LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION February 22, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB287 by Nelson (Relating to the use of electronic prescribing data transmission systems under the state Medicaid program.), As Introduced No significant fiscal implication to the State is anticipated. The bill requires the Health and Human Services Commission to develop and implement a plan to increase the use of electronic medical records, medical technology, and electronic prescribing tools by Medicaid providers. The Health and Human Services Commission must maximize the use of available federal resources to implement the plan. The bill requires that a Medicaid prescriber achieve certain percentage increase in the use of electronic prescribing by September 1, 2014. The plan must be submitted to the legislature by January 1, 2010 with progress reports submitted by January 1, 2011 and January 1, 2013. The bill requires the agency to seek a federal waiver or authorization, if needed, and allows delay in implementation pending federal approval. This bill takes effect immediately if it receives a vote of two-thirds of all members elected to each house, or September 1, 2009 if a two-thirds vote is not achieved. 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, MH, GD LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION February 22, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB287 by Nelson (Relating to the use of electronic prescribing data transmission systems under the state Medicaid program.), As Introduced TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE: SB287 by Nelson (Relating to the use of electronic prescribing data transmission systems under the state Medicaid program.), 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 SB287 by Nelson (Relating to the use of electronic prescribing data transmission systems under the state Medicaid program.), As Introduced SB287 by Nelson (Relating to the use of electronic prescribing data transmission systems under the state Medicaid program.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill requires the Health and Human Services Commission to develop and implement a plan to increase the use of electronic medical records, medical technology, and electronic prescribing tools by Medicaid providers. The Health and Human Services Commission must maximize the use of available federal resources to implement the plan. The bill requires that a Medicaid prescriber achieve certain percentage increase in the use of electronic prescribing by September 1, 2014. The plan must be submitted to the legislature by January 1, 2010 with progress reports submitted by January 1, 2011 and January 1, 2013. The bill requires the agency to seek a federal waiver or authorization, if needed, and allows delay in implementation pending federal approval. This bill takes effect immediately if it receives a vote of two-thirds of all members elected to each house, or September 1, 2009 if a two-thirds vote is not achieved. The bill requires the Health and Human Services Commission to develop and implement a plan to increase the use of electronic medical records, medical technology, and electronic prescribing tools by Medicaid providers. The Health and Human Services Commission must maximize the use of available federal resources to implement the plan. The bill requires that a Medicaid prescriber achieve certain percentage increase in the use of electronic prescribing by September 1, 2014. The plan must be submitted to the legislature by January 1, 2010 with progress reports submitted by January 1, 2011 and January 1, 2013. The bill requires the agency to seek a federal waiver or authorization, if needed, and allows delay in implementation pending federal approval. This bill takes effect immediately if it receives a vote of two-thirds of all members elected to each house, or September 1, 2009 if a two-thirds vote is not achieved. 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, MH, GD JOB, CL, MH, GD