LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION
Revision 1
 
April 5, 2023

TO:
Honorable Sam Harless, Chair, House Committee on Health Care Reform, Select
 
FROM:
Jerry McGinty, Director, Legislative Budget Board
 
IN RE:
HB3286 by Klick (Relating to certain prescription drug benefits under the Medicaid managed care program.), As Introduced

The fiscal implications of the bill cannot be determined due to the uncertainty regarding the number of clients that would shift to non-preferred drugs as a result of exceptions to step therapy protocol. 

The bill would establish a process for requesting exceptions to step therapy protocol for recipients in a managed care plan. According to the Health and Human Services Commission, the bill could result in a reduction of federal and supplemental rebates due to a shift towards higher net cost non-preferred drugs. However, due to a lack of information regarding the effects on utilization, the fiscal impact cannot be determined at this time. 

Local Government Impact

No fiscal implication to units of local government is anticipated.


Source Agencies:
529 Health and Human Services Commission
LBB Staff:
JMc, NPe, ER, CST