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F I S C A L I M P A C T R E P O R T

SPONSOR Vigil

DATE TYPED 3/9/05

HB 1048

SHORT TITLE San Miguel County Indigent Elderly Services

SB

ANALYST Hanika

APPROPRIATION

Appropriation Contained Estimated Additional Impact Recurring

or Non-Rec

Fund

Affected

FY05

FY06

FY05

FY06

$230.0

Relates to appropriation for the ALTSD in the General Appropriation Act

SOURCES OF INFORMATION

LFC Files

Responses Received From

Aging and Long-Term Services Department (ALTSD)

SUMMARY

Synopsis of Bill

HB 1048 appropriates $230 thousand from the general fund to the ALTSD in FY06 for housing

and other support services for indigent elderly residents of San Miguel County.

Significant Issues

ALTSD reports the intention of this bill is to set aside seed money to plan and develop a Senior

Home Care Facility at the Rivera Housing Property owned by San Miguel County. The plan is

to use this money to leverage federal funding for the county. The county is to contract with a

home care provider to manage the long-term care facility.

PERFORMANCE IMPLICATIONS

ALTSD provides modest funding through the Area Agencies on Aging for home care services.

Services are also provided through the Las Vegas Medical Center for the Senior Companion

Program.

House Bill 1048-- Page 2

FISCAL IMPLICATIONS

ALTSD notes that the only facilities funded through ALTSD are senior centers and meal sites.

ALTSD does not fund residential facilities. The appropriation request in this bill is expected to

flow through ALTSD directly to San Miguel County for the planning and development of a Sen-

ior Home Care Facility. ALTSD cannot contract with providers to run a nursing facility nor can

the Agency set aside seed money to plan and develop a nursing facility as it is in direct conflict

with the Long-Term Care (LTC) Ombudsman program.

ALTSD reports that the Agency cannot fund any planning, development or management of a

nursing facility. The Agency believes planning for facility development should be a capital out-

lay request.

This appropriation request in the bill is not part of the Aging Network Program request for ser-

vices from the ALTSD in HB 167.

The LFC considers this appropriation a recurring appropriation because once the program is im-

plemented; the expectation will be that it continue in future years.

CONFLICT, DUPLICATION, COMPANIONSHIP, RELATIONSHIP

HB 167, Statewide Senior Citizens Programs

TECHNICAL ISSUES

The ALTSD cannot perform the requirements of this bill due to conflict of interest issues.

WHAT WILL BE THE CONSEQUENCES OF NOT ENACTING THIS BILL.

The indigent low income elderly from San Miguel County will continue to solicit services from

senior centers, meal sites and though homecare from other private and public agencies.

AHO/lg