LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION April 27, 2025 TO: Honorable Lacey Hull, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB4798 by Richardson (Relating to compliance reviews of assisted living facilities.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for HB4798, Committee Report 1st House, Substituted: a negative impact of ($1,141,052) through the biennium ending August 31, 2027. 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 Funds2026($585,274)2027($555,778)2028($556,438)2029($556,987)2030($557,548)All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Change in Number of State Employees from FY 20252026($585,274)3.02027($555,778)3.02028($556,438)3.02029($556,987)3.02030($557,548)3.0 Fiscal AnalysisThis bill amends the Healthy and Safety Code to allow an individual or entity constructing a new assisted living facility (ALF), or modifying current ALF structures, to submit building plans for architectural requirements compliance review prior to completing the new construction of, or modification to, an ALF. This bill would take effect September 1, 2025. LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION April 27, 2025 TO: Honorable Lacey Hull, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB4798 by Richardson (Relating to compliance reviews of assisted living facilities.), Committee Report 1st House, Substituted TO: Honorable Lacey Hull, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB4798 by Richardson (Relating to compliance reviews of assisted living facilities.), Committee Report 1st House, Substituted Honorable Lacey Hull, Chair, House Committee on Human Services Honorable Lacey Hull, Chair, House Committee on Human Services Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB4798 by Richardson (Relating to compliance reviews of assisted living facilities.), Committee Report 1st House, Substituted HB4798 by Richardson (Relating to compliance reviews of assisted living facilities.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for HB4798, Committee Report 1st House, Substituted: a negative impact of ($1,141,052) through the biennium ending August 31, 2027. 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 HB4798, Committee Report 1st House, Substituted: a negative impact of ($1,141,052) through the biennium ending August 31, 2027. 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: 2026 ($585,274) 2027 ($555,778) 2028 ($556,438) 2029 ($556,987) 2030 ($557,548) All Funds, Five-Year Impact: 2026 ($585,274) 3.0 2027 ($555,778) 3.0 2028 ($556,438) 3.0 2029 ($556,987) 3.0 2030 ($557,548) 3.0 Fiscal Analysis This bill amends the Healthy and Safety Code to allow an individual or entity constructing a new assisted living facility (ALF), or modifying current ALF structures, to submit building plans for architectural requirements compliance review prior to completing the new construction of, or modification to, an ALF. This bill would take effect September 1, 2025. Methodology The Health and Human Services Commission (HHSC) assumes the agency would be required to, in a reasonable time, complete all plan reviews for new construction of ALFs, or the modification to current ALF structures as construction progresses or as the plans are changed based on when an entity submits construction plans for review. The assumption that an entity may submit a construction plan reviews multiple times would result in an increase in workload for the architectural review team within the Regulatory Services Division (RSD) at HHSC. HHSC assumes the number of requested construction plan reviews will increase from an average of 18 reviews completed annually to 61 construction plan reviews annually. The agency also assumes an increase of, on average, 18 plan reviews related to the LSC surveys completed on an annual basis for RSD. Additionally, HHSC assumes it will need to amend rules, update internal policy guidance, notify providers of the new requirements, and take additional actions to implement the provisions of this bill.This analysis assumes HHSC would require $585,274 from the General Revenue Fund ($585,274 from All Funds) and 3.0 Architect III full-time-equivalents (FTEs) in fiscal year 2026 and $555,778 from the General Revenue Fund ($555,778 from All Funds) and 3.0 Architect III FTEs in fiscal year 2027 to implement the provisions of the bill, which include completing construction plan reviews and LSC surveys in a timely manner and other administrative related tasks associated with implementing the provisions of this bill. The amounts above are the assumed FTE costs for the 2026-27 biennium, including $30,582 from the General Revenue Fund in fiscal year 2026 for one-time costs related to the implementation of provisions of this bill.This analysis assumes the administrative related costs associated with implementing provisions of this bill can be absorbed within existing agency resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Health and Human Services Commission 529 Health and Human Services Commission LBB Staff: b > td > JMc, NPe, ER, LBl, NV JMc, NPe, ER, LBl, NV