Date Requested:March 07, 2011
Time Requested:12:13 PM
Agency: Health and Human Resources, Department of
CBD Number: Version: Bill Number: Resolution Number:
Comm. Sub. HB2522
Human Serv. Gen. Adm. Fund, 8722-ConsFed. Funds Div. of Human Serv. Gen Adm. Fund, 8802-Public Health
Sources of Revenue
General Fund,Other Fund Federal
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 establish an independent dispute resolution process for nursing homes.
    The Department estimates that there would be 110 non-immediate and 10 immediate jeopardy level IDR requests at a cost of $73,065. Additionally, administrative costs associated with this bill are estimated to be minimal and thus absorbed within the current budget.

Fiscal Note Detail
Over-all effect
Effect of Proposal Fiscal Year
Fiscal Year
(Upon Full
1. Estmated Total Cost 0 73,065 73,065
Personal Services 0 0 0
Current Expenses 0 73,065 73,065
Repairs and Alterations 0 0 0
Assets 0 0 0
Other 0 0 0
2. Estimated Total Revenues 0 0 0
3. Explanation of above estimates (including long-range effect):
    Above estimates are based on data from the ASPEN Enforcement Report. It is estimated that there will be four severity levels. Level 1 - No actual harm with potential for minimal harm, Level 2 - No actual harm with a potential for more than miminal harm that is not immediate, Level 3 - Actual harm that is not immediate jeopardy, Level 4 - Immediate jeopardy to resident health or safety.
    The following estimates indicate how many individual deficiencies (by severity level) are likely to be contested during an independent IDR. The rates are higher as the severity level increases.
    Level 1 - 19 @ $500 = $9500; Level 2 - 75 @ $500 = $37,500; Level 3 - 13 @ $755 = $9815; and Level 4 - 13 @ $1250 = $16,250

Person submitting Fiscal Note:
Michael J. Lewis, M.D., Ph.D., Secretary
Email Address: