LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION May 24, 2011 TO: Honorable David Dewhurst, Lieutenant Governor, Senate FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB303 by Nichols (Relating to health care services provided or paid by a hospital district. ), As Passed 2nd House No fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code to authorize a hospital district to recover costs of services paid by the hospital district if the health care services were obtained fraudulently by a person disqualified for services under the Indigent Health Care and Treatment Act. The bill would authorize a district to file a lien on a tort cause of action or claim of an eligible resident after the hospital district pays the providing hospital for the actual cost of service. The lien would not attach to a workers compensation law, the Federal Employees Liability Act, or the Federal Longshore and Harbor Workers Compensation Act. In order to secure a lien, a hospital district would be required to file written notice of the lien with the county clerk of the county in which the services were provided. The county clerk would be required to index the record in the name of the injured individual. Local Government Impact The fiscal impact of these provisions would vary by hospital district depending on how often fraud occurs, whether the hospital district seeks to recover costs, whether the hospital district is successful in recovering/collecting those costs, and what costs the hospital district may experience in taking legal action through a civil lawsuit. The bill would also amend the Health and Safety Code to modify Tarrant County Hospital District's authority regarding employment of physicians. Because this provision would not have statewide impact on units of local government of the same type or class, no comment from this office is required by the rules of the House/Senate as to its probable fiscal implication on units of local government. Source Agencies: LBB Staff: JOB, KKR, KJG, TP
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION
May 24, 2011
TO: Honorable David Dewhurst, Lieutenant Governor, Senate FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB303 by Nichols (Relating to health care services provided or paid by a hospital district. ), As Passed 2nd House
TO: Honorable David Dewhurst, Lieutenant Governor, Senate
FROM: John S O'Brien, Director, Legislative Budget Board
IN RE: SB303 by Nichols (Relating to health care services provided or paid by a hospital district. ), As Passed 2nd House
Honorable David Dewhurst, Lieutenant Governor, Senate
Honorable David Dewhurst, Lieutenant Governor, Senate
John S O'Brien, Director, Legislative Budget Board
John S O'Brien, Director, Legislative Budget Board
SB303 by Nichols (Relating to health care services provided or paid by a hospital district. ), As Passed 2nd House
SB303 by Nichols (Relating to health care services provided or paid by a hospital district. ), As Passed 2nd House
No fiscal implication to the State is anticipated.
No fiscal implication to the State is anticipated.
The bill would amend the Health and Safety Code to authorize a hospital district to recover costs of services paid by the hospital district if the health care services were obtained fraudulently by a person disqualified for services under the Indigent Health Care and Treatment Act. The bill would authorize a district to file a lien on a tort cause of action or claim of an eligible resident after the hospital district pays the providing hospital for the actual cost of service. The lien would not attach to a workers compensation law, the Federal Employees Liability Act, or the Federal Longshore and Harbor Workers Compensation Act. In order to secure a lien, a hospital district would be required to file written notice of the lien with the county clerk of the county in which the services were provided. The county clerk would be required to index the record in the name of the injured individual.
Local Government Impact
The fiscal impact of these provisions would vary by hospital district depending on how often fraud occurs, whether the hospital district seeks to recover costs, whether the hospital district is successful in recovering/collecting those costs, and what costs the hospital district may experience in taking legal action through a civil lawsuit. The bill would also amend the Health and Safety Code to modify Tarrant County Hospital District's authority regarding employment of physicians. Because this provision would not have statewide impact on units of local government of the same type or class, no comment from this office is required by the rules of the House/Senate as to its probable fiscal implication on units of local government.
The fiscal impact of these provisions would vary by hospital district depending on how often fraud occurs, whether the hospital district seeks to recover costs, whether the hospital district is successful in recovering/collecting those costs, and what costs the hospital district may experience in taking legal action through a civil lawsuit.
The bill would also amend the Health and Safety Code to modify Tarrant County Hospital District's authority regarding employment of physicians. Because this provision would not have statewide impact on units of local government of the same type or class, no comment from this office is required by the rules of the House/Senate as to its probable fiscal implication on units of local government.
Source Agencies:
LBB Staff: JOB, KKR, KJG, TP
JOB, KKR, KJG, TP