| TO: | Honorable Richard Pena Raymond, Chair, House Committee on Human Services |
| FROM: | John S O'Brien, Director, Legislative Budget Board |
| IN RE: | HB2299 by Coleman (Relating to the women's health program.), Committee Report 1st House, Substituted |
| Fiscal Year | Probable Net Positive/(Negative) Impact to General Revenue Related Funds |
|---|---|
| 2012 | $39,575,868 |
| 2013 | $44,162,816 |
| 2014 | $15,938,115 |
| 2015 | $0 |
| 2016 | $0 |
| Fiscal Year | Probable Savings/(Cost) from General Revenue Fund 1 |
Probable Savings/(Cost) from Federal Funds 555 |
|---|---|---|
| 2012 | $39,575,868 | $24,880,668 |
| 2013 | $44,162,816 | $25,956,988 |
| 2014 | $15,938,115 | $9,321,926 |
| 2015 | $0 | $0 |
| 2016 | $0 | $0 |
This bill would implement a recommendation in the report "Continue and Expand the Texas Medicaid Women's Health Program to Maximuize Federal Funds and State Savings" in the Legislative Budget Board's Government Effectiveness and Efficiency Report, submitted to the Eighty-second Texas Legislature, 2011.
The bill would amend the Human Resources Code to operate the Women's Health Program as a program rather than as a demonstration project and would extend the program through September 1, 2016. The bill prohibits the Health and Human Services Commission (HHSC) from contracting with entities or affiliates of entities that perform or promote elective abortion. HHSC would be required under the bill to cease operation of the Women's Health Program if a court decides this prohibition is invalid or enjoins its enforcement.
The bill takes effect immediately if it receives a vote of two-thirds of all members in each house. Otherwise, it would take effect August 31, 2011.
Savings shown above are based on HHSC's estimate of continuing the Women's Health Program and are net of the cost of providing women's health services. These savings are assumed in the Committee Substitute for House Bill 1.
Beginning January 1, 2014, women's health services will be available through the expanded coverage provisions of the Patient Protection and Affordable Care Act, and therefore savings and costs from this Act are only for the first four months of fiscal year 2014. Savings after this time would accrue to the program that replaces the Women's Health Program.
| Source Agencies: | 529 Health and Human Services Commission, 537 State Health Services, Department of
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| LBB Staff: | JOB, CL, JI, BH
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