LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  March 2, 1997
         
         
      TO: Honorable Harvey Hilderbran, Chair            IN RE:  House Bill No. 1085
          Committee on Human Services                              By: Maxey
          House
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on HB1085 ( Relating 
to an automated system for providing reimbursements to nursing 
facilities under the state Medicaid program.) this office has 
detemined the following:
         
         Biennial Net Impact to General Revenue Funds by HB1085-As Introduced
         
No significant fiscal implication to the State is anticipated.
         
The bill would amend Chapter 242 of the Health and Safety Code. 
 The bill would replace references to "nursing homes" with "nursing 
facilities."  The bill would require nursing facilities to report 
at least quarterly on residents' conditions via a specified 
electronic format to the Department of Human Services (DHS). 
 The bill would delete language obligating DHS to charge a fee 
to nursing facilities that do not make their claims for reimbursement 
electronically.  The loss of ability to charge fees could potentially 
have a negative impact on future state revenues.  However, any 
potential loss should be insignificant in relation to the agency's 
budget.
         
 
          
No fiscal implication to units of local government is anticipated.
          
   Source:            Agencies:   324   Department of Human Services
                                         
                      LBB Staff:   JK ,BB ,PP