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:SB289 by Nelson (Relating to ensuring that health information technology used in the medical assistance and child health plan programs conforms to certain standards.), As Introduced No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission to ensure that any health information technology (HIT) used in the Medicaid and CHIP programs conform to the standards adopted by the Health Information Technology Standards Panel (HITSP) sponsored by the American National Standards Institute. HHSC states that these standards are not fully developed at this time; therefore, the agency is unable to estimate a fiscal impact. Additional specifics on which level of HITSP standards would be mandated (for example recognized, accepted, released or all three) would help clarify the impact. In addition, it is unclear whether HHSC would be required to ensure HITSP compliance by all Medicaid providers equipment. Due to these factors, it is assumed that additional HIT used in Medicaid and CHIP would only be implemented if it could be done so using existing resources. If the final adopted HITSP standards require significant changes to multiple systems, it is likely costs would be significant. Local Government Impact No significant 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 23, 2009
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB289 by Nelson (Relating to ensuring that health information technology used in the medical assistance and child health plan programs conforms to certain standards.), As Introduced
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: SB289 by Nelson (Relating to ensuring that health information technology used in the medical assistance and child health plan programs conforms to certain standards.), 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
SB289 by Nelson (Relating to ensuring that health information technology used in the medical assistance and child health plan programs conforms to certain standards.), As Introduced
SB289 by Nelson (Relating to ensuring that health information technology used in the medical assistance and child health plan programs conforms to certain standards.), As Introduced
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 to ensure that any health information technology (HIT) used in the Medicaid and CHIP programs conform to the standards adopted by the Health Information Technology Standards Panel (HITSP) sponsored by the American National Standards Institute. HHSC states that these standards are not fully developed at this time; therefore, the agency is unable to estimate a fiscal impact. Additional specifics on which level of HITSP standards would be mandated (for example recognized, accepted, released or all three) would help clarify the impact. In addition, it is unclear whether HHSC would be required to ensure HITSP compliance by all Medicaid providers equipment. Due to these factors, it is assumed that additional HIT used in Medicaid and CHIP would only be implemented if it could be done so using existing resources. If the final adopted HITSP standards require significant changes to multiple systems, it is likely costs would be significant.
The bill would require the Health and Human Services Commission to ensure that any health information technology (HIT) used in the Medicaid and CHIP programs conform to the standards adopted by the Health Information Technology Standards Panel (HITSP) sponsored by the American National Standards Institute.
HHSC states that these standards are not fully developed at this time; therefore, the agency is unable to estimate a fiscal impact. Additional specifics on which level of HITSP standards would be mandated (for example recognized, accepted, released or all three) would help clarify the impact. In addition, it is unclear whether HHSC would be required to ensure HITSP compliance by all Medicaid providers equipment.
Due to these factors, it is assumed that additional HIT used in Medicaid and CHIP would only be implemented if it could be done so using existing resources. If the final adopted HITSP standards require significant changes to multiple systems, it is likely costs would be significant.
Local Government Impact
No significant 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