LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION May 15, 2009 TO: Honorable Robert Duncan, Chair, Senate Committee on State Affairs FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1888 by Davis, John (Relating to standards required for certain rankings of physicians by health benefit plans.), Committee Report 2nd House, Substituted No fiscal implication to the State is anticipated. The bill would implement a recommendation in the Legislative Budget Board (LBB) Government Effectiveness and Efficiency Report entitled, "Require Health Plans That Rank Physicians To Meet National Standards." The bill would require that health benefit plans which rank physicians to meet standards as prescribed by rule by the Commissioner of Insurance. The bill would require that the Commissioner of Insurance consider national standards and performance measures emphasizing quality of health care in adopting the required rules. The bill would require that a health benefit plan that ranks physicians must use the nationally recognized standards and guidelines required by rule, disclose the standards and measurements by which each physician is ranked to the physician, and provide affected physicians with due process for the physician to dispute the ranking. The bill provides for sanctions or disciplinary actions against health benefit plans or physicians if they violate the provisions of the bill. It is not anticipated that these requirements would have any significant fiscal impact to the state. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:454 Department of Insurance LBB Staff: JOB, KJG, JI, HC
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
May 15, 2009
TO: Honorable Robert Duncan, Chair, Senate Committee on State Affairs FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1888 by Davis, John (Relating to standards required for certain rankings of physicians by health benefit plans.), Committee Report 2nd House, Substituted
TO: Honorable Robert Duncan, Chair, Senate Committee on State Affairs
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: HB1888 by Davis, John (Relating to standards required for certain rankings of physicians by health benefit plans.), Committee Report 2nd House, Substituted
Honorable Robert Duncan, Chair, Senate Committee on State Affairs
Honorable Robert Duncan, Chair, Senate Committee on State Affairs
John S. O'Brien, Director, Legislative Budget Board
John S. O'Brien, Director, Legislative Budget Board
HB1888 by Davis, John (Relating to standards required for certain rankings of physicians by health benefit plans.), Committee Report 2nd House, Substituted
HB1888 by Davis, John (Relating to standards required for certain rankings of physicians by health benefit plans.), Committee Report 2nd House, Substituted
No fiscal implication to the State is anticipated.
No fiscal implication to the State is anticipated.
The bill would implement a recommendation in the Legislative Budget Board (LBB) Government Effectiveness and Efficiency Report entitled, "Require Health Plans That Rank Physicians To Meet National Standards." The bill would require that health benefit plans which rank physicians to meet standards as prescribed by rule by the Commissioner of Insurance. The bill would require that the Commissioner of Insurance consider national standards and performance measures emphasizing quality of health care in adopting the required rules. The bill would require that a health benefit plan that ranks physicians must use the nationally recognized standards and guidelines required by rule, disclose the standards and measurements by which each physician is ranked to the physician, and provide affected physicians with due process for the physician to dispute the ranking. The bill provides for sanctions or disciplinary actions against health benefit plans or physicians if they violate the provisions of the bill. It is not anticipated that these requirements would have any significant fiscal impact to the state.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 454 Department of Insurance
454 Department of Insurance
LBB Staff: JOB, KJG, JI, HC
JOB, KJG, JI, HC