SB 0916 - Fiscal Note

Fiscal Note - SB 0916 - Sliding Scale Application Fee For Hospice Care

L.R. NO.  3481-03
BILL NO.  Truly Agreed and Finally Passed SCS for SB 916
SUBJECT:  Department of Health; Nursing homes
TYPE:     Original
DATE:     April 18, 1996



                              FISCAL SUMMARY

                    ESTIMATED NET EFFECT ON STATE FUNDS

FUND AFFECTED               FY 1997         FY 1998         FY 1999

General Revenue             $20,000         $20,000         $20,000

Total Estimated
Net Effect on All
State Funds                 $20,000         $20,000         $20,000


                   ESTIMATED NET EFFECT ON FEDERAL FUNDS

FUND AFFECTED               FY 1997         FY 1998         FY 1999

None

Total Estimated
Net Effect on All
Federal Funds                    $0              $0              $0


                    ESTIMATED NET EFFECT ON LOCAL FUNDS

FUND AFFECTED               FY 1997         FY 1998         FY 1999

Local Government                 $0              $0              $0


                              FISCAL ANALYSIS

ASSUMPTION

Officials from the Department of Social Services and the Department of
Economic Development - Division of Professional Registration assume this
proposal would not fiscally impact their agencies.

Department of Health (DOH) officials state that in discussions with the state
hospice advisory council, the sliding scale fee would be determined by such
criteria as number of patients, number of FTEs, etc., with a minimum fee of
$250 and a maximum of $750.  DOH assumes that of the 80 existing hospices,
25% would pay the minimum, 50% a mid range of $500 and 25% would pay the $750
fee.  DOH states that the current fee is $250 per year for 80 hospice
programs or $20,000 annually.  DOH estimate total fees under this proposal
would be $40,000 annually.  The net difference would be an increase of
$20,000 annually


FISCAL IMPACT - State Government       FY 1997    FY 1998    FY 1999
                                      (10 Mo.)

GENERAL REVENUE FUND

Income - Department of Health
   Sliding scale application fees      $20,000    $20,000    $20,000
Total Income - Department of Health    $20,000    $20,000    $20,000

ESTIMATED NET EFFECT ON
GENERAL REVENUE FUND                   $20,000    $20,000    $20,000


FISCAL IMPACT  - Local Government      FY 1997    FY 1998    FY 1999
                                      (10 Mo.)

                                            $0         $0         $0

DESCRIPTION

This proposal would allow the Department of Health to set a sliding scale
application fees with a minimum of $250 and a maximum of $750.

This legislation is not federally mandated, would not duplicate any other
program and would not require additional capital improvements or rental
space.


SOURCES OF INFORMATION

Department of Health
Department of Social Services
Department of Economic Development
   Division of Professional Registration