Date Requested: January 31, 2015
Time Requested: 11:41 AM
Agency: Health and Human Resources, Department of
CBD Number: Version: Bill Number: Resolution Number:
1927 Introduced HB2419
CBD Subject: State Personnel


0525 - Consolidated Medical Services Fund

Sources of Revenue:

General Fund

Legislation creates:

Neither Program nor Fund

Fiscal Note Summary

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

    The purpose of this bill is to add fifty new positions to the staff at William R. Sharpe, Jr. Hospital so that the safety of the staff and patients may be enhanced.
    The proposed legislation requires that upon passage of the article, the Department of Health and Human Resources shall immediately review the staffing needs at Sharpe Hospital and determine where fifty additional positions will best serve the needs of both the patients and the employees at that facility. The proposed legislation also requires that all fifty positions shall be filled no later than ninety days after the passage of the article. Based on an assessment by William R. Sharpe, Jr. Hospital staff the classifications listed in the fiscal note detail were utilized to calculate the estimated cost.
    The Department of Health and Human Resources estimates the fiscal impact to the Bureau for Behavioral Health and Health Facilities (BHHF) to fund an additional fifty positions to be $3,372,314.

Fiscal Note Detail

Effect of Proposal Fiscal Year
Fiscal Year
(Upon Full
1. Estmated Total Cost 0 3,372,314 3,372,314
Personal Services 0 328,431 328,431
Current Expenses 0 3,043,883 3,043,883
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):

    The total cost to the Bureau for Behavioral Health and Health Facilities of $3,372,314 is based upon the following hiring breakdown based upon projected needs: Physician (1), Nurse 4 (3), Nurse 3 (6), Nurse 2 (4), Nurse 1 (4), LPN (5), Health Services Assistant (3), Health Services Worker (8), Office Assistant 2 (2), Health & Human Resources Specialist (1), Psychologist 2 (2), Social Worker 3 (2), Pharmacist Assistant (1), Recreation Specialist (1), Teacher 1 (1), Guard 2 (1), Guard 1 (3), Driver 1 (1), and Staff Development Specialist (1) for a total of 50 positions.
    Due to the 90-day timeframe to fill positions the Department must utilize contracted staff for a portion of these positions. The Department currently has contracts for Physicians, Nurses, LPN's, Health Service Workers, Psychologists, Pharmacist Assistants, and Guards. The estimated cost based on the contracts currently in place, would be $3,043,883 for these positions.
    The estimated cost for the remaining classifications ($328,431) were based on Department average for each classification plus an average 35% employee benefit rate.


    Currently, William R Sharpe, Jr. Hospital has 105 vacant positions in various classifications, including those referenced in this fiscal note. The recent Hartley agreement (providing salary enhancements) will allow BHHF to maintain a higher staff to patient ratio.

    Person submitting Fiscal Note: Karen L. Bowling
    Email Address: