LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 76th Regular Session
  
                              April 12, 1999
  
  
          TO:  Honorable John Smithee, Chair, House Committee on
               Insurance
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  HB3603  by Thompson (Relating to the control of health
               insurance fraud; providing civil penalties.), As
               Introduced
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  HB3603, As Introduced:  impact of $0 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.                                                             *
**************************************************************************
  
General Revenue-Related Funds, Five-Year Impact:
  
          ****************************************************
          *  Fiscal Year  Probable Net Positive/(Negative)   *
          *               Impact to General Revenue Related  *
          *                             Funds                *
          *       2000                                   $0  *
          *       2001                                    0  *
          *       2002                                    0  *
          *       2003                                    0  *
          *       2004                                    0  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
***************************************************************************
*Fiscal    Probable Savings/(Cost) from     Change in Number of State     *
* Year    Texas Department of Insurance       Employees from FY 1999      *
*        Operating Account/ GR-Dedicated                                  *
*                      0036                                               *
*  2000                        $(114,541)                             2.0 *
*  2001                         (102,461)                             2.0 *
*  2002                         (102,461)                             2.0 *
*  2003                         (102,461)                             2.0 *
*  2004                         (102,461)                             2.0 *
***************************************************************************
  
Fiscal Analysis
  
The bill would amend Chapter 3, of the Texas Insurance Code relating to
the control of health insurance fraud by adding Subchapter K allowing
health insurers to adopt antifraud plans.  Health insurers would be
required to  file such plans with the Texas Department of Insurance Fraud
(TDI) Unit.  Such plans should include a description of the insurer s
procedures for reporting fraudulent insurance acts to the insurance fraud
unit.

The bill would act takes effect September 1, 1999.
  
  
Methodology
  
TDI estimates the largest health insurers, defined as having premiums
over $100 million, would participate in the voluntary program that would
be created by the bill.   Currently, there are approximately 50 health
insurers  meeting this criteria.  TDI estimates the need for two
additional FTEs and associated operating costs in fiscal years 2000
through 2004 to implement the bill.
  
  
Local Government Impact
  
No fiscal implication to units of local government is anticipated.
  
  
Source Agencies:   327   Employees Retirement System, 454   Department
                   of Insurance
LBB Staff:         JK, TH, DP