Texas 2009 81st Regular

Texas Senate Bill SB286 Introduced / Fiscal Note

Filed 02/01/2025

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                    LEGISLATIVE BUDGET BOARD    Austin, Texas      FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION            February 23, 2009      TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services      FROM: John S. O'Brien, Director, Legislative Budget Board     IN RE:SB286 by Nelson (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
February 23, 2009





  TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services      FROM: John S. O'Brien, Director, Legislative Budget Board     IN RE:SB286 by Nelson (Relating to a health passport for Medicaid recipients.), As Introduced  

TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: SB286 by Nelson (Relating to a health passport for Medicaid recipients.), As Introduced

 Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services 

 Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services 

 John S. O'Brien, Director, Legislative Budget Board

 John S. O'Brien, Director, Legislative Budget Board

SB286 by Nelson (Relating to a health passport for Medicaid recipients.), As Introduced

SB286 by Nelson (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