| 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 operation of the women's health program demonstration project.), As Introduced |
| 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 Maximize 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 direct the Health and Human Services Commission (HHSC) to continue the Medicaid Women's Health Program through September 1, 2016. The bill also removes the language barring referrals to entities that perform or promote elective abortions, and the requirement that HHSC not contract or affiliate with entities that perform or promote elective abortions.
HHSC would be authorized to seek Federal approval to implement the provisions of the bill and delay implementation if necessary.
The Act would take effect August 31, 2011.
To continue the Women's Health Program waiver, HHSC must prepare a waiver renewal, obtain federal approval, and adopt rules. This estimate assumes all start-up activities can be accomplished by August 31, 2011.
Savings shown above are based on HHSC's estimate of continuing the waiver and are net of the cost of providing women's health services. Because the waiver would statutorily expire on September 1, 2011, twelve months of savings are assumed in both fiscal years 2012 and 2013. HHSC assumed that beginning January 1, 2014, women's health services would be available through the expanded coverage provisions of the Patient Protection and Affordable Care Act (PPACA), and therefore, savings shown from this waiver 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.
Savings from the continuation of the Women's Health Program are assumed in House Bill 1 as introduced.
| 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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