LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 4, 2011 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB72 by Nelson (Relating to streamlining of and utilization management in Medicaid long-term care waiver programs.), As Engrossed No fiscal implication to the State is anticipated. The bill would amend the Human Resources Code to allow the Department of Aging and Disability Services (DADS), in consultation with the Health and Human Services Commission (HHSC), to consider implementing, if feasible, additional streamlining initiatives related to the administration and delivery of services provided through Medicaid 1915(c) long-term care waiver programs. The bill would also amend the Human Resources Code to require DADS and HHSC to explore the development of uniform licensing and contracting standards that would apply to all contracts for the delivery of services provided through Medicaid 1915(c) long-term care waiver programs. The bill would also amend the Human Resources Code to require DADS to perform utilization review of services in all Medicaid 1915(c) long-term care waiver programs. The provisions of the bill have no fiscal implication to the State. The bill would be effective September 1, 2011. 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 LBB Staff: JOB, CL, JI, DM LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 4, 2011 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB72 by Nelson (Relating to streamlining of and utilization management in Medicaid long-term care waiver programs.), As Engrossed TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE: SB72 by Nelson (Relating to streamlining of and utilization management in Medicaid long-term care waiver programs.), As Engrossed 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 SB72 by Nelson (Relating to streamlining of and utilization management in Medicaid long-term care waiver programs.), As Engrossed SB72 by Nelson (Relating to streamlining of and utilization management in Medicaid long-term care waiver programs.), As Engrossed No fiscal implication to the State is anticipated. No fiscal implication to the State is anticipated. The bill would amend the Human Resources Code to allow the Department of Aging and Disability Services (DADS), in consultation with the Health and Human Services Commission (HHSC), to consider implementing, if feasible, additional streamlining initiatives related to the administration and delivery of services provided through Medicaid 1915(c) long-term care waiver programs. The bill would also amend the Human Resources Code to require DADS and HHSC to explore the development of uniform licensing and contracting standards that would apply to all contracts for the delivery of services provided through Medicaid 1915(c) long-term care waiver programs. The bill would also amend the Human Resources Code to require DADS to perform utilization review of services in all Medicaid 1915(c) long-term care waiver programs. The provisions of the bill have no fiscal implication to the State. The bill would be effective September 1, 2011. The bill would amend the Human Resources Code to allow the Department of Aging and Disability Services (DADS), in consultation with the Health and Human Services Commission (HHSC), to consider implementing, if feasible, additional streamlining initiatives related to the administration and delivery of services provided through Medicaid 1915(c) long-term care waiver programs. The bill would also amend the Human Resources Code to require DADS and HHSC to explore the development of uniform licensing and contracting standards that would apply to all contracts for the delivery of services provided through Medicaid 1915(c) long-term care waiver programs. The bill would also amend the Human Resources Code to require DADS to perform utilization review of services in all Medicaid 1915(c) long-term care waiver programs. The provisions of the bill have no fiscal implication to the State. The bill would be effective September 1, 2011. 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