LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session Revision 1 May 2, 2001 TO: Honorable Kim Brimer, Chair, House Committee on Business & Industry FROM: John Keel, Director, Legislative Budget Board IN RE: HB2449 by Dukes (Relating to the certification of maximum medical improvement and the assignment of impairment ratings in workers' compensation cases.), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB2449, As Introduced: negative impact of $(170,000) 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 $(85,000) * * 2003 (85,000) * * 2004 (85,000) * * 2005 (85,000) * * 2006 (85,000) * **************************************************** All Funds, Five-Year Impact: ***************************************************** * Fiscal Year Probable Savings/(Cost) from * * General Revenue Fund * * 0001 * * 2002 $(85,000) * * 2003 (85,000) * * 2004 (85,000) * * 2005 (85,000) * * 2006 (85,000) * ***************************************************** Fiscal Analysis The bill would allow an injured employee to contest the certification of maximum medical improvement (MMI) or the impairment rating, or both, and legal representation. In addition, the bill would also charge the Texas Workers' Compensation Commission (TWCC) to reevaluate a certification of MMI or an impairment rating made final by the TWCC on receipt of notice from the employee that the employee has experienced a substantial change in condition since the date of certification or impairment rating was made final. Methodology According to the State Office of Risk Management (SORM), passage of the bill would likely increase losses through increased impairment rating or delayed MMI. SORM's estimate assumes there is no provision for the recovery of payments made during the pendency of the prior MMI or impairment rating. To estimate the fiscal impact of the bill, SORM assumes that between 33 and 100 percent of the eligible injured workers will request reconsideration for their maximum medical improvement or impairment rating. According to SORM, the additional cost to the state could range from $85,000-$270,000 per year. For the purpose of the fiscal note, SORM assumes an additional cost of $85,000 per year of the biennium. The Texas Workers' Compensation Commission assumes any additional costs associated with the passage of the legislation could be reasonably absorbed within current resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 453 Texas Workers' Compensation Commission, 479 State Office of Risk Management LBB Staff: JK, JO, JC