LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 77th Regular Session
February 15, 2001
TO: Honorable Mike Moncrief, Chair, Senate Committee on
Health & Human Services
FROM: John Keel, Director, Legislative Budget Board
IN RE: SB532 by Nelson (Relating to medical assistance for
certain persons in need of treatment for breast or
cervical cancer.), As Introduced
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* SB532, As Introduced: negative impact of $(1,194,471) 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:
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* Fiscal Year Probable Net Positive/(Negative) *
* Impact to General Revenue Related *
* Funds *
* 2002 $(682,220) *
* 2003 (512,251) *
* 2004 (512,251) *
* 2005 (512,251) *
* 2006 (512,251) *
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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 (enhanced match) *
* 0555 *
* 2002 $(682,220) $(1,766,523) *
* 2003 (512,251) (1,320,491) *
* 2004 (512,251) (1,320,491) *
* 2005 (512,251) (1,320,491) *
* 2006 (512,251) (1,320,491) *
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Technology Impact
The bill would require the Department of Human Services (DHS) to modify
existing eligibility systems or to create a new database to track
clients gaining Medicaid eligibility under the federal Breast and
Cervical Cancer Prevention and Treatment Act of 2000. The agency
estimates this would require 5,600 programming hours at a cost of $110
per hour, resulting in a one-time cost of $616,000 in FY 2002.
Fiscal Analysis
The bill would require the Department of Health (TDH) to provide Medicaid
services to a person in need of treatment for breast or cervical cancer
who is eligible for that assistance under the federal Breast and
Cervical Cancer Prevention and Treatment Act of 2000. DHS estimates an
expense (noted above) related to the establishment/modification of
eligibility systems.
Methodology
1. It is estimated that 193 women would be newly diagnosed per year with
a cancer type eligible for Medicaid coverage: 97 diagnosed with breast
cancer and 90 diagnosed with cervical cancer. It is anticipated that
treatment and Medicaid eligibility would average one year.
2. Average monthly costs would include premiums, medical transportation,
and prescription drugs at a cost of (respectively) $765.11, $1.62, and
$50.00. This estimate does not account for inflationary increases in the
costs of services.
3. It is assumed that the federal government would provide funding at an
enhanced match, totaling 72.14% in FY 2002, and 72.05% in each
subsequent year. State General Revenue would provide the remaining
percentage of funding.
Local Government Impact
No significant fiscal implication to units of local government is
anticipated.
Source Agencies: 527 Texas Cancer Council, 529 Health and Human
Services Commission, 501 Texas Department of
Health, 324 Texas Department of Human Services
LBB Staff: JK, HD, PP