LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 86TH LEGISLATIVE REGULAR SESSION
 
April 1, 2019

TO:
Honorable Dade Phelan, Chair, House Committee on State Affairs
 
FROM:
John McGeady, Assistant Director     Sarah Keyton, Assistant Director
Legislative Budget Board
 
IN RE:
HB1929 by Noble (Relating to the prohibition of certain transactions between a governmental entity and an abortion provider or affiliate of the provider.), As Introduced

No significant fiscal implication to the State is anticipated.

The bill would prohibit a governmental entity from entering into a taxpayer resource transaction
or contract with abortion providers including licensed abortion facilities, certain ambulatory
surgical centers, or an affiliate of these providers. Taxpayer resource transactions deemed, by the
executive commissioner of the Health and Human Services Commission (HHSC) with written
confirmation from the Attorney General, as required by federal law would be excluded from the
prohibition. The Attorney General would be permitted to enjoin a violation of the prohibition on
behalf of the state. The bill would take effect July 1, 2019 upon receiving a two-thirds majority vote in each house. Otherwise, the bill would take effect September 1, 2019. 

It is assumed that the prohibition would not apply to Medicaid. If the prohibition were applied to
Medicaid, it could conflict with federal requirements and result in penalties including the loss of
federal matching funds for Medicaid.

Based on the analysis provided by HHSC and the Office of Attorney General, the provisions of the
bill can be implemented within existing resources.

Local Government Impact

No fiscal implication to units of local government is anticipated.


Source Agencies:
302 Office of the Attorney General, 529 Health and Human Services Commission
LBB Staff:
WP, CMa, EP, AKi