LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 76th Regular Session
April 18, 1999
TO: Honorable Judith Zaffirini, Chair, Senate Committee on
Human Services
FROM: John Keel, Director, Legislative Budget Board
IN RE: HB1514 by Maxey (Relating to implementation of certain
procedures to ensure accuracy of medical assistance
eligibility lists.), As Engrossed
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* HB1514, As Engrossed: positive impact of $1,744,610 through the *
* biennium ending August 31, 2001. *
* *
* The bill would make no appropriation but could provide the legal *
* basis for an appropriation of funds to implement the provisions of *
* the bill. *
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General Revenue-Related Funds, Five-Year Impact:
****************************************************
* Fiscal Year Probable Net Positive/(Negative) *
* Impact to General Revenue Related *
* Funds *
* 2000 $920,610 *
* 2001 824,000 *
* 2002 824,000 *
* 2003 824,000 *
* 2004 824,000 *
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All Funds, Five-Year Impact:
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*Fiscal Probable (Cost) Probable (Cost) Probable Probable *
* Year from General from Federal Savings from Savings from *
* Revenue Fund Funds General Revenue Federal Funds *
* 0001 0555 Fund 0555 *
* 0001 *
* 2000 $(52,390) $(52,390) $973,000 $1,594,000 *
* 2001 0 0 824,000 1,350,000 *
* 2002 0 0 824,000 1,350,000 *
* 2003 0 0 824,000 1,350,000 *
* 2004 0 0 824,000 1,350,000 *
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Technology Impact
According to the Department of Human Services, the bill would require
changes to the Medicaid database. It is estimated that 1,000 hours of
programming at a cost of $104,780 would be required in fiscal year 2000
to achieve required data matches.
Fiscal Analysis
The bill would amend Chapter 531 of the Government Code to direct the
Health and Human Services Commission (HHSC) to ensure that its Medicaid
database would be used to match Bureau of Vital Statistics death records
with a list of Medicaid eligible persons each month and to ensure that
each deceased individual would be removed from the Medicaid eligibility
files.
The bill would also require HHSC to use its neural network technology to
match Bureau of Vital Statistics death records with filed Medicaid
payment claims.
Methodology
According to the Comptroller of Public Accounts (CPA), Texas would save
$4.7 million in the 2000-01 biennium, including $1.8 million in General
Revenue Funds and $2.9 million in Medicaid federal funds. The CPA
reports that the savings would come from reduced premium payments.
Local Government Impact
No significant fiscal implication to units of local government is
anticipated.
Source Agencies: 340 Department on Aging, 501 Department of
Health, 517 Commission on Alcohol and Drug Abuse,
527 Cancer Council, 532 Interagency Council on
Early Childhood Intervention, 529 Health and Human
Services Commission, 318 Commission for the Blind,
335 Commission for the Deaf and Hearing Impaired,
330 Rehabilitation Commission, 530 Department of
Protective and Regulatory Services, 655 Texas
Department of Mental Health and Mental Retardation,
324 Department of Human Services, 355 Children's
Trust Fund of Texas Council, 304 Comptroller of
Public Accounts
LBB Staff: JK, TP, AZ