Bill Summary – FastDemocracy

State of Alaska
                                                         Fiscal Note
                                                                                          Bill Version:                CSSB 98(FIN)
  2022 Legislative Session
                                                                                          Fiscal Note Number:          7
                                                                                          (H) Publish Date:            8/16/2022
  Identifier:    SB098CS(FIN)-DOH-RL-4-29-2022                              Department:        Department of Health
  Title:         ADULT HOME CARE; ADULT ADOPTION                            Appropriation: Health Care Services
  Sponsor:       RLS BY REQUEST OF THE GOVERNOR                             Allocation:        Residential Licensing
  Requester: (H) HSS                                                        OMB Component Number:              245
  Expenditures/Revenues
  Note: Amounts do not include inflation unless otherwise noted below.                                                        (Thousands of Dollars)
                                                  Included in
                                     FY2023       Governor's
                                 Appropriation      FY2023                                        Out-Year Cost Estimates
                                   Requested       Request
  OPERATING EXPENDITURES               FY 2023        FY 2023       FY 2024                  FY 2025          FY 2026        FY 2027          FY 2028
  Personal Services                        95.0                         95.0                     95.0             95.0           95.0           190.0
  Travel                                   10.0                         10.0                     10.0             10.0           10.0            20.0
  Services                                 10.0                         10.0                     10.0             10.0           10.0            20.0
  Commodities                                4.0                         1.0                      1.0              1.0            1.0              5.0
  Capital Outlay
  Grants & Benefits
  Miscellaneous
  Total Operating                         119.0            0.0         116.0                    116.0            116.0          116.0            235.0
  Fund Source (Operating Only)
  1002 Fed Rcpts (Fed)                       59.5                             58.0               58.0             58.0           58.0            117.5
  1003 GF/Match (UGF)                        59.5                             58.0               58.0             58.0           58.0            117.5
  Total                                     119.0              0.0           116.0              116.0            116.0          116.0            235.0
  Positions
  Full-time                                    1.0                                 1.0             1.0               1.0           1.0              2.0
  Part-time
  Temporary
  Change in Revenues
  None
  Total                                        0.0             0.0                 0.0             0.0               0.0           0.0              0.0
  Estimated SUPPLEMENTAL (FY2022) cost:                               0.0                (separate supplemental appropriation required)
  Estimated CAPITAL (FY2023) cost:                                    0.0                (separate capital appropriation required)
  Does the bill create or modify a new fund or account?       No
  (Supplemental/Capital/New Fund - discuss reasons and fund source(s) in analysis section)
  ASSOCIATED REGULATIONS
  Does the bill direct, or will the bill result in, regulation changes adopted by your agency?            Yes
  If yes, by what date are the regulations to be adopted, amended or repealed?                            07/01/23
  Why this fiscal note differs from previous version/comments:
  The narrative of this fiscal note has been updated from the previous version due to amendments made in the Senate Finance
  Committee and that are included in Version G of the bill. The operating expenditure and fund source amounts are unchanged.
  Prepared By:          Renee Garhart, Director                                                                 Phone:     (907)465-1184
  Division:             Health Care Services                                                                    Date:      04/29/2022
APPROVED BY
  Approved By:          Sylvan Robb, Assistant Commissioner                                                     Date:      04/29/22
  Agency:               Department of Health and Social Serivces
CO     NFERENCE
 Printed 8/10/2022                                                   Page 1 of 2                                                     Control Code: NOapI
 COMMITTEE
                                                 FISCAL NOTE ANALYSIS
STATE OF ALASKA                                                                              CSSB 98(FIN) - Fiscal Note 7
2022 LEGISLATIVE SESSION
Analysis
   This bill creates a new service for individuals on Medicaid home and communitybased waivers, adult home care, and a
   new residential setting type, adult home care home, that may offer an appealing alternative to existing care and living
   arrangements available under the waivers. The bill also directs the department to develop a streamlined application and
   approval process for the adult home care service and setting for children on waivers and in foster care who are aging out
   of the foster care system.
   The Division of Health Care Services will need one Community Care Licensing Specialist 1 to license approximately 40 new
   providers in the first two years. Each Community Care Licensing Specialist has an average case load of 6070 providers. As
   the number of providers increases over time a second Community Care Licensing Specialist I will be needed to handle the
   additional provider licensing and relicensing in year six. Licensing regulations will need to be revised.
   One fulltime Community Care Licensing Specialist 1 (including benefits): Range 16, Anchorage: $95.0 in FY2023 and
   beginning in FY2028 and beyond two Community Care Licensing Specialists will be needed at a cost of $190.0 annually.
   Travel: $10.0 annually for each position to license and recertify providers. Years one through five $10.0 annually and year
   six $20.0 annually.
   Services: Office space, phone, reimbursable services agreements for position support: $10.0 annually for each position.
   Years one through five $10.0 annually and year six $20.0 annually.
   Commodities: Office Supplies $1.0 annually for each position. Years one through five $1.0 annually and year six $2.0
   annually.
   OneTime Commodities Cost: Computer, software, and office equipment: $3.0 in the first year and $3.0 in year six with the
   addition of one more position.
(Revised 11/23/2021 OMB/LFD)                                                                                       Page 2 of 2
SB098CS(FIN)-DOH-RL-4-29-2022                                  Page 2 of 2                                              Control Code: NOapI
Statutes affected: 
SB0098A, AM SB 98, introduced 03/03/2021: 47.07.048, 47.07.045, 47.07.020, 47.32.900, 47.32.010
SB0098B, AM CSSB 98(FIN), introduced 04/15/2022: 25.23.020, 47.07.020, 47.07.045, 47.32.033, 47.32.010, 47.07.048, 47.07.040, U.S.C
SB0098A, AM SB 98, introduced 03/01/2021: 47.07.048, 47.07.045, 47.07.020, 47.32.900, 47.32.010