LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 11, 2011 TO: Honorable Richard Pena Raymond, Chair, House Committee on Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB3531 by Strama (Relating to the provision of certain prescription medications to a foster child.), As Introduced No significant fiscal implication to the State is anticipated. The bill would limit to four the number of medications prescribed to a foster child to be taken concurrently except in the case of an emergency or unless the decision to prescribe more than four medications is reviewed and approved by an independent physician provided by the managed care organization (MCO) providing health care services under the STAR Health program. It is assumed that the cost to modify claims processing and prior authorization systems to enforce the prescription limit and process related prior authorization transactions would not be significant. Any cost to the MCO to provide independent review and approval is also assumed to be insignificant. The potential fiscal impact on drug utilization or utilization of other acute care health services cannot be determined, but is assumed to not be significant. The bill would also require the Department of Family and Protective Services to maintain a record of all medications prescribed for a child in the conservatorship of the department. Any additional workload associated with this requirement is assumed not to be significant. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission, 530 Family and Protective Services, Department of LBB Staff: JOB, CL, LR, MB, NB, NM
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION
April 11, 2011
TO: Honorable Richard Pena Raymond, Chair, House Committee on Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB3531 by Strama (Relating to the provision of certain prescription medications to a foster child.), As Introduced
TO: Honorable Richard Pena Raymond, Chair, House Committee on Human Services
FROM: John S O'Brien, Director, Legislative Budget Board
IN RE: HB3531 by Strama (Relating to the provision of certain prescription medications to a foster child.), 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
HB3531 by Strama (Relating to the provision of certain prescription medications to a foster child.), As Introduced
HB3531 by Strama (Relating to the provision of certain prescription medications to a foster child.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would limit to four the number of medications prescribed to a foster child to be taken concurrently except in the case of an emergency or unless the decision to prescribe more than four medications is reviewed and approved by an independent physician provided by the managed care organization (MCO) providing health care services under the STAR Health program. It is assumed that the cost to modify claims processing and prior authorization systems to enforce the prescription limit and process related prior authorization transactions would not be significant. Any cost to the MCO to provide independent review and approval is also assumed to be insignificant. The potential fiscal impact on drug utilization or utilization of other acute care health services cannot be determined, but is assumed to not be significant. The bill would also require the Department of Family and Protective Services to maintain a record of all medications prescribed for a child in the conservatorship of the department. Any additional workload associated with this requirement is assumed not to be significant.
The bill would limit to four the number of medications prescribed to a foster child to be taken concurrently except in the case of an emergency or unless the decision to prescribe more than four medications is reviewed and approved by an independent physician provided by the managed care organization (MCO) providing health care services under the STAR Health program. It is assumed that the cost to modify claims processing and prior authorization systems to enforce the prescription limit and process related prior authorization transactions would not be significant. Any cost to the MCO to provide independent review and approval is also assumed to be insignificant. The potential fiscal impact on drug utilization or utilization of other acute care health services cannot be determined, but is assumed to not be significant.
The bill would also require the Department of Family and Protective Services to maintain a record of all medications prescribed for a child in the conservatorship of the department. Any additional workload associated with this requirement is assumed not to be significant.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 529 Health and Human Services Commission, 530 Family and Protective Services, Department of
529 Health and Human Services Commission, 530 Family and Protective Services, Department of
LBB Staff: JOB, CL, LR, MB, NB, NM
JOB, CL, LR, MB, NB, NM