NOTE: As provided in LFC policy, this report is intended for use by the standing finance committees of the legislature.  The Legislative Finance Committee does not assume responsibility for the accuracy of the information in this report when used in any other situation.



The LFC is only preparing FIRs on bills referred to the Senate Finance Committee, the Senate Ways and Means Committee, the House Appropriations and Finance Committee and the House Taxation and Revenue Committee. The chief clerks are responsible for preparing and issuing all other bill analyses.



Only the most recent FIR version, excluding attachments, is available on the Intranet. Previously issued FIRs and attachments may be obtained from the LFC office in Room 416 of the State Capitol Building.





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





SPONSOR: Abeyta DATE TYPED: 02/03/99 HB 188
SHORT TITLE: Implement Medication Aides Program SB
ANALYST: Burkhart


APPROPRIATION



Appropriation Contained
Estimated Additional Impact
Recurring

or Non-Rec

Fund

Affected

FY99 FY2000 FY99 FY2000
$ 500.0 Recurring GF



(Parenthesis ( ) Indicate Expenditure Decreases)



Duplicates/Conflicts with/Companion to/Relates to



SOURCES OF INFORMATION



Human Services Department



SUMMARY



Synopsis of Bill



House Bill 188 appropriates 500.0 from the general fund to the Department of Health in FY 2000 to implement a medication aides program to assist developmentally disabled individuals living in intermediate care facilities and in the future, in group homes and individual homes. Certification and training of these aides is provided by personnel of the Board of Nursing which certifies the content of the training programs and administers the certification of the individual aides.



Significant Issues



The purpose of the proposed legislation is to expand the program beyond the intermediate care facility into other living settings. In order to do this, the training program would need to be expanded and the Nurse Practice Act revised to accommodate these changes





FISCAL IMPLICATIONS



The 500.0 appropriation is eligible for federal medicaid match at the 50% rate so the program would total 1.000.0 in size. Needed training and administration of the program would be paid for with these funds. Funding would be necessary to provide the necessary resources for the Board of Nursing to provide the necessary training and certification administration as well as to go to public hearing to revise their regulations.



ADMINISTRATIVE IMPLICATIONS



The Department of Health has the necessary resources to administer this program. However, the federal waiver that the Department of Health is utilizing will need to be amended and the department must plan enough lead time to assure there are no delays in program implementation.



OTHER SUBSTANTIVE ISSUES



The Nurse Practice Act will necessarily be amended to accommodate these changes in the practice setting of these medication aides.



APP/njw