LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 22, 2013 TO: Honorable John T. Smithee, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1604 by Davis, Sarah (Relating to the creation of a standard request form for preauthorization of medical care or health care services.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Insurance Code relating to the creation of a standard request form for preauthorization of medical care or health care services. The bill would require the Commissioner of Insurance to develop a standard form for requesting preauthorization of medical care or health care services by no later than January 1, 2014. The bill would require the commissioner to appoint and consult with a committee about the technical, operational, and practical aspect of the form. The bill would require that any preauthorization of medical care or health care services be considered granted if the health benefit plan issuer or the agent of the health benefit plan fails to timely respond to a completed form submitted by a requesting provider. The bill would take effect September 1, 2013. Based on information provided by the Texas Department of Insurance, Department of State Health Services, Health and Human Services Commission, Texas A&M University System Administration, it is assumed that any costs associated with implementing the provisions of the bill could be absorbed within existing staff and resources. Based on information provided by University of Texas System Administration, the bill would have no fiscal impact. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 537 State Health Services, Department of, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: UP, AG, ER, LXH, JBi LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 22, 2013 TO: Honorable John T. Smithee, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1604 by Davis, Sarah (Relating to the creation of a standard request form for preauthorization of medical care or health care services.), As Introduced TO: Honorable John T. Smithee, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB1604 by Davis, Sarah (Relating to the creation of a standard request form for preauthorization of medical care or health care services.), As Introduced Honorable John T. Smithee, Chair, House Committee on Insurance Honorable John T. Smithee, Chair, House Committee on Insurance Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board HB1604 by Davis, Sarah (Relating to the creation of a standard request form for preauthorization of medical care or health care services.), As Introduced HB1604 by Davis, Sarah (Relating to the creation of a standard request form for preauthorization of medical care or health care services.), As Introduced 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 the creation of a standard request form for preauthorization of medical care or health care services. The bill would require the Commissioner of Insurance to develop a standard form for requesting preauthorization of medical care or health care services by no later than January 1, 2014. The bill would require the commissioner to appoint and consult with a committee about the technical, operational, and practical aspect of the form. The bill would require that any preauthorization of medical care or health care services be considered granted if the health benefit plan issuer or the agent of the health benefit plan fails to timely respond to a completed form submitted by a requesting provider. The bill would take effect September 1, 2013. Based on information provided by the Texas Department of Insurance, Department of State Health Services, Health and Human Services Commission, Texas A&M University System Administration, it is assumed that any costs associated with implementing the provisions of the bill could be absorbed within existing staff and resources. Based on information provided by University of Texas System Administration, the bill would have no fiscal impact. The bill would amend the Insurance Code relating to the creation of a standard request form for preauthorization of medical care or health care services. The bill would require the Commissioner of Insurance to develop a standard form for requesting preauthorization of medical care or health care services by no later than January 1, 2014. The bill would require the commissioner to appoint and consult with a committee about the technical, operational, and practical aspect of the form. The bill would require that any preauthorization of medical care or health care services be considered granted if the health benefit plan issuer or the agent of the health benefit plan fails to timely respond to a completed form submitted by a requesting provider. The bill would take effect September 1, 2013. Based on information provided by the Texas Department of Insurance, Department of State Health Services, Health and Human Services Commission, Texas A&M University System Administration, it is assumed that any costs associated with implementing the provisions of the bill could be absorbed within existing staff and resources. Based on information provided by University of Texas System Administration, the bill would have no fiscal impact. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 537 State Health Services, Department of, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration 323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 537 State Health Services, Department of, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: UP, AG, ER, LXH, JBi UP, AG, ER, LXH, JBi