LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 77th Regular Session
March 28, 2001
TO: Honorable Patricia Gray, Chair, House Committee on Public
Health
FROM: John Keel, Director, Legislative Budget Board
IN RE: HB1537 by Coleman (Relating to the provision of medical
assistance for children of migrant or seasonal
agricultural workers.), As Introduced
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* HB1537, As Introduced: negative impact of $(63,704,685) through *
* the biennium ending August 31, 2003. *
* *
* 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 *
* 2002 $(25,508,547) *
* 2003 (38,196,138) *
* 2004 (38,205,706) *
* 2005 (38,205,706) *
* 2006 (38,205,706) *
****************************************************
All Funds, Five-Year Impact:
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*Fiscal Probable Savings/(Cost) from GR Probable Savings/(Cost) from *
* Year Match for Medicaid Federal Funds - Federal *
* 0758 0555 *
* 2002 $(25,508,547) $(38,521,259) *
* 2003 (38,196,138) (57,485,571) *
* 2004 (38,205,706) (57,476,003) *
* 2005 (38,205,706) (57,476,003) *
* 2006 (38,205,706) (57,476,003) *
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Technology Impact
For FY 2002, the Department of Human Services (DHS) estimates 2,200
automation hours will be required to identify the children at issue. The
cost would be $242,000.
Fiscal Analysis
The bill would require the Health and Human Services Commission (HHSC) to
establish a migrant care network to provide health care services to
children of migrant or seasonal agricultural workers who are Medicaid
recipients. The care network would include health care providers located
in Texas and in other states and must be established by January 1, 2002.
The bill would be effective September 1, 2001.
Methodology
1. It is assumed existing networks of federal qualifying health care
centers (FQHCs) and rural health centers (RHCs) would be used for
purposes of the proposal. These entities are Medicaid providers and are
national providers of care.
2. The Department of Health (TDH) estimates the payments for health care
services which would be made to other states in the network would be 30%
of the annual payments made to Texas FQHCs and RHCs.
3. The network would be operational on January 1, 2002.
4. It is assumed this proposal would not be prohibited by federal law.
Local Government Impact
No significant fiscal implication to units of local government is
anticipated.
Source Agencies: 529 Health and Human Services Commission, 324
Texas Department of Human Services, 501 Texas
Department of Health
LBB Staff: JK, HD, AJ, PP