LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 28, 2023 TO: Honorable James B. Frank, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB4110 by Guillen (relating to certain administrative penalties and procedures associated with aging, community-based, and long-term care service providers and the establishment of a task force to study certain rules and policies related to those services.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would restrict the Health and Human Services Commission (HHSC) from assessing, collecting, or recouping certain penalties related to minor violations for providers in the Home and Community-based Services (HCS) and Texas Home Living waiver programs. The bill would also create an HCS waiver regulations task force and add a reporting requirement. According to HHSC, additional full-time equivalent positions would be required to implement the provisions of the bill. This analysis assumes that any costs associated with the bill could be absorbed by the agency using existing resources. The revenue impact from changes to administrative penalties cannot be estimated. Local Government ImpactNo fiscal implication to units of local government is anticipated. Source Agencies: b > td > 304 Comptroller of Public Accounts, 529 Health and Human Services Commission LBB Staff: b > td > JMc, NPe, ER, CST LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 28, 2023 TO: Honorable James B. Frank, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB4110 by Guillen (relating to certain administrative penalties and procedures associated with aging, community-based, and long-term care service providers and the establishment of a task force to study certain rules and policies related to those services.), Committee Report 1st House, Substituted TO: Honorable James B. Frank, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB4110 by Guillen (relating to certain administrative penalties and procedures associated with aging, community-based, and long-term care service providers and the establishment of a task force to study certain rules and policies related to those services.), Committee Report 1st House, Substituted Honorable James B. Frank, Chair, House Committee on Human Services Honorable James B. Frank, Chair, House Committee on Human Services Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB4110 by Guillen (relating to certain administrative penalties and procedures associated with aging, community-based, and long-term care service providers and the establishment of a task force to study certain rules and policies related to those services.), Committee Report 1st House, Substituted HB4110 by Guillen (relating to certain administrative penalties and procedures associated with aging, community-based, and long-term care service providers and the establishment of a task force to study certain rules and policies related to those services.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would restrict the Health and Human Services Commission (HHSC) from assessing, collecting, or recouping certain penalties related to minor violations for providers in the Home and Community-based Services (HCS) and Texas Home Living waiver programs. The bill would also create an HCS waiver regulations task force and add a reporting requirement. According to HHSC, additional full-time equivalent positions would be required to implement the provisions of the bill. This analysis assumes that any costs associated with the bill could be absorbed by the agency using existing resources. The revenue impact from changes to administrative penalties cannot be estimated. This analysis assumes that any costs associated with the bill could be absorbed by the agency using existing resources. The revenue impact from changes to administrative penalties cannot be estimated. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: b > td > 304 Comptroller of Public Accounts, 529 Health and Human Services Commission 304 Comptroller of Public Accounts, 529 Health and Human Services Commission LBB Staff: b > td > JMc, NPe, ER, CST JMc, NPe, ER, CST