LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 5, 2011 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB3136 by Shelton (Relating to greater flexibility over the administration and operation of the Medicaid program.), As Introduced There are anticipated costs and savings associated with the provisions of the bill, but there is notsufficient information available at this time to estimate those fiscal implications. The bill would require the Health and Human Services Commission (HHSC) to pursue a waiver or other authorization from the federal Centers for Medicare and Medicaid Services to implement changes in the Medicaid program that increase efficiency and reduce program costs. The bill would direct HHSC to seek flexibility in the maintenance of effort requirements specified in the Patient Protection and Affordable Care Act, flexibility in the level of benefits provided to recipients under Medicaid, and authority to impose copayments for Medicaid services. The bill would take effect immediately if it receives a vote of two-thirds of all the members elected to each house. If not, the bill would take effect September 1, 2011. Based on HHSC analysis, implementing the provisions of the bill could have significant costs, such as technology costs for changes in the eligibility systems, and could result in significant savings from greater flexibility in administering the Medicaid program. However, there is not sufficient information available at this time to estimate the fiscal impact. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission LBB Staff: JOB, CL, MB, LR, VJC, ES
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION
April 5, 2011
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB3136 by Shelton (Relating to greater flexibility over the administration and operation of the Medicaid program.), As Introduced
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM: John S O'Brien, Director, Legislative Budget Board
IN RE: HB3136 by Shelton (Relating to greater flexibility over the administration and operation of the Medicaid program.), As Introduced
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
HB3136 by Shelton (Relating to greater flexibility over the administration and operation of the Medicaid program.), As Introduced
HB3136 by Shelton (Relating to greater flexibility over the administration and operation of the Medicaid program.), As Introduced
There are anticipated costs and savings associated with the provisions of the bill, but there is notsufficient information available at this time to estimate those fiscal implications.
There are anticipated costs and savings associated with the provisions of the bill, but there is notsufficient information available at this time to estimate those fiscal implications.
The bill would require the Health and Human Services Commission (HHSC) to pursue a waiver or other authorization from the federal Centers for Medicare and Medicaid Services to implement changes in the Medicaid program that increase efficiency and reduce program costs. The bill would direct HHSC to seek flexibility in the maintenance of effort requirements specified in the Patient Protection and Affordable Care Act, flexibility in the level of benefits provided to recipients under Medicaid, and authority to impose copayments for Medicaid services. The bill would take effect immediately if it receives a vote of two-thirds of all the members elected to each house. If not, the bill would take effect September 1, 2011. Based on HHSC analysis, implementing the provisions of the bill could have significant costs, such as technology costs for changes in the eligibility systems, and could result in significant savings from greater flexibility in administering the Medicaid program. However, there is not sufficient information available at this time to estimate the fiscal impact.
The bill would require the Health and Human Services Commission (HHSC) to pursue a waiver or other authorization from the federal Centers for Medicare and Medicaid Services to implement changes in the Medicaid program that increase efficiency and reduce program costs. The bill would direct HHSC to seek flexibility in the maintenance of effort requirements specified in the Patient Protection and Affordable Care Act, flexibility in the level of benefits provided to recipients under Medicaid, and authority to impose copayments for Medicaid services.
The bill would take effect immediately if it receives a vote of two-thirds of all the members elected to each house. If not, the bill would take effect September 1, 2011.
Based on HHSC analysis, implementing the provisions of the bill could have significant costs, such as technology costs for changes in the eligibility systems, and could result in significant savings from greater flexibility in administering the Medicaid program. However, there is not sufficient information available at this time to estimate the fiscal impact.
Local Government Impact
No 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, MB, LR, VJC, ES
JOB, CL, MB, LR, VJC, ES