TO: | Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health |
FROM: | John S. O'Brien, Director, Legislative Budget Board |
IN RE: | HB852 by Smith, Todd (Relating to nonpayment of hospitals under the state Medicaid program for certain preventable adverse conditions.), As Introduced |
Fiscal Year | Probable Net Positive/(Negative) Impact to General Revenue Related Funds |
---|---|
2010 | ($384,750) |
2011 | $391,373 |
2012 | $424,630 |
2013 | $459,803 |
2014 | $496,687 |
Fiscal Year | Probable (Cost) from General Revenue Fund 1 |
Probable Savings from General Revenue Fund 1 |
Probable (Cost) from Federal Funds 555 |
Probable Savings from Federal Funds 555 |
---|---|---|---|---|
2010 | ($384,750) | $0 | ($1,154,250) | $0 |
2011 | ($116,500) | $507,873 | ($116,500) | $729,032 |
2012 | ($116,500) | $541,130 | ($116,500) | $777,412 |
2013 | ($116,500) | $576,303 | ($116,500) | $827,945 |
2014 | ($116,500) | $613,187 | ($116,500) | $880,932 |
The bill would amend the Human Resources Code to require the Health and Human Services Commission (HHSC) to adopt rules to ensure that hospitals may not receive additional payment from the Medicaid program associated with thirteen preventable adverse conditions if acquired by a recipient of medical assistance during the recipient’s hospitalization.
The bill would also require HHSC to compile information regarding the denial of payment to hospitals under this section and make statistical information available in a user-friendly format on HHSC’s website.
The bill would require HHSC to adopt rules to implement the bill by November 1, 2009, but would allow for a delay in implementation if a waiver or authorization from a federal agency is required.
HHSC estimates 10,000 hours of development would be required to adjust the Medicaid claims processing system, at an All Funds cost of $1,514,000 in fiscal year 2010. Onetime hardware and software costs for contractor staff would be $25,000 in All Funds in fiscal year 2010.
A local governmental entity that owns a hospital could incur costs associated with patient care if a preventable adverse condition occurs and payment from the Medicaid program is reduced.
Source Agencies: | 529 Health and Human Services Commission
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LBB Staff: | JOB, CL, JI, LL
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