LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 6, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB3926 by Orr (Relating to medical assistance reimbursement for immunizations administered by certain health care providers.), As Introduced No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to provide reimbursement under the state Medicaid program to a licensed pharmacist who administers an immunization to a Medicaid enrollee to the same extent a physician or other health care provider is reimbursed. HHSC assumes that the bill would require systems changes, training, provider education and coordination, as well as revision to the Medicaid State Plan. HHSC assumes that any cost associated with these changes could be absorbed within existing resources. 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, LR, JJ LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 6, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB3926 by Orr (Relating to medical assistance reimbursement for immunizations administered by certain health care providers.), As Introduced TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE: HB3926 by Orr (Relating to medical assistance reimbursement for immunizations administered by certain health care providers.), 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 HB3926 by Orr (Relating to medical assistance reimbursement for immunizations administered by certain health care providers.), As Introduced HB3926 by Orr (Relating to medical assistance reimbursement for immunizations administered by certain health care providers.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to provide reimbursement under the state Medicaid program to a licensed pharmacist who administers an immunization to a Medicaid enrollee to the same extent a physician or other health care provider is reimbursed. HHSC assumes that the bill would require systems changes, training, provider education and coordination, as well as revision to the Medicaid State Plan. HHSC assumes that any cost associated with these changes could be absorbed within existing resources. 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, LR, JJ JOB, CL, LR, JJ