LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                              March 13, 2001
  
  
          TO:  Honorable Patricia Gray, Chair, House Committee on Public
               Health
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  HB1228  by Maxey (Relating to dental services provided
               under the medical assistance program.), As Introduced
  
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*  No significant fiscal implication to the State is anticipated.        *
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The bill would require a number of changes in the Medicaid dental
program.  The reduction/elimination of fees for certain procedures would
be fiscally neutral as the bill directs that amounts made available
through reduction/elimination should be redistributed to other commonly
billed dental services for which adequate accountability measures exist.
The Department of Health and the Health and Human Services Commission
estimate that the bill's requirements related to provider documentation
and fraud elimination would not have a significant fiscal impact.
  
Local Government Impact
  
No significant fiscal implication to units of local government is
anticipated.
  
  
Source Agencies:   504   State Board of Dental Examiners, 529   Health
                   and Human Services Commission, 324   Texas Department
                   of Human Services, 501   Texas Department of Health
LBB Staff:         JK, HD, PP