LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION

May 25, 2023

TO:	Honorable Dade Phelan, Speaker of the House, House of Representatives
FROM:	Jerry McGinty, Director, Legislative Budget Board
IN RE:	HB1105 by Price (Relating to preventative health care and public health, including prohibited immunization and face-covering requirements, private business or school closures, and the ordering and administration of immunizations by a pharmacist.), As Passed 2nd House

No significant fiscal implication to the State is anticipated.

Based on the analysis of the Texas Workforce Commission, the Texas Medical Board, the Board of Pharmacy, the Health and Human Services Commission, the Department of State Health Services, the Texas Education Agency, The University of Texas System, and The Texas A&M University System, duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources.

However, based on responses from The University of Texas System, several of The University of Texas Institutions could incur significant losses in revenue from Medicaid and Medicare reimbursements due to prohibitions on requiring staff to be vaccinated against COVID-19. Additionally, contract revenues may be at risk if participation with the Centers for Medicare & Medicaid Services is required.

Local Government Impact

No significant fiscal implication to units of local government is anticipated.

Source Agencies:

320 Texas Workforce Commission, 503 Texas Medical Board, 515 Board of Pharmacy, 529 Health and Human Services Commission, 537 State Health Services, Department of, 701 Texas Education Agency, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration

LBB Staff:

JMc, NPe, ER, APA, GDZ, SLee