LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 74th Regular Session April 11, 1995 TO: Honorable John T. Smithee, Chair IN RE: House Bill No. 1194 Committee on Insurance By: Berlanga House of Representatives Austin, Texas FROM: John Keel, Director In response to your request for a Fiscal Note on House Bill No. 1194 (relating to the establishment, certification, organization, and regulation of dental preferred provider organizations and dental preferred provider plans) this office has determined the following: The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. The bill would amend the Insurance Code to regulate dental preferred provider organizations and dental preferred provider plans. Under current law, preferred provider organizations and plans are unregulated by any state authority. The bill would require the Department of Insurance to issue certificates of authority for dental preferred provider organizations and plans and the bill specifies maximum filing fees for the associated applications, reports and schedules. Implementation of the provisions of the bill would require additional resources for new Department of Insurance responsibilities, including adoption of new policy rules, licensing and certification for authority to do business, and financial solvency examinations and monitoring. Revenue gains resulting from implementation of the bill cannot be estimated because the number of dental preferred provider organizations that would apply for and receive certification is not known. However, the Department anticipates that the related fees would be set, as provided by the bill, to cover costs of administering the program with the possible exception of first year start up costs. Cost and revenue projections are based on an assumption that at least 50 preferred provider organizations would receive program certification. The bill would create a dedicated revenue source in the State Treasury. The creation and/or continuation of special funds and dedicated revenue sources outside the General Revenue Fund could further restrict the ability of the legislature to appropriate revenues for general state operating purposes. 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 Cost Out Probable Revenue Change in Year of Department of Gain Number of State Insurance to Department of Employees from Operating Insurance FY 1995 Fund 036 Operating Fund 036 1996 $197,328 $130,000 3.5 1997 148,946 150,000 3.0 1998 148,946 150,000 3.0 1999 148,946 150,000 3.0 2000 148,946 150,000 3.0 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: Comptroller of Public Accounts, Department of Insurance, State Board of Dental Examiners LBB Staff: JK, RM, RR