LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION March 20, 2025 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB513 by Sparks (Relating to a rural community-based care pilot program.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for SB513, Committee Report 1st House, Substituted: a negative impact of ($4,143,056) through the biennium ending August 31, 2027. This analysis cannot determine the cost related to the implementation of the pilot program due to the timing of the report and the uncertainty of the costs that could be identified in the third-party evaluation. General Revenue-Related Funds, Five- Year Impact: Fiscal Year Probable Net Positive/(Negative) Impact toGeneral Revenue Related Funds2026($2,056,348)2027($2,086,708)2028$02029$02030$0All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund12026($2,056,348)2027($2,086,708)2028$02029$02030$0 Fiscal AnalysisThe bill would require the Department of Family and Protective Services (DFPS), in partnership with a lead entity, to develop and implement a rural Community-based Care (CBC) pilot program. The bill would require DFPS to seek input from the lead entity regarding the feasibility of a capitated funding model. In addition, the bill would require DFPS to determine the feasibility of implementing an integrated electronic case management system for CBC. The bill would require DFPS to contract with an independent evaluator to conduct a comprehensive evaluation of the pilot program.The bill would require DFPS to submit a report no later than January 1, 2027, regarding the pilot program model. DFPS shall implement the pilot program only if the pilot program is sufficiently funded.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION
March 20, 2025
TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB513 by Sparks (Relating to a rural community-based care pilot program.), Committee Report 1st House, Substituted
TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: SB513 by Sparks (Relating to a rural community-based care pilot program.), Committee Report 1st House, Substituted
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
SB513 by Sparks (Relating to a rural community-based care pilot program.), Committee Report 1st House, Substituted
SB513 by Sparks (Relating to a rural community-based care pilot program.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for SB513, Committee Report 1st House, Substituted: a negative impact of ($4,143,056) through the biennium ending August 31, 2027. This analysis cannot determine the cost related to the implementation of the pilot program due to the timing of the report and the uncertainty of the costs that could be identified in the third-party evaluation.
Estimated Two-year Net Impact to General Revenue Related Funds for SB513, Committee Report 1st House, Substituted: a negative impact of ($4,143,056) through the biennium ending August 31, 2027. This analysis cannot determine the cost related to the implementation of the pilot program due to the timing of the report and the uncertainty of the costs that could be identified in the third-party evaluation.
This analysis cannot determine the cost related to the implementation of the pilot program due to the timing of the report and the uncertainty of the costs that could be identified in the third-party evaluation.
General Revenue-Related Funds, Five- Year Impact:
2026 ($2,056,348)
2027 ($2,086,708)
2028 $0
2029 $0
2030 $0
All Funds, Five-Year Impact:
2026 ($2,056,348)
2027 ($2,086,708)
2028 $0
2029 $0
2030 $0
Fiscal Analysis
The bill would require the Department of Family and Protective Services (DFPS), in partnership with a lead entity, to develop and implement a rural Community-based Care (CBC) pilot program. The bill would require DFPS to seek input from the lead entity regarding the feasibility of a capitated funding model. In addition, the bill would require DFPS to determine the feasibility of implementing an integrated electronic case management system for CBC. The bill would require DFPS to contract with an independent evaluator to conduct a comprehensive evaluation of the pilot program.The bill would require DFPS to submit a report no later than January 1, 2027, regarding the pilot program model. DFPS shall implement the pilot program only if the pilot program is sufficiently funded.
Methodology
This analysis assumes DFPS would need to contract with a third-party entity to consult on the development and implementation of the pilot program including the feasibility of a capitated funding model and integrated case management system. This analysis assumes a cost of $2,056,348 in General Revenue in fiscal year 2026 and $2,086,708 in General Revenue in fiscal year 2027 to contract for the evaluation. This analysis does not assume the implementation of the CBC pilot due to the uncertainty of sufficient funding being available to the agency following the submission of the report by the agency on January 1, 2027 to implement the pilot. Additionally, as noted above, this analysis cannot determine the fiscal impact related to the implementation of the pilot program due to the uncertainty of the costs that may be identified in the third-party evaluation. It is assumed any costs for the Health and Human Services Commission could be absorbed within existing appropriations.
Local Government Impact
No significant 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