LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 15, 2009 TO: Honorable Patrick M. Rose, Chair, House Committee on Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB4158 by Rose (Relating to reimbursement rates for nursing home services provided to Medicaid recipients.), As Introduced No significant fiscal implication to the State is anticipated. The bill would direct the Health and Human Services Commission (HHSC) to conduct periodic analysis of the base rates for nursing home services provided under the medical assistance program to enable the Executive Commissioner to set future rates. The agency indicates any cost to conduct the periodic study could be absorbed within available resources. The bill would also premit HHSC to "adjust the fees, charges, and rates paid for nursing home services based on the commission's findings related to factors analyzed...." No significant fiscal implication is estimated based on the key assumption that HHSC would not increase nursing home rates beyond what current law or current methodology would result in. If however, the bill were interpreted to require an increase in nursing facility rates beyond what current law or current methodology would result in, the Department of Aging and Disability Services would incur additional expenses for client services and therefore require an increased appropriation of General Revenue Funds. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission, 539 Aging and Disability Services, Department of LBB Staff: JOB, CL, PP, ML, LR
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
April 15, 2009
TO: Honorable Patrick M. Rose, Chair, House Committee on Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB4158 by Rose (Relating to reimbursement rates for nursing home services provided to Medicaid recipients.), As Introduced
TO: Honorable Patrick M. Rose, Chair, House Committee on Human Services
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: HB4158 by Rose (Relating to reimbursement rates for nursing home services provided to Medicaid recipients.), As Introduced
Honorable Patrick M. Rose, Chair, House Committee on Human Services
Honorable Patrick M. Rose, Chair, House Committee on Human Services
John S. O'Brien, Director, Legislative Budget Board
John S. O'Brien, Director, Legislative Budget Board
HB4158 by Rose (Relating to reimbursement rates for nursing home services provided to Medicaid recipients.), As Introduced
HB4158 by Rose (Relating to reimbursement rates for nursing home services provided to Medicaid recipients.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would direct the Health and Human Services Commission (HHSC) to conduct periodic analysis of the base rates for nursing home services provided under the medical assistance program to enable the Executive Commissioner to set future rates. The agency indicates any cost to conduct the periodic study could be absorbed within available resources. The bill would also premit HHSC to "adjust the fees, charges, and rates paid for nursing home services based on the commission's findings related to factors analyzed...." No significant fiscal implication is estimated based on the key assumption that HHSC would not increase nursing home rates beyond what current law or current methodology would result in. If however, the bill were interpreted to require an increase in nursing facility rates beyond what current law or current methodology would result in, the Department of Aging and Disability Services would incur additional expenses for client services and therefore require an increased appropriation of General Revenue Funds.
The bill would direct the Health and Human Services Commission (HHSC) to conduct periodic analysis of the base rates for nursing home services provided under the medical assistance program to enable the Executive Commissioner to set future rates. The agency indicates any cost to conduct the periodic study could be absorbed within available resources. The bill would also premit HHSC to "adjust the fees, charges, and rates paid for nursing home services based on the commission's findings related to factors analyzed...."
No significant fiscal implication is estimated based on the key assumption that HHSC would not increase nursing home rates beyond what current law or current methodology would result in. If however, the bill were interpreted to require an increase in nursing facility rates beyond what current law or current methodology would result in, the Department of Aging and Disability Services would incur additional expenses for client services and therefore require an increased appropriation of General Revenue Funds.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 529 Health and Human Services Commission, 539 Aging and Disability Services, Department of
529 Health and Human Services Commission, 539 Aging and Disability Services, Department of
LBB Staff: JOB, CL, PP, ML, LR
JOB, CL, PP, ML, LR