LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 20, 2011 TO: Honorable Jim Pitts, Chair, House Committee on Appropriations FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB1188 by Aliseda (Relating to state assistance for certain county health care expenditures.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend Section 61.038(b), Health and Safety Code, to change the state assistance reimbursement rate for eligible county health care expenditures from 90 percent to an amount equal to that of the actual payment for such services. According to the Department of State Health Services (DSHS), the agency currently provides reimbursement at 100 percent of the actual payment up to the budgeted amount available; therefore, the only fiscal impact to DSHS would be the need to update program policy. The bill would take effect September 1, 2011. Local Government Impact The bill would provide increased revenues to counties which would vary depending on the amount spent by a given county on health care services described by the bill. Source Agencies:537 State Health Services, Department of LBB Staff: JOB, JF, NB, KKR LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 20, 2011 TO: Honorable Jim Pitts, Chair, House Committee on Appropriations FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB1188 by Aliseda (Relating to state assistance for certain county health care expenditures.), As Introduced TO: Honorable Jim Pitts, Chair, House Committee on Appropriations FROM: John S O'Brien, Director, Legislative Budget Board IN RE: HB1188 by Aliseda (Relating to state assistance for certain county health care expenditures.), As Introduced Honorable Jim Pitts, Chair, House Committee on Appropriations Honorable Jim Pitts, Chair, House Committee on Appropriations John S O'Brien, Director, Legislative Budget Board John S O'Brien, Director, Legislative Budget Board HB1188 by Aliseda (Relating to state assistance for certain county health care expenditures.), As Introduced HB1188 by Aliseda (Relating to state assistance for certain county health care expenditures.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend Section 61.038(b), Health and Safety Code, to change the state assistance reimbursement rate for eligible county health care expenditures from 90 percent to an amount equal to that of the actual payment for such services. According to the Department of State Health Services (DSHS), the agency currently provides reimbursement at 100 percent of the actual payment up to the budgeted amount available; therefore, the only fiscal impact to DSHS would be the need to update program policy. The bill would take effect September 1, 2011. Local Government Impact The bill would provide increased revenues to counties which would vary depending on the amount spent by a given county on health care services described by the bill. Source Agencies: 537 State Health Services, Department of 537 State Health Services, Department of LBB Staff: JOB, JF, NB, KKR JOB, JF, NB, KKR