LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 78TH LEGISLATURE 1st CALLED SESSION - 2003

July 17, 2003

TO:	Honorable Jaime Capelo, Chair, House Committee on Public Health
FROM:	John Keel, Director, Legislative Budget Board
IN RE:	HB108 by Naishtat (Relating to services provided by psychologists and marriage and family therapists under the Medicaid program.), As Introduced

Estimated Two-year Net Impact to General Revenue Related Funds for HB108, As Introduced: a negative impact of ($3,782,947) through the biennium ending August 31, 2005.

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
2004	($1,891,949)
2005	($1,890,998)
2006	($1,890,998)
2007	($1,890,998)
2008	($1,890,998)

All Funds, Five-Year Impact:

Fiscal Year	Probable (Cost) from GR MATCH FOR MEDICAID 758	Probable (Cost) from FEDERAL FUNDS 555
2004	($1,891,949)	($2,861,692)
2005	($1,890,998)	($2,862,643)
2006	($1,890,998)	($2,862,643)
2007	($1,890,998)	($2,862,643)
2008	($1,890,998)	($2,862,643)

Fiscal Analysis

The bill would require the Health and Human Services Commission or relevant Medicaid operating agency to provide licensed psychologist or licensed marriage and family therapist services to certain Medicaid recipients. The bill would reinstate the law previous to House Bill 2292, 78^th Legislature.

Methodology

The Health and Human Services Commission estimated that the provision of these services would cost approximately $4.8 million in All Funds per year ($4.7 million for psychologist services and $100,000 for marriage and family therapist services). It is estimated that General Revenue (Match for Medicaid) would account for approximately 40 percent of expenditures, with Federal Funds comprising the remaining 60 percent.

Local Government Impact

No significant fiscal implication to units of local government is anticipated.

Source Agencies:

324 Department of Human Services, 501 Department of Health, 655 Department of Mental Health and Mental Retardation, 529 Health and Human Services Commission

LBB Staff:

JK, JO, EB, PP