LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE
75th Regular Session
March 2, 1997
TO: Honorable Judith Zaffirini, Chair IN RE: Senate Bill No. 162, Committee Report 1st House
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 the prevention and treatment of diabetes.) this office has
detemined the following:
Biennial Net Impact to General Revenue Funds by SB162-Committee Report 1st House
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 Care Program
for Medicaid recipients. The program would be initially 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 program
would be authorized for fiscal years 1998-2001.
Under the
provisions of the bill, the program would provide continuous
care, preventive services, and case management to Medicaid recipients
who have diabetes-related conditions. The HHSC would be required
to consider a pilot 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: 501 Department of Health
529 Health and Human Services Commission
304 Comptroller of Public Accounts
318 Commission for the Blind
323 Teacher Retirement System and Optional Retirement Program
324 Department of Human Services
327 Employees Retirement System
330 Rehabilitation Commission
454 Department of Insurance
701 Texas Education Agency - Administration
LBB Staff: JK ,BB