Revision: Jan. 23, 2018, 9:17 a.m.
HB 1626 - AS INTRODUCED
2018 SESSION
18-2552
01/03
HOUSE BILL 1626
SPONSORS: Rep. Kurk, Hills. 2; Rep. Itse, Rock. 10; Rep. Rouillard, Hills. 6
COMMITTEE: Finance
─────────────────────────────────────────────────────────────────
ANALYSIS
This bill requires the commissioner of the department of health and human services, in conjuction with the governor's commission on alcohol and drug abuse prevention, treatment and recovery, to make an annual report relative to the cost effectiveness and outcomes of programs funded in whole or in part by the governor's commission.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
18-2552
01/03
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Eighteen
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Paragraph; Governor's Commission on Alcohol and Drug Abuse Prevention, Treatment, and Recovery. Amend RSA 126-A:5 by inserting after paragraph XXX the following new paragraph:
XXXI. The commissioner, in conjuction with the governor's commission on alcohol and drug abuse prevention, treatment, and recovery, shall make an annual report, commencing on November 1, 2018, relative to the cost effectiveness of each program funded in whole or in part by the governor's commission and the outcomes of each such program and its cost in total and on a per participant basis in such a format as shall permit comparisons to the speaker of the house of representatives, the senate president, and the chairpersons of the house and senate committees having jurisdiction over health and human services issues. For the purposes of this paragraph:
(a) "Cost effectiveness" means a determination as set forth in the Pew Trust's "Results First" program.
(b) "Outcomes" means the final results of a program with respect to each participant and shall exclude outputs.
2 Effective Date. This act shall take effect 60 days after its passage.
18-2552
1/23/18
HB 1626-FN- FISCAL NOTE
AS INTRODUCED
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
|
| |||
| Estimated Increase / (Decrease) | |||
STATE: | FY 2019 | FY 2020 | FY 2021 | FY 2022 |
Appropriation | $0 | $0 | $0 | $0 |
Revenue | $0 | $0 | $0 | $0 |
Expenditures | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase |
Funding Source: | [ X ] General [ ] Education [ ] Highway [ ] Other | |||
METHODOLOGY:
This bill requires the Commissioner of the Department of Health and Human Services, in conjunction with the Governor’s Commission on Alcohol and Drug Abuse Prevention, Treatment, and Recovery (Commission) to issue an annual report comparing Commission-funded programs based on the following measures:
The bill defines cost effectiveness as a determination set forth in Pew Trust’s “Results First” program. The Department of Health and Human Services states that, since it does not have access to the “Results First” methodology, it would need to develop its own in-house cost benefit analysis system which would require a review of the monetary factors, the potential costs of eliminating a program, secondary impacts of substance use disorder programs, and other related quantitative and qualitative factors (e.g., treatment costs, avoided incarceration costs, impact on social services system, impact of job force and state GDP, etc.).
The Department states that it will incur an indeterminable cost to develop a new cost-benefit analysis system to measure the cost-effectiveness of programs, including the need to hire a consultant with expertise in cost-benefit analysis to establish a system to measure cost effectiveness. While an exact figure is unavailable, the Department estimates the cost of the initial contract will be approximately $250,000 given the number and complexity of programs. After such a system is established, the Department will need a Program Specialist III (LG 23) and a Program Specialist IV (LG 25) to collect and analyze data in preparation for the annual report at an estimated cost of $151,000 in FY 2019, $159,000 in FY 2020, $167,000 in FY 2021 and $174,000 in FY 2020. Further, the Department states that it will continue to need to hire the consultant annually, at an indeterminable cost, to incorporate new programs into the existing system and evaluate the quality and appropriateness of existing measures.
AGENCIES CONTACTED:
Department of Health and Human Services