LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 3, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB3301 by Kolkhorst (Relating to a health passport for Medicaid recipients.), As Introduced No significant fiscal implication to the State is anticipated. The Health and Human Services Commission estimates that costs to implement the bill can be absorbed using existing resources. This is because the agency assumes that the functionalities available in the Medicaid Eligibility and Health Information Project (MEHIP) could be leveraged to achieve most of the objectives outlined in the bill. The agency states that there are two requirements that are currently not available through MEHIP, however. The first is information on patient allergies. To facilitate this requirement, a new functionality would be added allowing providers to input allergy information into the electronic health record. The second is to make the health passport information available to certain clients in a printed or electronic format. The agency states this could be provided under MEHIP and that costs associated with adding this requirement would be nominal. When full implementation of electronic health records occurs as specified by the bill on September 1, 2014, there may be implementation costs, including information technology costs. 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, MB LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 3, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB3301 by Kolkhorst (Relating to a health passport for Medicaid recipients.), As Introduced TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE: HB3301 by Kolkhorst (Relating to a health passport for Medicaid recipients.), 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 HB3301 by Kolkhorst (Relating to a health passport for Medicaid recipients.), As Introduced HB3301 by Kolkhorst (Relating to a health passport for Medicaid recipients.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The Health and Human Services Commission estimates that costs to implement the bill can be absorbed using existing resources. This is because the agency assumes that the functionalities available in the Medicaid Eligibility and Health Information Project (MEHIP) could be leveraged to achieve most of the objectives outlined in the bill. The agency states that there are two requirements that are currently not available through MEHIP, however. The first is information on patient allergies. To facilitate this requirement, a new functionality would be added allowing providers to input allergy information into the electronic health record. The second is to make the health passport information available to certain clients in a printed or electronic format. The agency states this could be provided under MEHIP and that costs associated with adding this requirement would be nominal. When full implementation of electronic health records occurs as specified by the bill on September 1, 2014, there may be implementation costs, including information technology costs. The Health and Human Services Commission estimates that costs to implement the bill can be absorbed using existing resources. This is because the agency assumes that the functionalities available in the Medicaid Eligibility and Health Information Project (MEHIP) could be leveraged to achieve most of the objectives outlined in the bill. The agency states that there are two requirements that are currently not available through MEHIP, however. The first is information on patient allergies. To facilitate this requirement, a new functionality would be added allowing providers to input allergy information into the electronic health record. The second is to make the health passport information available to certain clients in a printed or electronic format. The agency states this could be provided under MEHIP and that costs associated with adding this requirement would be nominal. When full implementation of electronic health records occurs as specified by the bill on September 1, 2014, there may be implementation costs, including information technology costs. 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, MB JOB, CL, MB