LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 8, 2011 TO: Honorable John T. Smithee, Chair, House Committee on Insurance FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB438 by Thompson (Relating to health benefit plan coverage for orally administered anticancer medications.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend the Insurance Code relating to health benefit plan coverage for orally administered anticancer medications.Based on the analysis provided by TDI, it is assumed that any costs associated with the implementation of this bill would be absorbed within existing agency resources. Also based on information provided by TDI, this analysis assumes that implementation of the bill would result in a small one-time revenue gain ($3,700 in fiscal year 2012) in General Revenue-Insurance Maintenance Tax and Insurance Department Fees from new filing fees. Since General Revenue Insurance Maintenance Tax and Insurance Department Fees is a self-leveling account, this analysis also assumes that any additional revenue resulting from the implementation of the bill would accumulate in the account fund balances and that the department would adjust the assessment of the maintenance tax or other fees accordingly in the following year.In fiscal years 2014 through 2016, these costs may differ depending on the essential health benefits approved by Health and Human Services per Section 1311 (d) (3) (B) of the Patient Protection and Affordable Care Act of 2010. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:454 Department of Insurance, 323 Teacher Retirement System, 327 Employees Retirement System, 720 The University of Texas System Administration, 710 Texas A&M University System Administrative and General Offices LBB Staff: JOB, KJG, MW, CH, JW LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 8, 2011 TO: Honorable John T. Smithee, Chair, House Committee on Insurance FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB438 by Thompson (Relating to health benefit plan coverage for orally administered anticancer medications.), Committee Report 1st House, Substituted TO: Honorable John T. Smithee, Chair, House Committee on Insurance FROM: John S O'Brien, Director, Legislative Budget Board IN RE: HB438 by Thompson (Relating to health benefit plan coverage for orally administered anticancer medications.), Committee Report 1st House, Substituted Honorable John T. Smithee, Chair, House Committee on Insurance Honorable John T. Smithee, Chair, House Committee on Insurance John S O'Brien, Director, Legislative Budget Board John S O'Brien, Director, Legislative Budget Board HB438 by Thompson (Relating to health benefit plan coverage for orally administered anticancer medications.), Committee Report 1st House, Substituted HB438 by Thompson (Relating to health benefit plan coverage for orally administered anticancer medications.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend the Insurance Code relating to health benefit plan coverage for orally administered anticancer medications.Based on the analysis provided by TDI, it is assumed that any costs associated with the implementation of this bill would be absorbed within existing agency resources. Also based on information provided by TDI, this analysis assumes that implementation of the bill would result in a small one-time revenue gain ($3,700 in fiscal year 2012) in General Revenue-Insurance Maintenance Tax and Insurance Department Fees from new filing fees. Since General Revenue Insurance Maintenance Tax and Insurance Department Fees is a self-leveling account, this analysis also assumes that any additional revenue resulting from the implementation of the bill would accumulate in the account fund balances and that the department would adjust the assessment of the maintenance tax or other fees accordingly in the following year.In fiscal years 2014 through 2016, these costs may differ depending on the essential health benefits approved by Health and Human Services per Section 1311 (d) (3) (B) of the Patient Protection and Affordable Care Act of 2010. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 454 Department of Insurance, 323 Teacher Retirement System, 327 Employees Retirement System, 720 The University of Texas System Administration, 710 Texas A&M University System Administrative and General Offices 454 Department of Insurance, 323 Teacher Retirement System, 327 Employees Retirement System, 720 The University of Texas System Administration, 710 Texas A&M University System Administrative and General Offices LBB Staff: JOB, KJG, MW, CH, JW JOB, KJG, MW, CH, JW