Honorable James B. Frank, Chair, House Committee on Human Services
FROM:
John McGeady, Assistant Director Sarah Keyton, Assistant Director Legislative Budget Board
IN RE:
HB4191 by Klick (Relating to the reimbursement of wound care education and training services providers under Medicaid.), As Introduced
The fiscal implications of the bill cannot be determined at this time because the rate of utilization of wound care education and training services is unknown.
The bill would amend Chapter 32 of the Human Resources Code to require the Health and Human Services Commission (HHSC) to provide medical assistance reimbursement to an authorized wound care education and training services provider for providing education and training necessary for the recipient to provide self-care in order to assist in wound care management. HHSC would be required to develop quality standards for authorized wound care education and training services providers. HHSC would be authorized to obtain federal authorization if necessary to implement the bill. The bill would take effect September 1, 2020.
HHSC determined that there would be a fiscal impact to implement the provisions of the bill, but the exact impact cannot be determined at this time. The bill would expand the medical assistance reimbursement to adults covered by Medicaid. Because this service is currently included in other medical services to the adult population and not billed separately, HHSC was not able to estimate the utilization and fiscal impact. It is assumed that costs related to developing quality standards for authorized wound care education and training services providers could be absorbed using existing resources.
Local Government Impact
No fiscal implication to units of local government is anticipated.