TO: | Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services |
FROM: | John S O'Brien, Director, Legislative Budget Board |
IN RE: | SB585 by Watson (Relating to programs, services, and information related to women's health, family planning, and human sexuality.), 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 (WHP) through December 31, 2013. The bill would also direct HHSC to implement outreach measures designed to increase enrollment in the program and direct school districts to provide written notice to each student's parent that characterizes the district's human sexuality instruction and states the parent's right to review curriculum material and remove the student from any aspect of the instruction.
The bill would take effect September 1, 2011.
To continue the Women's Health Program, HHSC must prepare a waiver renewal, obtain federal approval, and adopt rules. This estimate assumes all start-up activities can be accomplished by September 1, 2011.
The savings shown above include savings from continuing the waiver and are net of the costs of providing services. General Revenue Fund savings from continuing the waiver, based on estimates from HHSC, are $39.6 million in fiscal year 2012, $44.2 million in fiscal year 2013, and $15.9 million in 2014. These savings are assumed in House Bill 1 as introduced.
This analysis assumes that costs of the outreach provisions, half of which are paid for with Federal Funds, would be offset by savings resulting from greater program enrollment and participation. Additional savings could result from participation increases beyond the level needed to pay for the cost of the outreach, enrollment, and services.
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, and therefore savings and costs from this Act are 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
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LBB Staff: | JOB, CL, JI, BH
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