Honorable Tom Oliverson, Chair, House Committee on Insurance
FROM:
Jerry McGinty, Director, Legislative Budget Board
IN RE:
HB1907 by Walle (relating to the establishment of a statewide all payor claims database to increase public transparency of health care data and improve quality of health care in this state.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for HB1907, Committee Report 1st House, Substituted : a negative impact of ($8,967,488) through the biennium ending August 31, 2023.
The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
General Revenue-Related Funds, Five- Year Impact:
Fiscal Year
Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2022
($3,977,131)
2023
($4,990,357)
2024
($5,084,195)
2025
($5,042,170)
2026
($5,018,385)
All Funds, Five-Year Impact:
Fiscal Year
Probable Savings/(Cost) from General Revenue Fund 1
Change in Number of State Employees from FY 2021
2022
($3,977,131)
19.7
2023
($4,990,357)
19.7
2024
($5,084,195)
19.7
2025
($5,042,170)
19.7
2026
($5,018,385)
19.7
Fiscal Analysis
The bill would require the Texas Department of Insurance (TDI) to collaborate with the Center for Healthcare Data (the center) at the University of Texas Health Science Center at Houston to establish a statewide all payor claims database to collect, process, and store health care claims information. The center would be required to administer, manage, and provide public access to the database.
Methodology
The analysis assumes that as administrator of the statewide all payor claims database, funding would be provided directly to the center to implement the provisions of the bill. The analysis also assumes that all costs related to implementing the bill would be in General Revenue; however, $2,500,000 million in costs over a three-year period could be offset by federal grants that the institution expects to receive if the program is established.
According to the University of Texas Health Science Center at Houston, the center would require 19.0 Full-time Equivalents (FTEs) to design, build, and provide ongoing maintenance for the database and 0.7 FTEs for faculty to serve as the investigator and co-investigator on the project. In addition, the center would have costs related to the purchase of servers and required ongoing maintenance of the data warehouse that would store the information related to data receipt, cleaning, translating, storage, and processing.
It is assumed the provisions of the bill relating to TDI could be implemented within existing resources.
Technology
Technology costs include $2,500,000 in fiscal year 2022; $1,250,00 in fiscal year 2023; $1,050,000 in fiscal year 2024; $900,000 in fiscal year 2025; and $750,000 in fiscal year 2026 related to the purchase of servers and required ongoing maintenance of the data warehouse that will store the information related to data receipt, cleaning, translating, storage, and processing.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies:
454 Department of Insurance, 537 State Health Services, 720 UT Sys Admin, 781 Higher Education Coordinating Board