Subchapter D of the Human Resources Code to require the Department of Aging and Disability Services (DADS), in consultation with the Health and Human Services Commission (HHSC), to streamline the administration and delivery of services provided through Medicaid long-term care waiver programs. The bill would abolish the Consolidated Waiver Program under Section 531.0219 of the Government Code effective September 15, 2009. No later than September 14, 2009, DADS, with assistance from HHSC, is required to determine the Medicaid long-term care waiver program that Consolidated Waiver Program clients are eligible for and transfer these clients without any break in service from the Consolidated Waiver Program to an appropriate Medicaid long-term care waiver program. The bill would be effective immediately if it receives a two-thirds vote of each house; otherwise, the bill would be effective September 1, 2009.
The bill would implement recommendations in the report, "Eliminate the Medicaid Consolidated Waiver Program and Transfer Clients to Other Existing Programs," in the LBB Government Effectiveness and Efficiency Report submitted to the Eighty-First Texas Legislature, 2009.
The bill would amend Subchapter D of the Human Resources Code to require the Department of Aging and Disability Services (DADS), in consultation with the Health and Human Services Commission (HHSC), to streamline the administration and delivery of services provided through Medicaid long-term care waiver programs.
The bill would abolish the Consolidated Waiver Program under Section 531.0219 of the Government Code effective September 15, 2009. No later than September 14, 2009, DADS, with assistance from HHSC, is required to determine the Medicaid long-term care waiver program that Consolidated Waiver Program clients are eligible for and transfer these clients without any break in service from the Consolidated Waiver Program to an appropriate Medicaid long-term care waiver program.
The bill would be effective immediately if it receives a two-thirds vote of each house; otherwise, the bill would be effective September 1, 2009.
Methodology
The bill would result in a savings of $412,042 in All Funds in fiscal year 2010 and a savings of $449,500 in All Funds per year in fiscal years 2011 through 2014. These savings include $334,355 in salary and benefits for 7 Full-Time Equivalents, $3,667 for travel expenses, and $74,020 in other operating expenses in fiscal year 2010, and $364,751 in salary and benefits for 7 Full-Time Equivalents, $4,000 for travel expenses, and $80,749 for other operating expenses for fiscal years 2011 through 2014.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 529 Health and Human Services Commission, 539 Aging and Disability Services, Department of
529 Health and Human Services Commission, 539 Aging and Disability Services, Department of
LBB Staff: JOB, CL, JI, DM
JOB, CL, JI, DM