TO: | Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services |
FROM: | John S. O'Brien, Director, Legislative Budget Board |
IN RE: | SB419 by Lucio (Relating to health benefit plan coverage for enrollees with autism spectrum disorder.), Committee Report 1st House, Substituted |
Fiscal Year | Probable Net Positive/(Negative) Impact to General Revenue Related Funds |
---|---|
2008 | $0 |
2009 | ($1,303,392) |
2010 | ($1,421,882) |
2011 | ($1,599,617) |
2012 | ($1,718,107) |
Fiscal Year | Probable (Cost) from GENERAL REVENUE FUND 1 |
Probable (Cost) from STATE HIGHWAY FUND 6 |
Probable (Cost) from GR DEDICATED ACCOUNTS 994 |
Probable (Cost) from OTHER SPECIAL STATE FUNDS 998 |
---|---|---|---|---|
2008 | $0 | $0 | $0 | $0 |
2009 | ($1,303,392) | ($302,944) | ($67,973) | ($6,826) |
2010 | ($1,421,882) | ($330,484) | ($74,152) | ($7,446) |
2011 | ($1,599,617) | ($371,795) | ($83,421) | ($8,377) |
2012 | ($1,718,107) | ($399,335) | ($89,600) | ($8,998) |
Fiscal Year | Probable (Cost) from FEDERAL FUNDS 555 |
Probable Revenue Gain from DEPT INS OPERATING ACCT 36 |
---|---|---|
2008 | $0 | $37,900 |
2009 | ($288,086) | $0 |
2010 | ($314,276) | $0 |
2011 | ($353,560) | $0 |
2012 | ($379,750) | $0 |
The bill would amend the Insurance Code to require certain health plans to provide coverage for autism spectrum disorder.
The bill would take effect September 1, 2007.
It is assumed that there would be costs for the Employees Retirement System associated with the bill. No fiscal impact to the state associated with Teacher Retirement System (TRS) administered programs is anticipated. However, to the extent that the provisions of the bill drive an increase in claims in the self-funded TRS-ActiveCare insurance program for public school employees, premiums paid by employees in that program could increase.
It is assumed that the bill requires coverage of children ages 3-5 and that coverage for children ages 6 and older is optional. If the bill was interpreted to require coverage of children ages 6 and older, costs could be greater than those identified here.
Based on the analysis of the Texas Department of Insurance (TDI), it is assumed that there would be a one-time revenue gain of $37,900 in the General Revenue Dedicated Account Fund 36 in fiscal year 2008 because the bill would result in 379 filings, each accompanied by a $100 filing fee. Since General Revenue Dedicated Account Fund 36 is a self-leveling account, this analysis assumes all revenue generated would go toward fund balances or the maintenance tax would be set to recover a lower level of revenue the following year. It is also assumed that any costs realized by TDI from implementing the provisions of the bill could be absorbed within existing resources.
Source Agencies: | 323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance
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LBB Staff: | JOB, JRO, CL, MW, JW, SK
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