LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 78TH LEGISLATIVE REGULAR SESSION
 
March 25, 2003

TO:
Honorable Jaime Capelo, Chair, House Committee on Public Health
 
FROM:
John Keel, Director, Legislative Budget Board
 
IN RE:
HB1920 by Capelo (Relating to certain immunization programs.), As Introduced



Estimated Two-year Net Impact to General Revenue Related Funds for HB1920, As Introduced: a negative impact of ($2,448,785) through the biennium ending August 31, 2005.



Fiscal Year Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2004 ($1,217,832)
2005 ($1,230,953)
2006 ($1,246,021)
2007 ($1,270,942)
2008 ($1,257,221)




Fiscal Year Probable Revenue Gain/(Loss) from
GR MATCH FOR MEDICAID
758 		Probable Revenue Gain/(Loss) from
FEDERAL FUNDS
555
2004 ($1,217,832) ($1,842,047)
2005 ($1,230,953) ($1,890,124)
2006 ($1,246,021) ($1,937,477)
2007 ($1,270,942) ($1,976,226)
2008 ($1,257,221) ($1,954,891)

Fiscal Analysis

The bill would require the Texas Department of Health (TDH), with the assistance of a work group,  to develop informational materials and continuing education programs for physicians relating to the vaccines for children program. The bill would require that the Health and Human Services Commission (HHSC) ensure that a provider can enroll in the vaccines for children program on the same form that the provider completes to apply as a provider for Medicaid or the Children's Health Insurance Program (CHIP). The bill would require HHSC to reimburse Medicaid or CHIP providers  for vaccines administered under the vaccines for children program at a rate that covers the cost of administering vaccines and a reasonable profit.

Methodology

It is assumed that the development of informational packets, continuing education programs, and provider enrollment forms could be absorbed within existing resources at the Texas Department of Health.

The following assumptions are made by the Health and Human Services Commission with regard to total doses of vaccinations that will be administered under the proposal:

(1) For THSteps, FY 04 - 596,794, FY 05 - 608,730, FY 06 - 620,904, FY 07- 633,322, and FY 08 -645,989 and

(2) For Children with Special Health Care Needs program (CSHCN), FY 04 - 2,479, FY 05 - 2,529, FY 06 - 2,579, FY 07- 2,631, and FY 08 -2,683.

It is assumed that current reimbursement rates cover the cost of administering the vaccines in THSteps and CSHCN. For THSteps, an increase cost in General Revenue of $1,217,832 in fiscal year 2004 and $1,842,047 in fiscal year 2005, is assumed. For CSHCN, it is assumed the increase could be reasonably absorbed within current resources. 


Local Government Impact

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


Source Agencies:
501 Department of Health, 529 Health and Human Services Commission
LBB Staff:
JK, EB, KF, AJ