HB 265-FN-A – AS INTRODUCED
2007 SESSION
01/09
HOUSE BILL 265-FN-A
AN ACT relative to the waiting list for services to persons with developmental disabilities and acquired brain disorders and making an appropriation therefor.
SPONSORS: Rep. Batula, Hills 19; Rep. C. McMahon, Rock 4; Rep. Whalley, Belk 5; Rep. Stepanek, Hills 6; Rep. MacKay, Merr 11; Sen. Clegg, Dist 14; Sen. Letourneau, Dist 19; Sen. Bragdon, Dist 11
COMMITTEE: Health, Human Services and Elderly Affairs
This bill requires the department of health and human services to provide services to persons with developmental disabilities and acquired brain disorders within 90 days of a preliminary written individual service agreement and makes an appropriation for the purposes of the bill.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
07-0172
01/09
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Seven
AN ACT relative to the waiting list for services to persons with developmental disabilities and acquired brain disorders and making an appropriation therefor.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Purpose. It is the intention of the general court to provide sufficient funding to the department of health and human services to ensure that persons who apply for and are eligible to receive services in the state’s developmental services system receive such services without undue delay. Therefore, the general court hereby achieves its objective by reducing the time between completion of a preliminary written individual service agreement for persons who have been determined eligible for services and the allocation by the state of the funds needed to carry out the services required by the agreement to no more than 90 days.
2 New Section; Waiting List; Duration Limits. Amend RSA 171-A by inserting after section 1-c the following new section:
171-A:1-d Waiting List; Limits. The department shall provide services to eligible persons under this chapter in a timely manner. The department shall provide services in such a manner that the period between the time of completion of a preliminary written individual service agreement pursuant to RSA 171-A:12 and the allocation by the department of the funds needed to carry out the services required by the agreement shall not exceed 90 days. The department shall make quarterly reports to the oversight committee established by RSA 171-A:1-c, and the oversight committee on health and human services, established by RSA 126-A:13, on the status of the waiting list and compliance with this section.
3 Appropriation; Waiting List. The sum of $4,100,000 in general funds together with federal matching funds for the fiscal year ending June 30, 2008 and the sum of $11,900,000 in general funds together with federal matching funds for the fiscal year ending June 30, 2009 are hereby appropriated to the department of health and human services, for the purpose of providing services to persons with developmental disabilities and acquired brain disorders who have applied and have been determined eligible for services and who have been placed on a waiting list for such services. The governor is authorized to draw a warrant for said sums out of any money in the treasury not otherwise appropriated.
4 Effective Date. This act shall take effect July 1, 2007.
LBAO
07-0172
1/8/07
HB 265-FN-A - FISCAL NOTE
AN ACT relative to the waiting list for services to persons with developmental disabilities and acquired brain disorders and making an appropriation therefore.
FISCAL IMPACT:
The Department of Health and Human Services states this bill would increase state expenditures by $8,200,000 in FY 2008, $23,800,000 in FY 2009, $31,000,000 in FY 2010, and $32,000,000 in FY 2011. This bill would increase state revenue by $4,100,000 in FY 2008, $11,900,000 in FY 2009, $15,500,000 in FY 2010, and $16,000,000 in FY 2011. This bill will have no fiscal impact on county and local revenue or expenditures.
This bill appropriates $4,100,000 from the state general fund in FY 2008, and $11,900,000 from the state general fund in FY 2009 to the Department for the purposes of this bill.
METHODOLOGY:
The Department states this bill would require the Department to provide services to persons with developmental disabilities (DD) and acquired brain disorders (ABD) within 90 days of a preliminary written individual services agreement. The Department projects there will be 264 persons on the Priority 1 DD Waitlist and 9 persons on the Priority 1 ABD Waitlist as of July 1, 2007. The Department estimates that the net increase in eligible clients annually will be 90 DD clients, and 15 ABD clients, with no additional clients estimated in FY 2010 and 2011. The Department states new eligibility determinations for service arrangements will be phased in over the FY 08-09 biennium to deal with staff recruitment and training issues, and estimates the client counts as follows:
FY 2009
FY 2008 & Thereafter
DD Clients 204 408
DD Offenders 18 36
ABD Clients 20 39
Total Clients 242 483
LBAO
07-0172
1/8/07
Assuming an annual cost increase equal to 3%, the Department estimates the average annual cost per client as follows:
FY 2008 FY 2009 FY 2010 FY 2011
DD $53,000 $54,590 $56,228 $57,915
DD Offenders $115,000 $118,450 $122,004 $125,664
ABD $90,000 $92,700 $95,481 $98,345
The Department assumes that in FY 2008 and 2009, 25% of the total number of clients will be phased in over each quarter of the fiscal year. The Department states that 50% of the costs will be borne by the state general fund and 50% by federal funds. The Department estimates the approximate fiscal impact as follows, using estimated client counts, annual cost per client, and a phase-in of services:
Total Cost General Funds Federal Funds
FY 2008 $8,200,000 $4,100,000 $4,100,000
FY 2009 $23,800,000 $11,900,000 $11,900,000
FY 2010 $31,000,000 $15,500,000 $15,500,000
FY 2011 $32,000,000 $16,000,000 $16,000,000