LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 77th Regular Session
April 17, 2001
TO: Honorable Patricia Gray, Chair, House Committee on Public
Health
FROM: John Keel, Director, Legislative Budget Board
IN RE: HB2420 by Coleman (Relating to the establishment of a
pilot program to extend Medicaid coverage to certain
low-income parents of children receiving Medicaid.),
Committee Report 1st House, Substituted
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* HB2420, Committee Report 1st House, Substituted: negative impact *
* of $(972,984) 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 $(317,238) *
* 2003 (655,746) *
* 2004 0 *
* 2005 0 *
* 2006 0 *
****************************************************
All Funds, Five-Year Impact:
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*Fiscal Probable (Cost) to Federal Probable (Cost) to GR Match for *
* Year Funds - Federal Medicaid *
* 0555 0758 *
* 2002 $(479,842) $(317,238) *
* 2003 (986,904) (655,746) *
* 2004 0 0 *
* 2005 0 0 *
* 2006 0 0 *
***************************************************************************
Fiscal Analysis
The bill would require the Health and Human Services Commission (HHSC) to
develop and implement a pilot program extending Medicaid eligibility to
otherwise ineligible parents of children currently enrolled in Medicaid.
The pilot program would be implemented in two counties, one with a
population of 29,000 or less and the other with a population of 37,000 or
less.
The bill would take effect September 1, 2001, and expire September 1,
2003.
The bill would require the HHSC to submit a report to the Legislature by
December 1, 2002, regarding the cost-effectiveness of the pilot project
and its impact on the enrollment of children in Medicaid, including
recommendations regarding elimination, continuation, or expansion of the
pilot.
Methodology
It is assumed a federal waiver of current Medicaid regulations would be
needed in order to implement the pilot project.
The Texas Department of Health (TDH) assumes the pilot project would
cover two counties (Fayette and San Jacinto) and begin on March 1, 2002.
It is assumed the pilot project would serve 526 new Medicaid enrollees in
FY 2002, and 542 in FY 2003. If the Legislature were to approve the
project to continue or expand beyond FY 2003, caseloads would be assumed
to increase by 3% each year and additional costs would result.
A monthly premium cost of $252.56 per enrollee is assumed. This figure
includes Insured Services, Cost Reimbursed Services, Vendor Drug, and
Medical Transportation.
The Federal Medical Assistance Percentage (FMAP) is assumed to be 60.20%
for FY 2002, and 60.08% for FY 2003.
The Medicaid caseload increase during the pilot project could potentially
create the need for additional caseworkers and other administrative
costs associated with eligibility determination through the Department
of Human Services (DHS), but these costs have not been determined.
Local Government Impact
No significant fiscal implication to units of local government is
anticipated.
Source Agencies: 324 Texas Department of Human Services, 501 Texas
Department of Health
LBB Staff: JK, HD, SW