LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 29, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB8 by Nelson (Relating to the administration, powers, and duties of the Texas Health Services Authority.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code relating to the Texas Health Services Authority (THSA) (referred to as the "corporation" in statute). It would expand the governing board to include the executive commissioner of the Health and Human Services Commission, the commissioner of insurance, the executive director of the Employees Retirement System, the executive director of the Teacher Retirement System, and the state Medicaid director. It would require the corporation to research and promote numerous strategies and standards, including best practice standards, care integration, and revisions to payment methodologies. The corporation would conduct studies on 1)payment incentives to increase access to primary care and 2) development of payment methodologies based on risk-adjusted episodes of care. The results of the studies would be submitted to the legislature not later than January 1, 2011. The bill would repeal Section 182.102 (a) related to prohibited acts of the corporation. It is assumed that any costs could be absorbed within existing resources at affected agencies and that the costs of the studies would be borne by the THSA. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: JOB, CL, MB
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
April 29, 2009
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB8 by Nelson (Relating to the administration, powers, and duties of the Texas Health Services Authority.), As Introduced
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: SB8 by Nelson (Relating to the administration, powers, and duties of the Texas Health Services Authority.), 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
SB8 by Nelson (Relating to the administration, powers, and duties of the Texas Health Services Authority.), As Introduced
SB8 by Nelson (Relating to the administration, powers, and duties of the Texas Health Services Authority.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would amend the Health and Safety Code relating to the Texas Health Services Authority (THSA) (referred to as the "corporation" in statute). It would expand the governing board to include the executive commissioner of the Health and Human Services Commission, the commissioner of insurance, the executive director of the Employees Retirement System, the executive director of the Teacher Retirement System, and the state Medicaid director. It would require the corporation to research and promote numerous strategies and standards, including best practice standards, care integration, and revisions to payment methodologies. The corporation would conduct studies on 1)payment incentives to increase access to primary care and 2) development of payment methodologies based on risk-adjusted episodes of care. The results of the studies would be submitted to the legislature not later than January 1, 2011. The bill would repeal Section 182.102 (a) related to prohibited acts of the corporation. It is assumed that any costs could be absorbed within existing resources at affected agencies and that the costs of the studies would be borne by the THSA.
The bill would amend the Health and Safety Code relating to the Texas Health Services Authority (THSA) (referred to as the "corporation" in statute). It would expand the governing board to include the executive commissioner of the Health and Human Services Commission, the commissioner of insurance, the executive director of the Employees Retirement System, the executive director of the Teacher Retirement System, and the state Medicaid director. It would require the corporation to research and promote numerous strategies and standards, including best practice standards, care integration, and revisions to payment methodologies. The corporation would conduct studies on 1)payment incentives to increase access to primary care and 2) development of payment methodologies based on risk-adjusted episodes of care. The results of the studies would be submitted to the legislature not later than January 1, 2011. The bill would repeal Section 182.102 (a) related to prohibited acts of the corporation.
It is assumed that any costs could be absorbed within existing resources at affected agencies and that the costs of the studies would be borne by the THSA.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 529 Health and Human Services Commission, 537 State Health Services, Department of
529 Health and Human Services Commission, 537 State Health Services, Department of
LBB Staff: JOB, CL, MB
JOB, CL, MB