FISCAL NOTE

Date Requested: January 10, 2020
Time Requested: 01:10 PM
Agency: Health and Human Resources, WV Department of
CBD Number: Version: Bill Number: Resolution Number:
1639 Introduced SB253
CBD Subject: State Personnel


FUND(S):

5084 - MEDICAL SERVICES PROGRAM FUND

Sources of Revenue:

Other Fund Federal

Legislation creates:





Fiscal Note Summary


Effect this measure will have on costs and revenues of state government.


    The purpose of this bill is to provide for fair pay and maximized employment of disabled persons; create a state “Employment First” policy that encourages agencies to facilitate employment of disabled persons; establish a task force to initiate these policies; and provide for the DHHR Bureau for Behavioral Health, Division of Rehabilitation Services, Department of Education, DHHR Bureau for Medical Services (State Medicaid Agency) and Workforce WV to implement the policy.
    Currently there are 240 members on the Individual/Developmental Disabilities Waiver (IDDW) accessing Supported Employment. In order to access these job coaching services, the member must have a job paying at least minimum wage and it cannot be in a sheltered workshop setting. Per Centers for Medicare and Medicaid (CMS) §1915 (C) Waiver Instructions and Technical Guide regarding employment and employment related services, "Waiver funding is not available for the provision of vocational services delivered in facility based or sheltered worship settings, where individuals are supervised for the primary purpose of producing goods or performing services." Job coaching services are not available to individuals not on the IDD Waiver.
     The Department anticipates no additional costs due to the proposed bill.



Fiscal Note Detail


Effect of Proposal Fiscal Year
2020
Increase/Decrease
(use"-")
2021
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 0 0 0
Personal Services 0 0 0
Current Expenses 0 0 0
Repairs and Alterations 0 0 0
Assets 0 0 0
Other 0 0 0
2. Estimated Total Revenues 0 0 0


Explanation of above estimates (including long-range effect):


    Any one-time or on-going costs would be determined by the created task force during its first twelve months and subject to implementation approval.



Memorandum


     The eleven members of the created task force are clearly defined. The task force includes an individual with a developmental disability, but does not include an individual with adult onset disability.
     The bill has a flaw in section 18-10P-3. The bill references the Bureau for Behavioral Health and Health Facilities, however due to reorganization should be the Bureau for Behavioral Health as indicated in the purpose of the bill.



    Person submitting Fiscal Note: Bill J. Crouch
    Email Address: dhhrbudgetoffice@wv.gov