LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION May 21, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB705 by Nelson (Relating to long-term care consumer information and Medicaid waiver programs.), Committee Report 2nd House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for SB705, Committee Report 2nd House, Substituted: a positive impact of $430,771 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 21, 2009
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB705 by Nelson (Relating to long-term care consumer information and Medicaid waiver programs.), Committee Report 2nd House, Substituted
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: SB705 by Nelson (Relating to long-term care consumer information and Medicaid waiver programs.), Committee Report 2nd House, Substituted
Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
John S. O'Brien, Director, Legislative Budget Board
John S. O'Brien, Director, Legislative Budget Board
SB705 by Nelson (Relating to long-term care consumer information and Medicaid waiver programs.), Committee Report 2nd House, Substituted
SB705 by Nelson (Relating to long-term care consumer information and Medicaid waiver programs.), Committee Report 2nd House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for SB705, Committee Report 2nd House, Substituted: a positive impact of $430,771 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 SB705, Committee Report 2nd House, Substituted: a positive impact of $430,771 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 $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 Legislative Budget Board's 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 also amend the Government Code as it relates to long-term care consumer informationmade available through the internet. Under the provisions of the bill, certain information pertaining to long-term care services would be required to be displayed on the internet site maintained by HHSC by January 1, 2010. The website maintained by DADS would also be required to include or provide a link to the required information. HHSC or DADS would also be required to, on request by a consumer without internet access, provide the consumer with a printed copy of the information from the website. HHSC and DADS are authorized to charge a reasonable fee for printing the information. HHSC would also be required to incorporate long-term care provider quality information reported through the DADS internet site, as well as other appropriate available information concerning the quality of services provided through the long-term care service delivery programs operated by DADS. 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 Legislative Budget Board's 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 also amend the Government Code as it relates to long-term care consumer informationmade available through the internet. Under the provisions of the bill, certain information pertaining to long-term care services would be required to be displayed on the internet site maintained by HHSC by January 1, 2010. The website maintained by DADS would also be required to include or provide a link to the required information. HHSC or DADS would also be required to, on request by a consumer without internet access, provide the consumer with a printed copy of the information from the website. HHSC and DADS are authorized to charge a reasonable fee for printing the information. HHSC would also be required to incorporate long-term care provider quality information reported through the DADS internet site, as well as other appropriate available information concerning the quality of services provided through the long-term care service delivery programs operated by DADS.
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 provisions of the bill related to abolishing the Consolidated Waiver Program 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. It is assumed that any cost to implement the provisions of the bill related to streamlining the administration and delivery of services provided through Medicaid long-term care waiver programs or the provisions related to long-term care consumer information available through the interent could be handled with existing resources. It is assumed that the printing fee associated with providing consumers with printed website information would be minimal and set at an amount to cover only printing costs and that the fee amount would not have any significant impact on revenues.
The provisions of the bill related to abolishing the Consolidated Waiver Program 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.
It is assumed that any cost to implement the provisions of the bill related to streamlining the administration and delivery of services provided through Medicaid long-term care waiver programs or the provisions related to long-term care consumer information available through the interent could be handled with existing resources. It is assumed that the printing fee associated with providing consumers with printed website information would be minimal and set at an amount to cover only printing costs and that the fee amount would not have any significant impact on revenues.
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