LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 75th Regular Session April 15, 1997 TO: Honorable David Sibley, Chair IN RE: House Bill No. 219, As Engrossed Committee on Economic Development By: Brimer Senate Austin, Texas FROM: John Keel, Director In response to your request for a Fiscal Note on HB219 ( Relating to the licensing of agents for health maintenance organizations.) this office has detemined the following: Biennial Net Impact to General Revenue Funds by HB219-As Engrossed Implementing the provisions of the bill would result in a net impact of $0 to General Revenue Related Funds through the biennium ending August 31, 1999. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. Fiscal Analysis Article 21.07-1 of the Insurance Code would be amended to: redefine "agent" to include those representing health maintenance organizations (HMOs); include a member employed by an HMO to be included on the licensing Advisory Board; and, include HMOs in penalty for violations of licensor requirements. This bill would combine the license authorities for Legal Reserve Life Agents and HMO agents, and applies to licenses issued or renewed on or after January 1, 1998. This bill would phase out HMO licenses by January 1, 2000 by repealing Articles 20A.15 and 20A.15A of the Insurance Code. TDI's operating fund (Fund 036) would experience a one-time revenue gain of $285,500 in fiscal year 1998, due to approximately 5,710 HMO agents applying and paying for the Legal Reserve Life License. This fund also would experience a revenue loss of $35,760 per year, since approximately 745 agents hold both a Legal Reserve Life License and an HMO License. The bill would combine both licenses, which would require these agents to renew only one license. Methodolgy As of the end of fiscal year 1996, the total number of HMO agents in Texas was 6,455; 5,710 held only an HMO license and 745 held both a Legal Reserve Life License and an HMO License. Revenue gains and losses to TDI Fund 036 were based on the following assumptions: (1) the 5,710 agents who hold an HMO License would be required to apply and pay for a Legal Reserve Life License at a cost of $50 per license (5,710 x $50 = $285,500); and, (2) the 745 agents who hold both a Legal Reserve Life License and an HMO License would renew only one, at a loss to Fund 036 of $48 per license not renewed (745 x $48 = $35,760). The probable fiscal implications of implementing the provisions of the bill during each of the first five years following passage is estimated as follows: Five Year Impact: Fiscal Year Probable Revenue Probable Revenue Gain/(Loss) from Gain/(Loss) from Texas Department Texas Department of Insurance of Insurance Operating Operating Account/ Account/ GR-Dedicated GR-Dedicated 0036 0036 1998 ($35,760) $285,500 1998 (35,760) 2000 (35,760) 2001 (35,760) 2002 (35,760) Net Impact on General Revenue Related Funds: Fiscal Year Probable Net Postive/(Negative) General Revenue Related Funds Funds 1998 $0 1999 0 2000 0 2001 0 2002 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: Agencies: 454 Department of Insurance LBB Staff: JK ,TH ,BK