LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 86TH LEGISLATIVE REGULAR SESSION
 
May 16, 2019

TO:
Honorable Dennis Bonnen, Speaker of the House, House of Representatives
 
FROM:
John McGeady, Assistant Director     Sarah Keyton, Assistant Director
Legislative Budget Board
 
IN RE:
HB25 by González, Mary (Relating to a pilot program for providing services to certain women and children under the Medicaid medical transportation program.), As Passed 2nd House

No significant fiscal implication to the State is anticipated.

The bill would require the Health and Human Services Commission (HHSC) to develop and implement a pilot program to provide Medicaid medical transportation program services to pregnant women and new mothers and the children of such women. A managed transportation organization (MTO) participating in the pilot program would be required to provide program services in a manner that does not result in additional costs.

It is assumed any administrative costs associated with developing and implementing the pilot can be absorbed within the available resources of HHSC. According to HHSC, in order to comply with the requirement in the bill prohibiting increased costs to the MTO it is assumed Medicaid would reimburse for a participating woman's transportation as it does now and that transportation for the child would be provided as a value-added service by the MTO; however, HHSC cannot require an MTO to provide value-added services and it is assumed the program would not be implemented if an MTO could not be found to offer the service at no cost.

Local Government Impact

No fiscal implication to units of local government is anticipated.


Source Agencies:
529 Health and Human Services Commission
LBB Staff:
WP, SD, AKi, EP, MDI, LR