LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION March 21, 2011 TO: Honorable Richard Pena Raymond, Chair, House Committee on Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB2299 by Coleman (Relating to the operation of the women's health program demonstration project.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB2299, As Introduced: a positive impact of $83,738,684 through the biennium ending August 31, 2013.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION
March 21, 2011
TO: Honorable Richard Pena Raymond, Chair, House Committee on Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB2299 by Coleman (Relating to the operation of the women's health program demonstration project.), As Introduced
TO: Honorable Richard Pena Raymond, Chair, House Committee on Human Services
FROM: John S O'Brien, Director, Legislative Budget Board
IN RE: HB2299 by Coleman (Relating to the operation of the women's health program demonstration project.), As Introduced
Honorable Richard Pena Raymond, Chair, House Committee on Human Services
Honorable Richard Pena Raymond, Chair, House Committee on Human Services
John S O'Brien, Director, Legislative Budget Board
John S O'Brien, Director, Legislative Budget Board
HB2299 by Coleman (Relating to the operation of the women's health program demonstration project.), As Introduced
HB2299 by Coleman (Relating to the operation of the women's health program demonstration project.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for HB2299, As Introduced: a positive impact of $83,738,684 through the biennium ending August 31, 2013.
Estimated Two-year Net Impact to General Revenue Related Funds for HB2299, As Introduced: a positive impact of $83,738,684 through the biennium ending August 31, 2013.
General Revenue-Related Funds, Five-Year Impact: Fiscal Year Probable Net Positive/(Negative) Impact to General Revenue Related Funds 2012 $39,575,868 2013 $44,162,816 2014 $15,938,115 2015 $0 2016 $0
2012 $39,575,868
2013 $44,162,816
2014 $15,938,115
2015 $0
2016 $0
All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Probable Savings/(Cost) fromFederal Funds555 2012 $39,575,868 $24,880,668 2013 $44,162,816 $25,956,988 2014 $15,938,115 $9,321,926 2015 $0 $0 2016 $0 $0
Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Probable Savings/(Cost) fromFederal Funds555 2012 $39,575,868 $24,880,668 2013 $44,162,816 $25,956,988 2014 $15,938,115 $9,321,926 2015 $0 $0 2016 $0 $0
2012 $39,575,868 $24,880,668
2013 $44,162,816 $25,956,988
2014 $15,938,115 $9,321,926
2015 $0 $0
2016 $0 $0
Fiscal Analysis
This bill would implement a recommendation in the report "Continue and Expand the Texas Medicaid Women's Health Program to Maximize Federal Funds and State Savings" in the Legislative Budget Board's Government Effectiveness and Efficiency Report, submitted to the Eighty-second Texas Legislature, 2011. The bill would direct the Health and Human Services Commission (HHSC) to continue the Medicaid Women's Health Program through September 1, 2016. The bill also removes the language barring referrals to entities that perform or promote elective abortions, and the requirement that HHSC not contract or affiliate with entities that perform or promote elective abortions. HHSC would be authorized to seek Federal approval to implement the provisions of the bill and delay implementation if necessary. The Act would take effect August 31, 2011.
This bill would implement a recommendation in the report "Continue and Expand the Texas Medicaid Women's Health Program to Maximize Federal Funds and State Savings" in the Legislative Budget Board's Government Effectiveness and Efficiency Report, submitted to the Eighty-second Texas Legislature, 2011.
The bill would direct the Health and Human Services Commission (HHSC) to continue the Medicaid Women's Health Program through September 1, 2016. The bill also removes the language barring referrals to entities that perform or promote elective abortions, and the requirement that HHSC not contract or affiliate with entities that perform or promote elective abortions.
HHSC would be authorized to seek Federal approval to implement the provisions of the bill and delay implementation if necessary.
The Act would take effect August 31, 2011.
Methodology
To continue the Women's Health Program waiver, HHSC must prepare a waiver renewal, obtain federal approval, and adopt rules. This estimate assumes all start-up activities can be accomplished by August 31, 2011. Savings shown above are based on HHSC's estimate of continuing the waiver and are net of the cost of providing women's health services. Because the waiver would statutorily expire on September 1, 2011, twelve months of savings are assumed in both fiscal years 2012 and 2013. HHSC assumed that beginning January 1, 2014, women's health services would be available through the expanded coverage provisions of the Patient Protection and Affordable Care Act (PPACA), and therefore, savings shown from this waiver are only for the first four months of fiscal year 2014. Savings after this time would accrue to the program that replaces the Women's Health Program. Savings from the continuation of the Women's Health Program are assumed in House Bill 1 as introduced.
To continue the Women's Health Program waiver, HHSC must prepare a waiver renewal, obtain federal approval, and adopt rules. This estimate assumes all start-up activities can be accomplished by August 31, 2011.
Savings shown above are based on HHSC's estimate of continuing the waiver and are net of the cost of providing women's health services. Because the waiver would statutorily expire on September 1, 2011, twelve months of savings are assumed in both fiscal years 2012 and 2013. HHSC assumed that beginning January 1, 2014, women's health services would be available through the expanded coverage provisions of the Patient Protection and Affordable Care Act (PPACA), and therefore, savings shown from this waiver are only for the first four months of fiscal year 2014. Savings after this time would accrue to the program that replaces the Women's Health Program.
Savings from the continuation of the Women's Health Program are assumed in House Bill 1 as introduced.
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, JI, BH
JOB, CL, JI, BH