LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION May 18, 2011 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB2722 by Perry (Relating to the state Medicaid program as the payor of last resort.), As Engrossed No significant fiscal implication to the State is anticipated. The bill would require the executive commissioner of the Health and Human Services Commission (HHSC) to adopt rules to ensure, to the extent allowed by federal law, that the Medicaid program is the payor of last resort. It is assumed that HHSC could absorb the cost of implementing the the bill with existing resources. The Department of Aging and Disability Services and the Department of Assistive and Rehabilitative Services indicate there would be no fiscal impact for implementing the provisions of the bill. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission, 538 Assistive and Rehabilitative Services, Department of, 539 Aging and Disability Services, Department of LBB Staff: JOB, CL, MB, LR, VJC, ES LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION May 18, 2011 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB2722 by Perry (Relating to the state Medicaid program as the payor of last resort.), As Engrossed TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE: HB2722 by Perry (Relating to the state Medicaid program as the payor of last resort.), As Engrossed 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 HB2722 by Perry (Relating to the state Medicaid program as the payor of last resort.), As Engrossed HB2722 by Perry (Relating to the state Medicaid program as the payor of last resort.), As Engrossed No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would require the executive commissioner of the Health and Human Services Commission (HHSC) to adopt rules to ensure, to the extent allowed by federal law, that the Medicaid program is the payor of last resort. It is assumed that HHSC could absorb the cost of implementing the the bill with existing resources. The Department of Aging and Disability Services and the Department of Assistive and Rehabilitative Services indicate there would be no fiscal impact for implementing the provisions of the bill. The bill would require the executive commissioner of the Health and Human Services Commission (HHSC) to adopt rules to ensure, to the extent allowed by federal law, that the Medicaid program is the payor of last resort. It is assumed that HHSC could absorb the cost of implementing the the bill with existing resources. The Department of Aging and Disability Services and the Department of Assistive and Rehabilitative Services indicate there would be no fiscal impact for implementing the provisions of the bill. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 529 Health and Human Services Commission, 538 Assistive and Rehabilitative Services, Department of, 539 Aging and Disability Services, Department of 529 Health and Human Services Commission, 538 Assistive and Rehabilitative Services, Department of, 539 Aging and Disability Services, Department of LBB Staff: JOB, CL, MB, LR, VJC, ES JOB, CL, MB, LR, VJC, ES