LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                              April 10, 2001
  
  
          TO:  Honorable Patricia Gray, Chair, House Committee on Public
               Health
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  HB2287  by Edwards (Relating to the authority of a
               hospital to share with certain attending physicians
               reimbursements for services provided to patients 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 the Health and Human Services Commission to adopt
by rule a method by which a hospital that receives reimbursement through
the Medicaid program may pay a portion of that reimbursement to the
patient's attending physician.

It is assumed the bill would not require that the Medicaid reimbursement
for hospital services be increased, rather, physicians would receive a
portion of the existing reimbursement.
  
Local Government Impact
  
No 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, PP