LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 74th Regular Session April 4, 1995 TO: Honorable Judith Zaffirini, Chair IN RE: Senate BillNo. 1096 Committee on Health & Human Services By: Zaffirini Senate Austin, Texas FROM: John Keel, Director In response to your request for a Fiscal Note on Senate Bill No. 1096 (Relating to the services provided under the Indigent Health Care and Treatment Act.) 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 expand services that counties may provide which shall be credited toward eligibility for state assistance through County Indigent Health Care Program currently administered by the Department of Health. The services subject to credit and approval by the Department of Health include: * primary and preventive services that meet the need of a community, such as immunizations, medical screenings, dental health care, and annual physical examinations; and * medically necessary services that the county determines to be cost effective for the care of the resident, including but not limited to ambulatory surgical center services, home and community health care services, and diabetic and colostomy medical supplies and equipment. The bill would also allow a county to credit premium payments for health insurance coverage for certain persons toward eligibility for state assistance. An individual for which counties may make premium payments include one diagnosed as having HIV or AIDS, or other terminal or chronic illness, who is unemployed, and whose income is less than 200 percent of the federal poverty level even though that person may be eligible for benefits under the Medicaid program or a medical assistance program of the county. Under current law, a county must expend 10 percent of its general tax levy on indigent health care for services identified in statute prior to becoming eligible for state assistance. Additionally, income eligibility for those served by counties in order to receive credit towards state assistance is tied to the State's AFDC guidelines, currently 17 percent of federal poverty guidelines. After a county fulfills the 10 percent threshold, the State shares costs with a qualifying county by paying 80 percent of subsequent expenditures made on indigent care by that county. In the event that the expansion of eligible services and allowable expenses enables counties to qualify for state assistance sooner or allows more counties to qualify for state assistance, the cost to the General Revenue Fund would increase. The extent to which the Department of Health will approve the expanded services for credit or counties will make payments for health insurance for certain individuals cannot be determined. The Department of Health indicates no fiscal implications would be associated with this bill, stating the department would assess the cost effectiveness of a service proposed by a county and that no additional costs would accrue because the expenses of preventive services would be offset by reduced hospital stays and emergency room visits. No reference is made to the provisions related to premium payments by counties. The fiscal implication to the State or units of local government cannot be determined. Source: Department of Health LBB Staff: JK, KF, AZ