LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 15, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1487 by Pitts (Relating to the alignment of certain Medicaid procedures regarding written orders for diabetic equipment and supplies with comparable Medicare written order procedures.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend Subchapter B, Chapter 531 of the Government Code by adding section 531.099, which would require the Health and Human Services Commission to review forms and requirements under the Medicaid program regarding written orders for diabetic equipment and supplies and, to the extent possible, align the Medicaid procedures with Medicare procedures. The bill would also expand the type of providers who may order diabetic supplies beyond physicians. HHSC states that this would be in conflict with Title 42 of the Code of Federal Regulations, 440.70 (a)(2). HHSC assumes that the cost of the bill could be absorbed within existing resources. However, to the extent that aligning forms and requirements in the Medicaid program with the Medicare program results in an increase in provider reimbursements or in the volume of orders for diabetic equipment or supplies, there would be an increased cost to the state. Similarly, to the extent that expanding the the type/number of providers who may order diabetic supplies results in an increase in the volume of ordered supplies, there would be an increased cost to the state. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission LBB Staff: JOB, CL, PP, MB
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
March 15, 2009
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1487 by Pitts (Relating to the alignment of certain Medicaid procedures regarding written orders for diabetic equipment and supplies with comparable Medicare written order procedures.), As Introduced
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: HB1487 by Pitts (Relating to the alignment of certain Medicaid procedures regarding written orders for diabetic equipment and supplies with comparable Medicare written order procedures.), As Introduced
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
HB1487 by Pitts (Relating to the alignment of certain Medicaid procedures regarding written orders for diabetic equipment and supplies with comparable Medicare written order procedures.), As Introduced
HB1487 by Pitts (Relating to the alignment of certain Medicaid procedures regarding written orders for diabetic equipment and supplies with comparable Medicare written order procedures.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would amend Subchapter B, Chapter 531 of the Government Code by adding section 531.099, which would require the Health and Human Services Commission to review forms and requirements under the Medicaid program regarding written orders for diabetic equipment and supplies and, to the extent possible, align the Medicaid procedures with Medicare procedures. The bill would also expand the type of providers who may order diabetic supplies beyond physicians. HHSC states that this would be in conflict with Title 42 of the Code of Federal Regulations, 440.70 (a)(2). HHSC assumes that the cost of the bill could be absorbed within existing resources. However, to the extent that aligning forms and requirements in the Medicaid program with the Medicare program results in an increase in provider reimbursements or in the volume of orders for diabetic equipment or supplies, there would be an increased cost to the state. Similarly, to the extent that expanding the the type/number of providers who may order diabetic supplies results in an increase in the volume of ordered supplies, there would be an increased cost to the state.
The bill would amend Subchapter B, Chapter 531 of the Government Code by adding section 531.099, which would require the Health and Human Services Commission to review forms and requirements under the Medicaid program regarding written orders for diabetic equipment and supplies and, to the extent possible, align the Medicaid procedures with Medicare procedures.
The bill would also expand the type of providers who may order diabetic supplies beyond physicians. HHSC states that this would be in conflict with Title 42 of the Code of Federal Regulations, 440.70 (a)(2).
HHSC assumes that the cost of the bill could be absorbed within existing resources. However, to the extent that aligning forms and requirements in the Medicaid program with the Medicare program results in an increase in provider reimbursements or in the volume of orders for diabetic equipment or supplies, there would be an increased cost to the state. Similarly, to the extent that expanding the the type/number of providers who may order diabetic supplies results in an increase in the volume of ordered supplies, there would be an increased cost to the state.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 529 Health and Human Services Commission
529 Health and Human Services Commission
LBB Staff: JOB, CL, PP, MB
JOB, CL, PP, MB