Honorable James B. Frank, Chair, House Committee on Human Services
FROM:
Jerry McGinty, Director, Legislative Budget Board
IN RE:
HB158 by Thierry (Relating to Medicaid coverage of doula services.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for HB158, As Introduced : a negative impact of ($665,000) through the biennium ending August 31, 2023.
General Revenue-Related Funds, Five- Year Impact:
Fiscal Year
Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2022
($665,000)
2023
$0
2024
$0
2025
$0
2026
$0
All Funds, Five-Year Impact:
Fiscal Year
Probable Savings/(Cost) from GR Match For Medicaid 758
Probable Savings/(Cost) from Federal Funds 555
2022
($665,000)
($665,000)
2023
$0
$0
2024
$0
$0
2025
$0
$0
2026
$0
$0
Fiscal Analysis
The bill would require the Health and Human Services Commission (HHSC) to provide Medicaid reimbursement for services provided by a doula. HHSC would be allowed to delay implementation of the provisions of the bill until the agency obtained a federal waiver or authorization, if required.
Methodology
The analysis assumes necessary technology changes will be completed during fiscal year 2022 and will cost $1,330,000 in All Funds. It is assumed costs associated with technology changes will receive a 50 percent federal match.
The analysis assumes Medicaid coverage for doula service will begin on September 1, 2022. It is assumed the cost of providing doula services can be accomplished by utilizing existing agency resources and may be offset, in whole or in part, by decreased costs primarily related to decreased caesarian section deliveries and preterm births.
The analysis assumes the remaining duties and responsibilities associated with implementing provisions of the bill could be accomplished by utilizing existing agency resources.
Technology
Technology costs are estimated to total $1,330,000 in fiscal year 2022 for one-time upgrades to
the Provider Enrollment Management System and auxiliary technology services.
Local Government Impact
No fiscal implication to units of local government is anticipated.