LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION May 8, 2013 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2683 by Price (Relating to employment in certain consumer-directed services and by certain facilities and to the nurse aide registry and the employee misconduct registry.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend Chapter 250 of the Health and Safety Code to add consumer directed services to the nurse aide registry (NAR) and criminal history check requirements, and Chapter 253 of the Health and Safety Code and Chapter 48 of the Human Resources Code to add consumer directed services to employee misconduct registry (EMR) requirements. It would amend Chapter 250 of the Health and Safety Code to include an offense under Section 32.53 of the Penal Code related to exploitation of a child, elderly individual, or disabled individual to the list of offenses that would result in an employment bar. The Department of Aging and Disability Services (DADS) would be required to forward a report received concerning reportable conduct related to consumer directed services to the Department of Family and Protective Services (DFPS) for investigation. The bill requires that an employee misconduct hearing occur not later than 120 days after DADS receives a request for a hearing. DADS and DFPS indicate any cost to implement provisions of the bill would be minimal and can be absorbed within current resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:530 Family and Protective Services, Department of, 539 Aging and Disability Services, Department of LBB Staff: UP, LL, CL, VJC LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION May 8, 2013 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2683 by Price (Relating to employment in certain consumer-directed services and by certain facilities and to the nurse aide registry and the employee misconduct registry.), Committee Report 2nd House, Substituted TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB2683 by Price (Relating to employment in certain consumer-directed services and by certain facilities and to the nurse aide registry and the employee misconduct registry.), Committee Report 2nd House, Substituted Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board HB2683 by Price (Relating to employment in certain consumer-directed services and by certain facilities and to the nurse aide registry and the employee misconduct registry.), Committee Report 2nd House, Substituted HB2683 by Price (Relating to employment in certain consumer-directed services and by certain facilities and to the nurse aide registry and the employee misconduct registry.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend Chapter 250 of the Health and Safety Code to add consumer directed services to the nurse aide registry (NAR) and criminal history check requirements, and Chapter 253 of the Health and Safety Code and Chapter 48 of the Human Resources Code to add consumer directed services to employee misconduct registry (EMR) requirements. It would amend Chapter 250 of the Health and Safety Code to include an offense under Section 32.53 of the Penal Code related to exploitation of a child, elderly individual, or disabled individual to the list of offenses that would result in an employment bar. The Department of Aging and Disability Services (DADS) would be required to forward a report received concerning reportable conduct related to consumer directed services to the Department of Family and Protective Services (DFPS) for investigation. The bill requires that an employee misconduct hearing occur not later than 120 days after DADS receives a request for a hearing. DADS and DFPS indicate any cost to implement provisions of the bill would be minimal and can be absorbed within current resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 530 Family and Protective Services, Department of, 539 Aging and Disability Services, Department of 530 Family and Protective Services, Department of, 539 Aging and Disability Services, Department of LBB Staff: UP, LL, CL, VJC UP, LL, CL, VJC