LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION May 16, 2015 TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB304 by Schwertner (Relating to certain violations committed by long-term care facilities, including violations that constitute the abuse and neglect of residents.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend Chapter 242 of the Health and Safety Code to require the executive commissioner of the Health and Human Services Commission (HHSC) to revoke the license of a facility if the license holder commits certain violations. The bill would authorize the Department of Aging and Disability Services (DADS) to take certain actions to ensure the health and safety of the residents of a facility if the facility's license is revoked. The bill would amend Chapter 531 of the Government Code to require HHSC to contract with a nonprofit organization to adjudicate disputes between an institution and DADS concerning certain violations. There would be a reduction in full-time equivalents (FTEs) as a result of HHSC contracting with a nonprofit organization for this purpose. Based on the LBB's analysis of DADS and HHSC, costs associated with implementing the bill would be minimal and could be absorbed within available resources. This analysis assumes there would not be a significant increase in the number of facilities entering into informal dispute resolution as a result of the implementation of the bill. 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: UP, ADe, NB, WP, VJC LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION May 16, 2015 TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB304 by Schwertner (Relating to certain violations committed by long-term care facilities, including violations that constitute the abuse and neglect of residents.), Committee Report 2nd House, Substituted TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE: SB304 by Schwertner (Relating to certain violations committed by long-term care facilities, including violations that constitute the abuse and neglect of residents.), Committee Report 2nd House, Substituted Honorable Richard Peña Raymond, Chair, House Committee on Human Services Honorable Richard Peña Raymond, Chair, House Committee on Human Services Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board SB304 by Schwertner (Relating to certain violations committed by long-term care facilities, including violations that constitute the abuse and neglect of residents.), Committee Report 2nd House, Substituted SB304 by Schwertner (Relating to certain violations committed by long-term care facilities, including violations that constitute the abuse and neglect of residents.), 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 242 of the Health and Safety Code to require the executive commissioner of the Health and Human Services Commission (HHSC) to revoke the license of a facility if the license holder commits certain violations. The bill would authorize the Department of Aging and Disability Services (DADS) to take certain actions to ensure the health and safety of the residents of a facility if the facility's license is revoked. The bill would amend Chapter 531 of the Government Code to require HHSC to contract with a nonprofit organization to adjudicate disputes between an institution and DADS concerning certain violations. There would be a reduction in full-time equivalents (FTEs) as a result of HHSC contracting with a nonprofit organization for this purpose. Based on the LBB's analysis of DADS and HHSC, costs associated with implementing the bill would be minimal and could be absorbed within available resources. This analysis assumes there would not be a significant increase in the number of facilities entering into informal dispute resolution as a result of the implementation of the bill. 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: UP, ADe, NB, WP, VJC UP, ADe, NB, WP, VJC