LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session February 26, 2001 TO: Honorable John T. Smithee, Chair, House Committee on Insurance FROM: John Keel, Director, Legislative Budget Board IN RE: HB1704 by Smithee (Relating to the establishment and operation of a task force to examine issues regarding expansion of the provision of health benefits to employees of small businesses.), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB1704, As Introduced: positive impact of $0 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. * ************************************************************************** General Revenue-Related Funds, Five-Year Impact: **************************************************** * Fiscal Year Probable Net Positive/(Negative) * * Impact to General Revenue Related * * Funds * * 2002 $0 * * 2003 0 * * 2004 0 * * 2005 0 * * 2006 0 * **************************************************** All Funds, Five-Year Impact: ************************************************************************** *Fiscal Probable Probable Revenue Change in Number of * * Year Savings/(Cost) from Gain/(Loss) from State Employees from * * Texas Department of Texas Department of FY 2001 * * Insurance Operating Insurance Operating * * Fund Account/ Fund Account/ * * GR-Dedicated GR-Dedicated * * 0036 0036 * * 2002 $(191,192) $191,192 3.0 * * 2003 (114,575) 114,575 2.3 * * 2004 0 0 0.0 * * 2005 0 0 0.0 * * 2006 0 0 0.0 * ************************************************************************** Fiscal Analysis The bill would establish a task force to examine issues concerning improving the availability of health benefits coverage to employees of small businesses. The bill directs the 6 person task force to examine the operation of small employer health benefit plans established under Chapter 26, Texas Insurance Code, and the Texas Health Insurance Risk Pool established under Article 3.77, Texas Insurance Code. The provisions of the bill require the Texas Department of Insurance (TDI) to provide administrative support and services to the task force. The task force is required to make its recommendations to TDI by September 1, 2002 and to submit a written report to the governor, lieutenant governor, and speaker of the house by December 1, 2002. The Act and the task force created by the provisions of the bill would expire on June 1, 2003. Methodology TDI estimates it would require three FTEs in the first year and two and a quarter FTEs the second year to implement the provisions of the bill. The administrative duties would include collecting data from insurers, health maintenance organizations (HMOs), small employers, the Texas Health Insurance Risk Pool, insured and uninsured employees and other sources, and analyzing the data, compiling the results, providing the task force with technical advice in developing its recommendations and assisting in drafting the report. According to TDI, it would require two FTEs in fiscal year 2002 and one and a half FTEs in fiscal year 2003. TDI may need to contract with an external consultant for data on health plan coverages and utilization data at an estimated one-time cost of $40,000 in fiscal year 2002. The task force would rely on legal staff to provide extensive analysis of state and federal laws regarding the provision of health benefits to employees, and identify changes to existing law that would result in the extension of health benefits to more employees of small businesses in this state. TDI estimates that it will need to provide at least one full-time attorney in fiscal year 2002 and three quarters of an FTE in fiscal year 2003. It is assumed that any costs associated with implementing the provisions of the bill would be offset by an increase in additional fees and or rate assessments. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 454 Texas Department of Insurance LBB Staff: JK, JO, RT, DE