LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 25, 2023 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1389 by Parker (Relating to authorizing adoption assistance agreements for certain children after a final adoption order is rendered.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for SB1389, As Introduced : a negative impact of ($2,727,223) through the biennium ending August 31, 2025. 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 toGeneral Revenue Related Funds2024($1,316,216)2025($1,411,007)2026($1,874,149)2027($2,351,732)2028($2,822,914)All Funds, Five-Year Impact: Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 Probable (Cost) fromGR Match For Medicaid758 Probable (Cost) fromFederal Funds555 Probable Revenue Gain fromGeneral Revenue Fund12024($1,322,776)($2,191)($568,729)$8,7512025($1,447,318)($341)($2,578,374)$36,6522026($1,916,967)($120)($3,500,404)$42,9382027($2,405,547)($120)($4,436,430)$53,9352028($2,887,293)($120)($5,354,534)$64,499Fiscal Year Change in Number of State Employees from FY 202320242.020252.020262.020272.020282.0 Fiscal AnalysisThe bill would allow the department to enter into an adoption assistance agreement for a child after a court has entered a final order of adoption if the child after the adoption is finalized, is diagnosed as having special needs, and would have qualified for adoption assistance if the child was determined to have special needs before the adoption. LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 25, 2023 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1389 by Parker (Relating to authorizing adoption assistance agreements for certain children after a final adoption order is rendered.), As Introduced TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1389 by Parker (Relating to authorizing adoption assistance agreements for certain children after a final adoption order is rendered.), As Introduced Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board SB1389 by Parker (Relating to authorizing adoption assistance agreements for certain children after a final adoption order is rendered.), As Introduced SB1389 by Parker (Relating to authorizing adoption assistance agreements for certain children after a final adoption order is rendered.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for SB1389, As Introduced : a negative impact of ($2,727,223) through the biennium ending August 31, 2025. 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 SB1389, As Introduced : a negative impact of ($2,727,223) through the biennium ending August 31, 2025. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. 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: 2024 ($1,316,216) 2025 ($1,411,007) 2026 ($1,874,149) 2027 ($2,351,732) 2028 ($2,822,914) All Funds, Five-Year Impact: 2024 ($1,322,776) ($2,191) ($568,729) $8,751 2025 ($1,447,318) ($341) ($2,578,374) $36,652 2026 ($1,916,967) ($120) ($3,500,404) $42,938 2027 ($2,405,547) ($120) ($4,436,430) $53,935 2028 ($2,887,293) ($120) ($5,354,534) $64,499 2024 2.0 2025 2.0 2026 2.0 2027 2.0 2028 2.0 Fiscal Analysis The bill would allow the department to enter into an adoption assistance agreement for a child after a court has entered a final order of adoption if the child after the adoption is finalized, is diagnosed as having special needs, and would have qualified for adoption assistance if the child was determined to have special needs before the adoption. Methodology This analysis assumes an additional 172.0 children in fiscal year 2024 would be eligible for adoption assistance payments. The number of children is assumed to increase to 404.0 in fiscal year 2025, 562.0 in fiscal year 2026, 720.0 in fiscal year 2027 and 878.0 in fiscal year 2028. This analysis assumes the Department of Family and Protective Services would obtain approval from the Administration of Children and Families for a State Plan amendment by September 1, 2024, to draw down federal funding for the new population. This analysis also assumes 2.0 Eligibility Specialist II Fulltime Equivalents (FTEs) in each fiscal year to process the additional adoption payments. These children would also qualify for the Medicaid STAR program. This analysis assumes identical increases in Medicaid STAR Health caseloads with an estimated cost of $0.8 million in All Funds, including $0.2 million in General Revenue, in fiscal year 2024, increasing each subsequent fiscal year to $3.7 million in All Funds, including $1.0 million in General Revenue in fiscal year 2028.The increase in client services payments through managed care is assumed to result in an increase to insurance premium tax revenue, estimated as 1.75 percent of the increased managed care expenditures. Pursuant to Section 227.001(b) of Insurance Code, 25.0 percent of the revenue is assumed to be deposited to the credit of the Foundation School Fund.This analysis assumes 1.0 Contracted FTE in fiscal year 2024 and 1,224 hours of work for modifications to the Information Management Protecting Adults and Children in Texas (IMPACT) system. Changes include updates to the adoption payment pages, new data elements, and automated reporting for the new information. These children would also qualify for the Medicaid STAR program. This analysis assumes identical increases in Medicaid STAR Health caseloads with an estimated cost of $0.8 million in All Funds, including $0.2 million in General Revenue, in fiscal year 2024, increasing each subsequent fiscal year to $3.7 million in All Funds, including $1.0 million in General Revenue in fiscal year 2028.The increase in client services payments through managed care is assumed to result in an increase to insurance premium tax revenue, estimated as 1.75 percent of the increased managed care expenditures. Pursuant to Section 227.001(b) of Insurance Code, 25.0 percent of the revenue is assumed to be deposited to the credit of the Foundation School Fund.This analysis assumes 1.0 Contracted FTE in fiscal year 2024 and 1,224 hours of work for modifications to the Information Management Protecting Adults and Children in Texas (IMPACT) system. Changes include updates to the adoption payment pages, new data elements, and automated reporting for the new information. This analysis assumes 1.0 Contracted FTE in fiscal year 2024 and 1,224 hours of work for modifications to the Information Management Protecting Adults and Children in Texas (IMPACT) system. Changes include updates to the adoption payment pages, new data elements, and automated reporting for the new information. Technology Included in costs is $125,501 in General Revenue in fiscal year 2024 and $12,840 in General Revenue in fiscal year 2025 for IT modifications. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Health and Human Services Commission, 530 Family and Protective Services, Department of 529 Health and Human Services Commission, 530 Family and Protective Services, Department of LBB Staff: b > td > JMc, NPe, ER, AN, NV JMc, NPe, ER, AN, NV