NOTE: As provided in LFC policy, this report is intended for use by the standing finance committees of the legislature.  The Legislative Finance Committee does not assume responsibility for the accuracy of the information in this report when used in any other situation.



The LFC is only preparing FIRs on bills referred to the Senate Finance Committee, the Senate Ways and Means Committee, the House Appropriations and Finance Committee and the House Taxation and Revenue Committee. The chief clerks are responsible for preparing and issuing all other bill analyses.



Only the most recent FIR version, excluding attachments, is available on the Intranet. Previously issued FIRs and attachments may be obtained from the LFC office in Room 416 of the State Capitol Building.





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





SPONSOR: Abeyta DATE TYPED: 02/10/99 HB 382
SHORT TITLE: Dual-Diagnosis Intervention Program SB
ANALYST: Burkhart


APPROPRIATION



Appropriation Contained
Estimated Additional Impact
Recurring

or Non-Rec

Fund

Affected

FY99 FY2000 FY99 FY2000
$ 150.0 Recurring GF



(Parenthesis ( ) Indicate Expenditure Decreases)



Duplicates/Conflicts with/Companion to/Relates to



SUMMARY



Synopsis of Bill



House Bill 382 appropriates 150.0 in general fund to the Department of Health in FY 2000 to implement a twelve-month dual-diagnosis psychiatric and addictive disorders program at the Las Vegas Medical Center.



Significant Issues



At the present time, some patients of the Las Vegas Medical Center enter into either the programs for the mentally ill or into in-patient substance abuse settings. These patients are in need of services from both disciplines and this program would provide initial funding to do this integrated approach.

Although the dual-disorder program has just started in January 1998, this four phase treatment program is comprehensive in its approach. Monies appropriated in this bill would fund phase three of the project which is the residential component-a six to nine month program where clients have the option of moving into a four-bed home in the community. Skills necessary for finding and keeping a job are taught in this phase.





ADMINISTRATIVE IMPLICATIONS



Administration of these monies is within the budgeted capacity of the Department of Health.



OTHER SUBSTANTIVE ISSUES



It is estimated that 40% of the admissions to the Las Vegas Medical Center are individuals with a co-occurring addictive disorder.



POSSIBLE QUESTIONS



1. How was the appropriation amount determined? How many dually-diagnosed patients will this appropriation serve?



MB/njw