LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 30, 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.), Committee Report 1st House, Substituted 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 is authorized to administer immunizations in accordance with rules adopted by the Board of Pharmacy and 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. It is assumed that if the Board of Pharmacy needed to adopt rules, the cost 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, MB, LR, JJ
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
April 30, 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.), 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: HB3926 by Orr (Relating to medical assistance reimbursement for immunizations administered by certain health care providers.), 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
HB3926 by Orr (Relating to medical assistance reimbursement for immunizations administered by certain health care providers.), Committee Report 1st House, Substituted
HB3926 by Orr (Relating to medical assistance reimbursement for immunizations administered by certain health care providers.), 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 require the Health and Human Services Commission (HHSC) to provide reimbursement under the state Medicaid program to a licensed pharmacist who is authorized to administer immunizations in accordance with rules adopted by the Board of Pharmacy and 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. It is assumed that if the Board of Pharmacy needed to adopt rules, the cost 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, MB, LR, JJ
JOB, CL, MB, LR, JJ