LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION

May 12, 2025

TO:	Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
FROM:	Jerry McGinty, Director, Legislative Budget Board
IN RE:	HB4643 by Dorazio (Relating to access to criminal history record information that relates to providers and provider applicants under Medicaid and other public benefits programs administered by the Health and Human Services Commission.), As Engrossed

No significant fiscal implication to the State is anticipated.

The bill would expand the criteria under which the Health and Human Services Commission (HHSC) is entitled to obtain criminal history record information that relates to providers under Medicaid or other public benefits programs administered by HHSC, or those applying to enroll as such.

The bill would take effect immediately upon receiving a vote of two-thirds of all members elected to each house or, otherwise, on September 1, 2025.

According to HHSC, updates to websites and processes would be necessary to implement the provisions of the bill. This analysis assumes 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, ESch, ER