Honorable James B. Frank, Chair, House Committee on Human Services
FROM:
Jerry McGinty, Director, Legislative Budget Board
IN RE:
HB2933 by Dorazio (Relating to ensuring certain adoptive parents may consent to medical care and access information regarding their child who is eligible for benefits under Medicaid.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for HB2933, As Introduced : a negative impact of ($784,567) through the biennium ending August 31, 2025.
The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
General Revenue-Related Funds, Five- Year Impact:
Fiscal Year
Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2024
($654,617)
2025
($129,950)
2026
$0
2027
$0
2028
$0
All Funds, Five-Year Impact:
Fiscal Year
Probable (Cost) from General Revenue Fund 1
Probable (Cost) from GR Match For Medicaid 758
Probable (Cost) from Federal Funds 555
2024
($644,820)
($9,797)
($52,267)
2025
($128,005)
($1,945)
($10,376)
2026
2027
2028
Fiscal Analysis
The bill would require the Health and Human Services Commission (HHSC) to collaborate with the Department of Family and Protective Services (DFPS) to ensure that both adoptive parents of a child are able to consent to medical care provided under Medicaid, and can provide and receive certain information.
Methodology
According to DFPS, IT modifications to the Information Management Protecting Adults and Children in Texas (IMPACT) system would be required to be able to send two names through the current automated interface. HHSC would also need to modify their Texas Integrated Eligibility Redesign System (TIERS) system to receive the two names from IMPACT. In addition, DFPS would need to update IMPACT to add an alternative payee to allow both adoptive parents to access information.
It is assumed that any costs to HHSC could be absorbed within existing resources.
Technology
This analysis assumes the need of 3.0 System Analyst V Contracted Fulltime Equivalents (FTEs) and 5,962 hours of work in fiscal year 2024 and 0.5 System Analyst V Contracted FTEs and 1,192 hours of work in fiscal year 2025 to complete DFPS IT modifications.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies:
529 Health and Human Services Commission, 530 Family and Protective Services, Department of