LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 86TH LEGISLATIVE REGULAR SESSION
 
March 25, 2019

TO:
Honorable Eddie Lucio III, Chair, House Committee on Insurance
 
FROM:
John McGeady, Assistant Director     Sarah Keyton, Assistant Director
Legislative Budget Board
 
IN RE:
HB2630 by Johnson, Julie (Relating to physician and health care provider directories for certain health benefit plans.), As Introduced



Estimated Two-year Net Impact to General Revenue Related Funds for HB2630, As Introduced: an impact of $0 through the biennium ending August 31, 2021.

The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.



Fiscal Year Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2020 $0
2021 $0
2022 $0
2023 $0
2024 $0




Fiscal Year Probable Revenue Gain from
Insurance Maint Tax Fees
8042
Probable (Cost) from
Insurance Maint Tax Fees
8042
Change in Number of State Employees from FY 2019
2020 $144,987 ($144,987) 2.0
2021 $141,987 ($141,987) 2.0
2022 $141,987 ($141,987) 2.0
2023 $141,987 ($141,987) 2.0
2024 $141,987 ($141,987) 2.0

Fiscal Analysis

The bill would amend the Insurance Code relating to physician and health care provider directories for certain health benefit plans. The bill would require health benefit plan issuers to display on the online physician and health care provider directories additional information relating to certain health care facilities and facility-based physicians.
 
The bill states the health benefit plan issuer is required to update the issuer's website to conform with the provisions of the bill no later than January 1, 2020. The bill would take effect on September 1, 2019.

Methodology

Based on information provided by Texas Department of Insurance (TDI), the agency estimates that there are 343 networks with a provider directory operating in Texas. TDI currently reviews each directory quarterly and estimates it will take an additional 3 hours to review each directory for compliance of the provisions of the bill. It is estimated that implementing the provisions of the bill would result in the need for 2.0 additional Full-Time-Equivalent (FTE) positions assuming 2,000 hours of work per FTE each year.
 
The agency estimates that the 2.0 FTEs would require recurring costs to General Revenue - Insurance Companies Maintenance Tax and Insurance Department Fees of $103,970 in salaries, $1,560 in payroll contribution costs, and $34,757 in related support and benefit costs each fiscal year. Additional program costs include a one-time cost of $3,000 for computers, and recurring costs of $1,200 for consumable supplies and $500 for other related operating expenses.
 
Due to the self-leveling nature of the TDI operating fund, this analysis assumes that TDI would adjust the assessment of the maintenance tax to account for any additional costs resulting from the implementation of the bill.
 
Based on information provided by Employees Retirement System, The University of Texas System Administration, and Texas A&M University System Administration, this analysis assumes that the duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources.

Technology

This analysis estimates a total one-time technology cost of $3,000 in fiscal year 2020 for computers required to implement the provisions of the bill.

Local Government Impact

No fiscal implication to units of local government is anticipated.


Source Agencies:
327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration
LBB Staff:
WP, CMa, SGr, CP