LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION

May 4, 2025

TO:	Honorable Lacey Hull, Chair, House Committee on Human Services
FROM:	Jerry McGinty, Director, Legislative Budget Board
IN RE:	HB3902 by Rose (Relating to the continued reimbursement under Medicaid for nursing facilities after a change in ownership.), Committee Report 1st House, Substituted

No significant fiscal implication to the State is anticipated.

The bill would require the Health and Human Services Commission to ensure that a nursing facility providing Medicaid services to recipients continues to receive Medicaid reimbursement uninterrupted after the facility experiences a change in ownership, provided the facility under the new ownership meets certain requirements.

According to HHSC, the bill would require one-time upgrades to the Centralized Accounting and Payroll/Personnel System (CAPPS) Financials and to the System of Contract Operations and Reporting (SCOR). It is assumed that any costs associated with the bill could be absorbed using existing resources.

Local Government Impact

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

Source Agencies:

529 Health and Human Services Commission

LBB Staff:

JMc, NPe, ER, ESch, NV