LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 8, 2015 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB785 by Uresti (relating to requirements for assisted living facility license applicants.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for SB785, Committee Report 1st House, Substituted: a negative impact of ($329,311) through the biennium ending August 31, 2017. 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, 84TH LEGISLATIVE REGULAR SESSION April 8, 2015 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB785 by Uresti (relating to requirements for assisted living facility license applicants.), Committee Report 1st House, Substituted TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE: SB785 by Uresti (relating to requirements for assisted living facility license applicants.), Committee Report 1st House, Substituted Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board SB785 by Uresti (relating to requirements for assisted living facility license applicants.), Committee Report 1st House, Substituted SB785 by Uresti (relating to requirements for assisted living facility license applicants.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for SB785, Committee Report 1st House, Substituted: a negative impact of ($329,311) through the biennium ending August 31, 2017. 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 SB785, Committee Report 1st House, Substituted: a negative impact of ($329,311) through the biennium ending August 31, 2017. 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 2016 ($166,626) 2017 ($162,685) 2018 ($137,685) 2019 ($137,685) 2020 ($137,685) 2016 ($166,626) 2017 ($162,685) 2018 ($137,685) 2019 ($137,685) 2020 ($137,685) All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 2016 ($166,626) 2017 ($162,685) 2018 ($137,685) 2019 ($137,685) 2020 ($137,685) Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 2016 ($166,626) 2017 ($162,685) 2018 ($137,685) 2019 ($137,685) 2020 ($137,685) 2016 ($166,626) 2017 ($162,685) 2018 ($137,685) 2019 ($137,685) 2020 ($137,685) Fiscal Analysis The bill would amend Chapter 247 of the Health and Safety Code to authorize the Department of Aging and Disability Services (DADS) to issue an initial assisted living facility license that would not require an on-site health inspection to an applicant considered in good standing. The bill would require that DADS conduct a survey of these facilities within a certain timeframe. The bill would prohibit DADS from requiring that these facilities admit a resident before DADS conducts an on-site health inspection. Methodology DADS estimates that it would be required to conduct an additional 90 initial health inspections annually. DADS indicates that it would need 1.5 full-time equivalent positions (FTEs) to conduct the inspections. Total costs would be $166,626 in General Revenue and All Funds for fiscal year 2016, $162,685 in General Revenue and All Funds for fiscal year 2017, and $137,685 in General Revenue and All Funds for every year thereafter. Salary costs would be $84,228 per fiscal year. Benefit costs would be $27,273 per fiscal year. Other expenses would be $55,125 for fiscal year 2016, $51,184 for fiscal year 2017, and $26,184 for every year thereafter. The Health and Human Services Commission indicates any costs related to rulemaking activities that are necessary to implement the bill would be minimal and can be absorbed within available resources. Technology DADS indicates there would be a cost for system modifications associated with implementing the provisions 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, NB, WP, ADe, VJC UP, NB, WP, ADe, VJC