LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 86TH LEGISLATIVE REGULAR SESSION
 
April 15, 2019

TO:
Honorable James B. Frank, Chair, House Committee on Human Services
 
FROM:
John McGeady, Assistant Director     Sarah Keyton, Assistant Director
Legislative Budget Board
 
IN RE:
HB2774 by Lozano (Relating to the provision of behavioral health services for certain persons under the medical assistance program.), As Introduced

The fiscal implications of the bill cannot be determined at this time because the number of additional individuals who may become eligible for services, and their utilization of those services, is unknown.

The bill would provide Medicaid behavioral health benefits to adults between 20 and 65 years old who have been diagnosed with a serious mental illness and who have been arrested at least once. The Health and Human Services indicates that providing Medicaid services to a new population would require a contract amendment to define behavioral health service eligibility to include the person's age, diagnosis, and arrest stipulations.

HHSC does not consistently collect or have access to the arrest history of individuals enrolled in Medicaid. HHSC currently provides any medically necessary Medicaid-covered behavioral health service to individuals in this age group who are enrolled in Medicaid, regardless of their arrest record.

Local Government Impact

No fiscal implication to units of local government is anticipated.


Source Agencies:
529 Health and Human Services Commission
LBB Staff:
WP, AKi, JQ, BH