Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
FROM:
Jerry McGinty, Director, Legislative Budget Board
IN RE:
SB73 by Miles (Relating to providing access to local public health entities and certain health service regional offices under Medicaid.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for SB73, Committee Report 1st House, Substituted : a negative impact of ($1,012,000) through the biennium ending August 31, 2023.
The Department of State Health Services and the Health and Human Services Commission are required to implement this Act only if the legislature appropriates
money specifically for that purpose. If the legislature does not appropriate money specifically for that purpose, the department and the commission may, but are not required to, implement the Act using other appropriations available for the purpose.
General Revenue-Related Funds, Five- Year Impact:
Fiscal Year
Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2022
($1,012,000)
2023
$0
2024
$0
2025
$0
2026
$0
All Funds, Five-Year Impact:
Fiscal Year
Probable Savings/(Cost) from General Revenue Fund 1
Probable Savings/(Cost) from GR Match For Medicaid 758
Probable Savings/(Cost) from Federal Funds 555
2022
($347,000)
($665,000)
($665,000)
2023
$0
$0
$0
2024
$0
$0
$0
2025
$0
$0
$0
2026
$0
$0
$0
Fiscal Analysis
The bill would require the Health and Human Services Commission (HHSC) to create a provider type for local health departments, including health service regional offices acting in the capacity of local health departments, for purposes of enrollment as a provider for and reimbursement under Medicaid. HHSC would be able to delay implementation of the provisions of the bill until the agency obtained a federal waiver or authorization, if required.
Methodology
The analysis assumes HHSC's Provider Enrollment Management System and auxiliary technology services would require updates to include the new provider type. It is assumed these changes would be completed during fiscal year 2022 and would cost $1,330,000. It is assumed costs associated with these technology changes would receive a 50 percent federal match.
The analysis assumes the Department of State Health Services (DSHS) would develop a billing system to be used by health service regional offices. Development of the system is assumed to cost $245,000 in fiscal year 2022.
The analysis assumes $102,000 in fiscal year 2022 for DSHS to perform training for staff regarding new billing procedures.
The analysis assumes additional costs incurred by DSHS would be offset by Medicaid reimbursement received by health service regional offices.
The analysis assumes the remaining duties and responsibilities associated with implementing provisions of the bill could be accomplished by utilizing existing agency resources.
Technology
Technology costs are estimated to total $1,575,000 in fiscal year 2022. This includes $1,330,000 for one-time upgrades to the Provider Enrollment Management System and auxiliary technology services at HHSC and $245,000 for DSHS to develop a billing system for health service regional offices.
Local Government Impact
The Texas Association of Counties does not anticipate a significant fiscal impact to counties.
Source Agencies:
529 Hlth & Human Svcs Comm, 537 State Health Services