LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION March 17, 2025 TO: Honorable Lacey Hull, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB645 by Gonzlez, Mary (Relating to the provision of certain co-navigation services to individuals who are deaf-blind.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB645, As Introduced: a positive impact of $2,198,328 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$594,7312027$1,603,5972028$1,604,3672029$1,609,0082030$1,609,662All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Probable Savings/(Cost) fromGR Match For Medicaid758 Probable Savings/(Cost) fromFederal Funds555 Change in Number of State Employees from FY 20252026$532,777$61,954$63,3133.52027$1,541,643$61,954$63,3133.52028$1,542,413$61,954$63,3133.52029$1,547,054$61,954$63,3133.52030$1,547,708$61,954$63,3133.5 Fiscal AnalysisThis bill amends the Health and Safety Code to establish a statewide co-navigation services program in deaf-blind communication modes and sighted guide-mobility techniques. This bill also provides the authority for the agency to establish an advisory council. This bill would become effective September 1, 2025. LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION March 17, 2025 TO: Honorable Lacey Hull, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB645 by Gonzlez, Mary (Relating to the provision of certain co-navigation services to individuals who are deaf-blind.), As Introduced TO: Honorable Lacey Hull, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB645 by Gonzlez, Mary (Relating to the provision of certain co-navigation services to individuals who are deaf-blind.), As Introduced 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 HB645 by Gonzlez, Mary (Relating to the provision of certain co-navigation services to individuals who are deaf-blind.), As Introduced HB645 by Gonzlez, Mary (Relating to the provision of certain co-navigation services to individuals who are deaf-blind.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB645, As Introduced: a positive impact of $2,198,328 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 HB645, As Introduced: a positive impact of $2,198,328 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 $594,731 2027 $1,603,597 2028 $1,604,367 2029 $1,609,008 2030 $1,609,662 All Funds, Five-Year Impact: 2026 $532,777 $61,954 $63,313 3.5 2027 $1,541,643 $61,954 $63,313 3.5 2028 $1,542,413 $61,954 $63,313 3.5 2029 $1,547,054 $61,954 $63,313 3.5 2030 $1,547,708 $61,954 $63,313 3.5 Fiscal Analysis This bill amends the Health and Safety Code to establish a statewide co-navigation services program in deaf-blind communication modes and sighted guide-mobility techniques. This bill also provides the authority for the agency to establish an advisory council. This bill would become effective September 1, 2025. Methodology This analysis assumes that implementation of the bill's provisions by the Health and Human Services Commission (HHSC) would require $594,731 from the General Revenue Fund ($658,044 from All Funds) and 3.5 full-time-equivalents (FTEs) in fiscal year 2026 and $1,603,597 from the General Revenue Fund ($1,666,910 from All Funds) and 3.5 FTEs in fiscal year 2027 to establish a statewide co-navigation services program wherein an individual who is deaf-blind receives services to physically access the individual's environment and to make informed decisions, including providing visual and environmental information or sighted guide services and assisting with communication accessibility by communicating in the preferred language and communication mode of the individual who is deaf-blind. This analysis assumes that HHSC would require $39,314 from All Funds, including $39,200 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 HHSC would require $54,444 from the General Revenue Fund ($54,444 from All Funds) in each fiscal year for an advisory committee to advise the agency in developing and operating the program, including operating the program in a manner that ensures the efficient use of state money.This analysis assumes HHSC would require $1,063,711 from the General Revenue Fund ($1,063,711 from All Funds) starting in fiscal year 2027 and each fiscal year after related to client service costs. The agency anticipates the number of clients served to be an estimated 100 per month. The agency is not assuming any caseload growth or increased capacity over time. 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