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

TO:
Honorable Senfronia Thompson, Chair, House Committee on Public Health
 
FROM:
John McGeady, Assistant Director     Sarah Keyton, Assistant Director
Legislative Budget Board
 
IN RE:
SB1621 by Kolkhorst (Relating to creating a license for certain rural medical facilities; requiring a license; authorizing fees.), Committee Report 2nd House, As Amended

No fiscal implication to the State is anticipated.

The bill would require the Health and Human Services Commission (HHSC) to issue rules and licenses for limited services rural hospitals if a federal law were passed to create a payment program for these hospitals. This federal law has not yet been passed. If federal law were changed, there could be a fiscal impact for the regulatory oversight of these facilities or reimbursement rates paid to facilities.

The bill would also amend the Special District Local Laws Code to allow the Midland County Hospital District to impose a sales and use tax.

There is no anticipated impact to HHSC as a result of issuing rules and licenses for limited services rural hospitals.

According to the Comptroller of Public Accounts, the provisions of the bill related to the Midland County Hospital District adopting, changing the rate of or abolishing a sales and use tax, would have no fiscal impact on the state.

Local Government Impact

No fiscal implication to units of local government is anticipated.

According to Midland County, the provisions of the bill related to the Midland County Hospital District adopting, changing the rate of or abolishing a sales and use tax, are not anticipated to have a fiscal impact.


Source Agencies:
304 Comptroller of Public Accounts, 529 Health and Human Services Commission
LBB Staff:
WP, AKi, JQ, MNa