LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE
75th Regular Session
February 17, 1997
TO: Honorable Judith Zaffirini, Chair IN RE: Senate Bill No. 162
Committee on Health & Human Services By: Barrientos
Senate
Austin, Texas
FROM: John Keel, Director
In response to your request for a Fiscal Note on SB162 ( Relating
to prevention and treatment of diabetes.) this office has detemined
the following:
Biennial Net Impact to General Revenue Funds by SB162-As Introduced
No significant fiscal implication to the State is anticipated.
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 authorize the Health and Human
Services Commission to develop a Texas Diabetes Pilot Program
for Medicaid recipients. The pilot would be implemented in
counties with a high incidence of and a high death rate from
diabetes. The Texas Diabetes Council would administer the program
under the direction of HHSC. The program would be implemented
by November 1, 1997, unless federal approval of any necessary
waiver or other authorization has not been obtained. The pilot
would be authorized for fiscal years 1998-2001.
Under the
provisions of the bill, the pilot program would provide continuous
care, preventive services, and case management to Medicaid recipients
who have been hospitalized for diabetes-related conditions.
The HHSC would be required to consider an analogous program
operated in Maryland in developing the program. The Commission
would be required to submit interim and final reports to the
Lieutenant Governor and Speaker of the House of Representatives
on the effectiveness of the program by specific dates during
the 1998-99 biennium.
The bill would also amend the Insurance
Code to establish guidelines for diabetes care. The Department
of Insurance, in consultation with the Texas Diabetes Council,
would be required to adopt minimum standards for the care that
is provided to enrollees with diabetes. The standards would
be applied only to health benefit plans delivered, issued for
delivery, or renewed on or after January 1, 1999.
The bill
would require the Texas Diabetes Council to develop and provide
materials about diabetes to school-based clinics for primary
and secondary school students and their parents. The bill would
also require the Council, State Board of Education, and Department
of Health to develop a diabetes education program for school
districts to use in their health curricula.
Increased General
Revenue costs were identified by the Health and Human Services
Commission ($28,656 in 1998; $26,081 in 1999), Department of
Health ($141,473:1998; $136,926:1999; $107,726:2000; $107,726:2001;
$78,526:2002), and the Texas Education Agency ($167,901 in 1998).
No estimates of potential savings were identified. However,
given the size and resources available to these agencies, no
significant fiscal implication to the state is anticipated.
The
bill would implement TPR recommendation HHS13 as described in
Disturbing the Peace: The Challenge of Change in Texas Government.
No fiscal implication to units of local government is anticipated.
Source: Agencies: 529 Health and Human Services Commission
330 Rehabilitation Commission
454 Department of Insurance
701 Texas Education Agency - Administration
304 Comptroller of Public Accounts
324 Department of Human Services
318 Commission for the Blind
501 Department of Health
323 Teacher Retirement System and Optional Retirement Program
327 Employees Retirement System
LBB Staff: JK ,BB ,AZ