LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION May 3, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB2627 by Naishtat (Relating to the provision of private duty nursing and therapy services under the Medicaid program in accordance with authorization by a licensed nurse practitioner or a physician assistant.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend Section 32.067, Human Resources Code, to assure that a licensed nurse practitioner or a physician assistant is permitted to authorize the provision of private duty nursing and therapy services to individuals in the Medicaid Comprehensive Care Program (Medicaid-CCP) to the extent allowed by state or federal law. The bill would require the Health and Human Services Commission to seek any necessary federal waivers or authorizations required and allows for delay in implementation pending approval. The bill would take effect September 1, 2009. Since persons who are eligible for the Medicaid-CCP program are entitled to receive medically necessary services, it is assumed that the change would not significantly impact the number of people or number of services provided in the program. Therefore, the bill would not have a significant fiscal impact. It is assumed that federal matching funds would fund approximately 58 percent (non-Stimulus Medicaid matching rate) of any new costs as a result of caseload or service increases. 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 3, 2009
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB2627 by Naishtat (Relating to the provision of private duty nursing and therapy services under the Medicaid program in accordance with authorization by a licensed nurse practitioner or a physician assistant.), 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: HB2627 by Naishtat (Relating to the provision of private duty nursing and therapy services under the Medicaid program in accordance with authorization by a licensed nurse practitioner or a physician assistant.), 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
HB2627 by Naishtat (Relating to the provision of private duty nursing and therapy services under the Medicaid program in accordance with authorization by a licensed nurse practitioner or a physician assistant.), Committee Report 1st House, Substituted
HB2627 by Naishtat (Relating to the provision of private duty nursing and therapy services under the Medicaid program in accordance with authorization by a licensed nurse practitioner or a physician assistant.), Committee Report 1st House, Substituted
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would amend Section 32.067, Human Resources Code, to assure that a licensed nurse practitioner or a physician assistant is permitted to authorize the provision of private duty nursing and therapy services to individuals in the Medicaid Comprehensive Care Program (Medicaid-CCP) to the extent allowed by state or federal law. The bill would require the Health and Human Services Commission to seek any necessary federal waivers or authorizations required and allows for delay in implementation pending approval. The bill would take effect September 1, 2009. Since persons who are eligible for the Medicaid-CCP program are entitled to receive medically necessary services, it is assumed that the change would not significantly impact the number of people or number of services provided in the program. Therefore, the bill would not have a significant fiscal impact. It is assumed that federal matching funds would fund approximately 58 percent (non-Stimulus Medicaid matching rate) of any new costs as a result of caseload or service increases.
The bill would amend Section 32.067, Human Resources Code, to assure that a licensed nurse practitioner or a physician assistant is permitted to authorize the provision of private duty nursing and therapy services to individuals in the Medicaid Comprehensive Care Program (Medicaid-CCP) to the extent allowed by state or federal law. The bill would require the Health and Human Services Commission to seek any necessary federal waivers or authorizations required and allows for delay in implementation pending approval. The bill would take effect September 1, 2009.
Since persons who are eligible for the Medicaid-CCP program are entitled to receive medically necessary services, it is assumed that the change would not significantly impact the number of people or number of services provided in the program. Therefore, the bill would not have a significant fiscal impact. It is assumed that federal matching funds would fund approximately 58 percent (non-Stimulus Medicaid matching rate) of any new costs as a result of caseload or service increases.
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