LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE
74th Regular Session
March 20, 1995
TO: Honorable Judith Zaffirini, Chair IN RE: Committee Substitute
Committee on Health & Human Services for Senate
Senate Bill No. 604
Austin, Texas
FROM: John Keel, Director
In response to your request for a Fiscal Note on Senate Bill No.
604 (Relating to a pilot program for the establishment of medical
savings accounts to assist Medicaid recipients.) 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 require the Health and Human Services Commission
to develop a pilot program to establish medical savings accounts
with Medicaid funds for recipients of acute care services under
the State Medicaid program. The Health and Human Services
Commission would be required to submit a report to the Governor
and the Seventy-sixth Legislature on the effectiveness of the
pilot no later than January 15, 1999. This act would expire
September 1, 1999.
According to the Commission, costs of implementing this bill
would include administrative expenses related to project staff
and an actuarial consultant to develop the Medicaid Savings
Account proposal.
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 Cost Out Change in
Year of General of - Federal Number of State
Revenue Fund 001 Funds 555 Employees from
FY 1995
1996 $89,889 $89,889 2.0
1997 61,394 61,394 2.0
1998 46,389 46,389 2.0
1999 23,194 23,195 1.0
2000
No fiscal implication to units of local government is
anticipated.
Source: Department of Human Services, Department of Health,
Health and Human Services Commission,
Texas Department of Mental Health and
Mental Retardation
LBB Staff: JK, KF, AZ, DF