LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION May 12, 2011 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB3531 by Strama (Relating to a system for monitoring prescriptions of certain drugs under the Medicaid program for children in foster care.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to implement a system to monitor the prescribing of psychotropic drugs for children who are in the conservatorship of the Department of Family and Protective Services and enrolled in the STAR Health Medicaid managed care program. The system would be required to include a medical review of certain prescriptions when appropriate. According to HHSC, no significant fiscal impact is anticipated from implementation of the monitoring system. The potential fiscal impact on drug utilization or utilization of other health care services cannot be determined, but is assumed to not 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 LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION May 12, 2011 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB3531 by Strama (Relating to a system for monitoring prescriptions of certain drugs under the Medicaid program for children in foster care.), Committee Report 2nd House, Substituted TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE: HB3531 by Strama (Relating to a system for monitoring prescriptions of certain drugs under the Medicaid program for children in foster care.), Committee Report 2nd House, Substituted 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 HB3531 by Strama (Relating to a system for monitoring prescriptions of certain drugs under the Medicaid program for children in foster care.), Committee Report 2nd House, Substituted HB3531 by Strama (Relating to a system for monitoring prescriptions of certain drugs under the Medicaid program for children in foster care.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to implement a system to monitor the prescribing of psychotropic drugs for children who are in the conservatorship of the Department of Family and Protective Services and enrolled in the STAR Health Medicaid managed care program. The system would be required to include a medical review of certain prescriptions when appropriate. According to HHSC, no significant fiscal impact is anticipated from implementation of the monitoring system. The potential fiscal impact on drug utilization or utilization of other health care services cannot be determined, but is assumed to not 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 JOB, CL, LR, MB, NB