LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION February 25, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB288 by Nelson (Relating to the review of a Medicaid recipient's electronic medication history by a provider of Medicaid acute care services.), 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 adopt rules requiring a Medicaid acute care provider to review a patient's medication history contained in an electronic health record prior to providing a health service. This would be required only in instances where the provider has access to such a record. Since electronic health records are only available for a limited number of Medicaid clients (foster care health passport), the agency assumed no significant change in provider review processes. However, if HHSC were required to broadly implement electronic health records, there would likely be implementation costs related to information technology. HHSC assumes the cost of implementing the rules 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, PP, MB
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
February 25, 2009
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB288 by Nelson (Relating to the review of a Medicaid recipient's electronic medication history by a provider of Medicaid acute care services.), Committee Report 1st House, Substituted
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: SB288 by Nelson (Relating to the review of a Medicaid recipient's electronic medication history by a provider of Medicaid acute care services.), Committee Report 1st House, Substituted
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
SB288 by Nelson (Relating to the review of a Medicaid recipient's electronic medication history by a provider of Medicaid acute care services.), Committee Report 1st House, Substituted
SB288 by Nelson (Relating to the review of a Medicaid recipient's electronic medication history by a provider of Medicaid acute care services.), 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 adopt rules requiring a Medicaid acute care provider to review a patient's medication history contained in an electronic health record prior to providing a health service. This would be required only in instances where the provider has access to such a record. Since electronic health records are only available for a limited number of Medicaid clients (foster care health passport), the agency assumed no significant change in provider review processes. However, if HHSC were required to broadly implement electronic health records, there would likely be implementation costs related to information technology. HHSC assumes the cost of implementing the rules could be absorbed within existing resources.
The bill would require the Health and Human Services Commission (HHSC) to adopt rules requiring a Medicaid acute care provider to review a patient's medication history contained in an electronic health record prior to providing a health service. This would be required only in instances where the provider has access to such a record. Since electronic health records are only available for a limited number of Medicaid clients (foster care health passport), the agency assumed no significant change in provider review processes. However, if HHSC were required to broadly implement electronic health records, there would likely be implementation costs related to information technology.
HHSC assumes the cost of implementing the rules 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, PP, MB
JOB, CL, PP, MB