TO: | Honorable Dianne White Delisi, Chair, House Committee on State Health Care Expenditures, Select |
FROM: | John Keel, Director, Legislative Budget Board |
IN RE: | HB1868 by Coleman (Relating to the provision of medical assistance to certain legal immigrants.), As Introduced |
Fiscal Year | Probable Net Positive/(Negative) Impact to General Revenue Related Funds |
---|---|
2004 | $878,976 |
2005 | ($5,256,864) |
2006 | ($11,391,264) |
2007 | ($17,528,544) |
2008 | ($22,097,664) |
Fiscal Year | Probable (Cost) fromGR MATCH FOR MEDICAID 758 |
Probable (Cost) fromFEDERAL FUNDS 555 |
Probable Savings fromTOBACCO SETTLMNT RECEIPTS 5040 |
---|---|---|---|
2004 | ($3,323,520) | ($4,985,280) | $4,202,496 |
2005 | ($9,459,360) | ($14,189,040) | $4,202,496 |
2006 | ($15,593,760) | ($23,390,640) | $4,202,496 |
2007 | ($21,731,040) | ($32,596,560) | $4,202,496 |
2008 | ($26,300,160) | ($39,450,240) | $4,202,496 |
The bill would direct the Health and Human Services Commission (HHSC) to provide Medicaid to qualified aliens who have resided in the United States for a period of five years after the date the person entered as a qualified alien (on or after August 22, 1996). It is estimated this provision would result in a net increase in expenditures. An increase in Medicaid expenditures would be partially offset by a reduced spending in the Immigrants health insurance program.
The bill would direct HHSC to provide pregnancy related Medicaid to lawfully present immigrants regardless of the date on which the person entered the United States. The impact of this provision has not been determined at this time.
It is estimated that Medicaid average monthly caseloads would increase by the following: 2,308 in fiscal year 2004, 6,569 fiscal year 2005, 10829 for fiscal year 2006, 15,091 for fiscal year 2007, and $18,264 for fiscal year 2008. The estimated average monthly cost per client is $300. General Revenue would finance approximately 40 percent of the cost.
It is estimated that Immigrants Health Program average monthly caseloads would decrease by 3,072 for each fiscal year. The estimated savings per month per client is $114. All savings would accrue to General Revenue (Tobacco Settlement Receipts).
Source Agencies: | 529 Health and Human Services Commission
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LBB Staff: | JK, EB, PP
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