LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION

April 4, 2025

TO:	Honorable Lacey Hull, Chair, House Committee on Human Services
FROM:	Jerry McGinty, Director, Legislative Budget Board
IN RE:	HB4643 by Dorazio (Relating to access to criminal history record information for purposes of the Medicaid program.), As Introduced

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 Medicaid providers or those applying to enroll as Medicaid providers.

The bill would take effect April 1, 2025, assuming it received the requisite two-thirds majority votes in both houses of the Legislature. Otherwise, it would take effect 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, ER, ESch