LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION May 20, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB289 by Nelson (Relating to health information technology used in the medical assistance and child health plan programs.), Committee Report 2nd House, Substituted 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 required under federal law. HHSC states that these standards are not fully developed at this time; therefore, the agency is unable to estimate a fiscal impact. In addition, it is unclear whether HHSC would be required to ensure 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 (or anticipated) resources. If the final adopted standards require significant changes to multiple systems, it is assumed that costs would be significant. However, it is likely that federal American Recovery and Reinvestment Act (ARRA) HIT funding would be available to offset some of these costs. 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
May 20, 2009
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB289 by Nelson (Relating to health information technology used in the medical assistance and child health plan programs.), Committee Report 2nd House, Substituted
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: SB289 by Nelson (Relating to health information technology used in the medical assistance and child health plan programs.), Committee Report 2nd House, Substituted
Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
John S. O'Brien, Director, Legislative Budget Board
John S. O'Brien, Director, Legislative Budget Board
SB289 by Nelson (Relating to health information technology used in the medical assistance and child health plan programs.), Committee Report 2nd House, Substituted
SB289 by Nelson (Relating to health information technology used in the medical assistance and child health plan programs.), Committee Report 2nd 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 to ensure that any health information technology (HIT) used in the Medicaid and CHIP programs conform to the standards required under federal law. HHSC states that these standards are not fully developed at this time; therefore, the agency is unable to estimate a fiscal impact. In addition, it is unclear whether HHSC would be required to ensure 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 (or anticipated) resources. If the final adopted standards require significant changes to multiple systems, it is assumed that costs would be significant. However, it is likely that federal American Recovery and Reinvestment Act (ARRA) HIT funding would be available to offset some of these costs.
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 required under federal law.
HHSC states that these standards are not fully developed at this time; therefore, the agency is unable to estimate a fiscal impact. In addition, it is unclear whether HHSC would be required to ensure 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 (or anticipated) resources. If the final adopted standards require significant changes to multiple systems, it is assumed that costs would be significant. However, it is likely that federal American Recovery and Reinvestment Act (ARRA) HIT funding would be available to offset some of these costs.
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