LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 74th Regular Session March 2, 1995 TO: Honorable John Smithee IN RE: House Bill No. 222, Committee on Insurance as amended House of Representatives By: Brimer Austin, Texas FROM: John Keel, Director In response to your request for a Fiscal Note on House Bill No. 222 (relating to the licensing of agents for health maintenance organizations) this office has determined the following: The bill would amend the Insurance Code with new provisions for licensing agents who represent health maintenance organizations (HMO). The bill would also repeal similar provisions of the Insurance Code, known as the Texas Health Maintenance Organization Act effective January 1, 1998. Implementation of the bill would require modification of license application and renewal forms and changes to the examination for Group 1 agents to include HMO questions. Programming changes to the mainframe database for the Department of Insurance would also be necessary. The bill would also require development and adoption of new procedural rules. The Department anticipates that most new workload would be associated with inquiries related to the changes, potentially 3,000 inquiries during fiscal year 1996 and 1,500 during 1997. Costs for additional responsibilities could be absorbed within existing similar functions. The Department anticipates that revenue losses would result from the bill's provisions in connection with elimination of the HMO agent license. Approximately 1,500 agents currently hold both Group 1 and HMO licenses. The current application fee for an HMO agent license is $60 and the renewal fee is $48. Revenue losses of approximately $36,000 per year are projected based on the current number of HMO agent licenses and present renewal rates. The probable fiscal implication of implementing the provisions of the bill during each of the first five years following passage is estimated as follows: Fiscal Probable Revenue Year Loss from GR Consolidated - Department of Insurance Operating Fund 036 1996 $36,000 1997 36,000 1998 36,000 1999 36,000 2000 36,000 Similar annual fiscal implications would continue as long as the provisions of the bill are in effect. No fiscal implication to units of local government is anticipated. Source: Department of Insurance LBB Staff: JK, RM, RR