LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session May 7, 2001 TO: Honorable Patricia Gray, Chair, House Committee on Public Health FROM: John Keel, Director, Legislative Budget Board IN RE: SB1041 by Ellis, Rodney (Relating to services provided through telemedicine for children with special health care needs.), As Engrossed ************************************************************************** * No significant fiscal implication to the State is anticipated. * ************************************************************************** The bill would implement e-Texas recommendation HHS 10, related to expanding the use of telemedicine to help disabled children. The bill would require the Children's Health Insurance Program (CHIP), the Children with Special Health Care Needs (CSHCN) program, and the Medicaid program to provide reimbursement for telemedicine services for children with special health care needs. Both the Health and Human Services Commission (HHSC), which operates CHIP, and the Department of Health (TDH), which operates the Medicaid and CSHCN programs, assume the bill would only require the provision of telemedicine services if these services are determined to be fiscally neutral to the relevant operating program. Therefore, HHSC and TDH assume implementation of the bill would not have a significant fiscal impact. The Department of Human Services assumes the bill would not apply to community-based services operated by the agency. The University of Texas Medical Branch at Galveston (UTMB) assumes the bill would not have a significant fiscal impact. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 720 The University of Texas System, 529 Health and Human Services Commission, 324 Texas Department of Human Services, 304 Comptroller of Public Accounts LBB Staff: JK, HD, PP