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F I S C A L I M P A C T R E P O R T

SPONSOR Harden

ORIGINAL DATE

LAST UPDATED

2/12/07

HB

SHORT TITLE Developmental Disabilities Programs

SB 766

ANALYST Geisler

APPROPRIATION (dollars in thousands)

Appropriation

Recurring

or Non-Rec

Fund

Affected

FY07

FY08

$1,000.0

Recurring

General Fund

(Parenthesis ( ) Indicate Expenditure Decreases)

Duplicates: HB 817

SOURCES OF INFORMATION

LFC Files

Responses Received From

Department of Health (DOH)

SUMMARY

Synopsis of Bill

Senate Bill 766 would appropriate $1,000,000 to the Department of Health (DOH) for general

fund developmental disabilities programs for the purpose of moving toward rate equity with the

developmental disabilities Medicaid Waiver program rates. Any unexpended or unencumbered

balance remaining at the end of FY08 shall revert to the general fund.

FISCAL IMPLICATIONS

An appropriation for the purposes of SB 766 is not contained in the Executive Budget Request

for the Department of Health.

SIGNIFICANT ISSUES

From DOH

The Developmental Disabilities Support Division (DDSD) of DOH has 30 contractors of

Developmental Disabilities (DD) general fund services that would benefit from this

appropriation.

Senate Bill 766 – Page

2

Where general fund services are comparable with DD Waiver services, there is a total of

$6,165,078 general funded services that would be impacted by the rate increases. There are

disparities in the DD general fund rates and the Medicaid Waiver rates. However, this is a

legitimate rate difference because persons who do not qualify for the DD Medicaid Waiver

usually do so because the degree of the disability is less than the requirements for the DD

Waiver. Therefore, individuals served by the general fund program typically have lesser needs

and thus incur lesser costs associated with their services. The last DD general fund rate increase

was 2% in 2001.

The following is comparison between comparable general fund services and Waiver services:

•

General fund monthly residential rate is $1,530

•

Waiver funded monthly residential rate is $4,041 (converted from 15 minute per unit rate)

•

General funded monthly day program rate is $739

•

Waiver funded monthly rate is $1,027 (converted from daily unit rate)

It should be noted that general fund respite and waiver rates are comparable and thus are not

included in the rate distribution analysis. General fund self directed service and project specific

general funds services are not used in the comparison because there are no comparable services

on the Waiver.

ADMINISTRATIVE IMPLICATIONS

A rate distribution methodology would need to be developed. Rate increases would need to be

allocated through state general fund contracts. Staff of the DDSD programs would need to meet

with a representative group of DD general fund providers to determine the methodology for

distributing the rate increases.

DUPLICATION

SB 766 is duplicated by HB 817.

GG/nt