LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION April 4, 2017 TO: Honorable Four Price, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1486 by Price (Relating to peer specialists, peer services, and the provision of those services under the medical assistance program.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for HB1486, Committee Report 1st House, Substituted: a negative impact of ($1,532,623) through the biennium ending August 31, 2019. 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, 85TH LEGISLATIVE REGULAR SESSION
April 4, 2017
TO: Honorable Four Price, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1486 by Price (Relating to peer specialists, peer services, and the provision of those services under the medical assistance program.), Committee Report 1st House, Substituted
TO: Honorable Four Price, Chair, House Committee on Public Health
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: HB1486 by Price (Relating to peer specialists, peer services, and the provision of those services under the medical assistance program.), Committee Report 1st House, Substituted
Honorable Four Price, Chair, House Committee on Public Health
Honorable Four Price, Chair, House Committee on Public Health
Ursula Parks, Director, Legislative Budget Board
Ursula Parks, Director, Legislative Budget Board
HB1486 by Price (Relating to peer specialists, peer services, and the provision of those services under the medical assistance program.), Committee Report 1st House, Substituted
HB1486 by Price (Relating to peer specialists, peer services, and the provision of those services under the medical assistance program.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for HB1486, Committee Report 1st House, Substituted: a negative impact of ($1,532,623) through the biennium ending August 31, 2019. 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 HB1486, Committee Report 1st House, Substituted: a negative impact of ($1,532,623) through the biennium ending August 31, 2019.
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 2018 ($439,866) 2019 ($1,092,757) 2020 ($1,393,176) 2021 ($1,444,150) 2022 ($1,497,340)
2018 ($439,866)
2019 ($1,092,757)
2020 ($1,393,176)
2021 ($1,444,150)
2022 ($1,497,340)
All Funds, Five-Year Impact: Fiscal Year Probable (Cost) fromGR Match For Medicaid758 Probable (Cost) fromFederal Funds555 Probable Savings/(Cost) fromGeneral Revenue Fund1 2018 ($360,366) ($474,234) ($79,500) 2019 ($1,013,257) ($1,361,843) ($79,500) 2020 ($1,313,676) ($1,768,624) ($79,500) 2021 ($1,364,650) ($1,837,250) ($79,500) 2022 ($1,417,840) ($1,908,860) ($79,500)
Fiscal Year Probable (Cost) fromGR Match For Medicaid758 Probable (Cost) fromFederal Funds555 Probable Savings/(Cost) fromGeneral Revenue Fund1 2018 ($360,366) ($474,234) ($79,500) 2019 ($1,013,257) ($1,361,843) ($79,500) 2020 ($1,313,676) ($1,768,624) ($79,500) 2021 ($1,364,650) ($1,837,250) ($79,500) 2022 ($1,417,840) ($1,908,860) ($79,500)
2018 ($360,366) ($474,234) ($79,500)
2019 ($1,013,257) ($1,361,843) ($79,500)
2020 ($1,313,676) ($1,768,624) ($79,500)
2021 ($1,364,650) ($1,837,250) ($79,500)
2022 ($1,417,840) ($1,908,860) ($79,500)
Fiscal Analysis
The bill would require the Health and Human Services Commission (HHSC), with input from certain stakeholders, to develop and adopt certain rules pertaining to peer specialists and peer services. The bill would require HHSC to establish a stakeholder work group to provide input for the adoption of rules pertaining to peer specialists and peer services. HHSC would be required to submit a report to certain entities if rules are not adopted by September 1, 2018. The bill would add peer services, provided by certified peer specialists, to the scope of services covered in the Medicaid program.
Methodology
The assumed monthly caseload for recipients receiving peer services in Medicaid is estimated to be 642 in fiscal year 2018 and 1,827 in fiscal year 2019 with increases in each subsequent year, reaching 2,559 by fiscal year 2022. The assumed average annual cost per recipient receiving these services is estimated to be $1,300 for fiscal years 2018 through 2022. The estimated increased cost to client services would be $0.8 million in All Funds, including $0.4 million in General Revenue, in fiscal year 2018 and $2.4 million in All Funds, including $1.0 million in General Revenue, in fiscal year 2019. The estimated client services cost would continue increasing in subsequent fiscal years, reaching $3.3 million in All Funds, including $1.4 million in General Revenue, by fiscal year 2022.According to HHSC, there will be an annual vendor contract cost of $79,500 in General Revenue Funds for peer specialist training services, in fiscal years 2018 through 2022. Any costs associated with the adoption of rules or establishment of a work group would not be significant and can be absorbed within the available resources of HHSC.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 529 Health and Human Services Commission
529 Health and Human Services Commission
LBB Staff: UP, KCA, LR, RGU
UP, KCA, LR, RGU