LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 76th Regular Session
  
                              March 29, 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.), 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 require the State to contract with the University of Texas
Medical Branch 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