COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. No.: 1024-01

Bill No.: SB 266

Subject: Health Care; Health Care Professionals; Mental Health; Mental Health Dept.

Type: Original

Date: January 28, 2003




FISCAL SUMMARY



ESTIMATED NET EFFECT ON GENERAL REVENUE FUND
FUND AFFECTED FY 2004 FY 2005 FY 2006
Total Estimated

Net Effect on

General Revenue

Fund

$0 $0 $0



ESTIMATED NET EFFECT ON OTHER STATE FUNDS
FUND AFFECTED FY 2004 FY 2005 FY 2006
Total Estimated

Net Effect on Other

State Funds

$0 $0 $0



Numbers within parentheses: ( ) indicate costs or losses.

This fiscal note contains 4 pages.













ESTIMATED NET EFFECT ON FEDERAL FUNDS
FUND AFFECTED FY 2004 FY 2005 FY 2006
Total Estimated

Net Effect on All

Federal Funds

$0 $0 $0



ESTIMATED NET EFFECT ON LOCAL FUNDS
FUND AFFECTED FY 2004 FY 2005 FY 2006
Local Government $0 $0 $0




FISCAL ANALYSIS



ASSUMPTION



Officials from the Department of Mental Health (DMH) state this proposal requires the DMH to develop a plan to address the needs of persons who are on a waiting list for services. The development of the plan would not create a fiscal impact to the DMH. The cost of developing the plan would be absorbed by existing staff. However, while there is no fiscal impact for development of the plan, it should be noted that implementation of the plan would result in a significant fiscal impact to the DMH.



Officials from the Department of Social Services (DOS)- Division of Medical Services (DMS) state the proposal will have no fiscal impact on the DMS. However, if and when the plan developed by the Department of Mental Health to provide services for persons who are on a wait list is implemented, the DMS would have a significant impact as the federal share of the expenses incurred would be in DOS's budget.











FISCAL IMPACT - State Government FY 2004

(10 Mo.)

FY 2005 FY 2006
$0 $0 $0



FISCAL IMPACT - Local Government FY 2004

(10 Mo.)

FY 2005 FY 2006
$0 $0 $0



FISCAL IMPACT - Small Business



No direct fiscal impact to small businesses would be expected as a result of this proposal.



DESCRIPTION



This proposal requires the Department of Mental Health to develop a plan to address the needs of persons who are on a waiting list for services. The plan must emphasize the partnership between

developmentally disabled individuals and their families, community providers, and state officials. The plan shall include: 1) A method for reducing the waiting period ninety days; 2) A description of available services; 3) An evaluation of the capacity to serve more individuals; 4) A method of adjusting support and service levels based on individual needs; 5) A method for determining when out-of-home twenty-four hour care is necessary; 6) A description on how the plan will be implemented; 7) Any necessary changes to state law; 8) An analysis of the monetary effects to providing services to all eligible individuals and their families.



The proposal requires the plan to be completed by November 1, 2003. The Director of the Department must submit a copy to the General Assembly and the Governor.



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 Mental Health

Department of Social Services -

Division of Medical Services























Mickey Wilson, CPA

Director

January 28, 2003