LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION May 4, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1392 by Leibowitz (Relating to required procedures regarding the ranking of physicians by health benefit plan issuers.), Committee Report 1st House, Substituted No fiscal implication to the State is anticipated. The bill would provide a number of protections for physicians if a health benefit plan were to rank physicians. The bill would require a health benefit plan that intends to rank physicians to disclose the standards or criteria to the physician before disseminating the ranking to the public. The bill would establish due process rights for the physician to dispute the ranking, including a required notice of intent from the health benefit plan and the right to a hearing for a physician. The hearing may be held by teleconference. The bill would provide that the Commissioner of Insurance by rule should prescribe standards for any ranking system adopted by a health benefit plan, and that the Commissioner of Insurance should consider national standards when doing so. It is not anticipated that these requirements would have any fiscal impact to the state. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies:454 Department of Insurance LBB Staff: JOB, CL, JI, HC
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
May 4, 2009
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1392 by Leibowitz (Relating to required procedures regarding the ranking of physicians by health benefit plan issuers.), Committee Report 1st House, Substituted
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: HB1392 by Leibowitz (Relating to required procedures regarding the ranking of physicians by health benefit plan issuers.), Committee Report 1st House, Substituted
Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
John S. O'Brien, Director, Legislative Budget Board
John S. O'Brien, Director, Legislative Budget Board
HB1392 by Leibowitz (Relating to required procedures regarding the ranking of physicians by health benefit plan issuers.), Committee Report 1st House, Substituted
HB1392 by Leibowitz (Relating to required procedures regarding the ranking of physicians by health benefit plan issuers.), Committee Report 1st House, Substituted
No fiscal implication to the State is anticipated.
No fiscal implication to the State is anticipated.
The bill would provide a number of protections for physicians if a health benefit plan were to rank physicians. The bill would require a health benefit plan that intends to rank physicians to disclose the standards or criteria to the physician before disseminating the ranking to the public. The bill would establish due process rights for the physician to dispute the ranking, including a required notice of intent from the health benefit plan and the right to a hearing for a physician. The hearing may be held by teleconference. The bill would provide that the Commissioner of Insurance by rule should prescribe standards for any ranking system adopted by a health benefit plan, and that the Commissioner of Insurance should consider national standards when doing so. It is not anticipated that these requirements would have any fiscal impact to the state.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.
Source Agencies: 454 Department of Insurance
454 Department of Insurance
LBB Staff: JOB, CL, JI, HC
JOB, CL, JI, HC