LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION May 6, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services 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 Engrossed 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. 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. 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 May 6, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services 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 Engrossed TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services 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 Engrossed Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services 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 Engrossed 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 Engrossed 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. 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. 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. 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. 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