LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                              March 14, 2001
  
  
          TO:  Honorable Mike Moncrief, Chair, Senate Committee on
               Health & Human Services
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  SB556  by Duncan (Relating to prices of prescription
               drugs provided to Medicare recipients by pharmacies
               participating in the Medicaid vendor drug program.), As
               Introduced
  
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*  No significant fiscal implication to the State is anticipated.        *
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The bill would require a provider in the Medicaid Vendor Drug Program to
provide any prescription drug  available to a Medicare recipient at a
price not greater than the amount of reimbursement the provider would
have received for providing the same drug to a Medicaid recipient plus
an administrative fee not to exceed fifteen cents. The bill would
implement recommendation HHS-13 from the Comptroller's e-Texas report.
This cost estimate reflects the Comptroller's analysis of no significant
fiscal impact to the state, however, the Department of Health estimates
that mainframe automation costs required to modify the Vendor Drug
system would include the following:  (1) $550,000 for initial
reprogramming (5,000 programming hours at $110 per hour), and (2)
$605,375 in annual transaction costs (12,107,500 transactions at $0.05
per transaction).
  
Local Government Impact
  
No fiscal implication to units of local government is anticipated.
  
  
Source Agencies:   324   Texas Department of Human Services, 529
                   Health and Human Services Commission, 304
                   Comptroller of Public Accounts, 501   Texas
                   Department of Health
LBB Staff:         JK, HD, AJ, PP