Honorable Richard Peña Raymond, Chair, House Committee on Human Services
FROM:
Ursula Parks, Director, Legislative Budget Board
IN RE:
HB1093 by Guillen (Relating to transparency in the STAR Medicaid managed care rate-setting process.), As Introduced
No significant fiscal implication to the State is anticipated.
The bill would implement recommendations in the report "Improve Transparency in STAR Managed Care Payment Rate Setting" in the Legislative Budget Board's Government Effectiveness and Efficiency Report, submitted to the Eighty-fourth Texas Legislature, 2015.
The bill would amend the Government Code to require that the Health and Human Services Commission (HHSC) ensure transparency of managed care rate setting in the State of Texas Access Reform (STAR) Medicaid program by providing additional information in actuarial reports. The bill specifies that the reports should identify and describe methodologies, data sources, assumptions, multipliers, and factors. In addition, the bill would require that the reports be published in a format that allows the reader to trace data and formulas throughout. HHSC indicates that increased actuarial costs would be absorbed within existing resources.
The bill would take effect September 1, 2015.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.