LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 76th Regular Session April 5, 1999 TO: Honorable Patricia Gray, Chair, House Committee on Public Health FROM: John Keel, Director, Legislative Budget Board IN RE: HB2236 by Gray (Relating to contracts for Medicaid managed care), Committee Report 1st House, Substituted ************************************************************************** * 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 require the State to contract with the University of Texas Medical Branch or a hospital district for Medicaid managed care services if a health maintenance organization has been formed in an affected health care services region. It is assumed by the Health and Human Services Commission and the Department of Health that, although competition may be eliminated in an area, no significant additional costs to the State would occur. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: LBB Staff: JK, TP, AZ