LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 8, 2013 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1605 by Davis, Sarah (Relating to the establishment of a pilot program in Harris County to provide maternity care management to certain women enrolled in the Medicaid managed care program.), As Introduced No significant fiscal implication to the State is anticipated. The bill adds Section 531.0996, Government Code, which would require the Health and Human Services Commission (HHSC) to develop and implement a pilot program in Harris County to create pregnancy medical homes for women enrolled in Medicaid managed care under Chapter 533, Government Code. Each pregnancy medical home created would be required to provide a maternity management team and the bill authorizes HHSC to incorporate financial incentives to providers participating in the maternity management teams. HHSC would be required to report to the legislature on the progress of the pilot no later than January 1, 2015. Section 531.0996, Government Code, as added by the bill would expire September 1, 2017. According to HHSC, any costs related to systems modifications, contract amendments, adoption of rules, evaluation of the pilot program, and reporting are not expected to have a significant fiscal impact and any costs can be absorbed within the existing resources of the agency. It is assumed that any costs related to provider reimbursement and incentive payments would be offset by savings from improved birth outcomes; however, discretion for setting these payment rates would be with HHSC and expenditures could exceed savings since the bill does not include a requirement for cost-effectiveness. The fiscal impact would be further affected by the number of providers and women participating and the effectiveness of the pilot program, none of which can be determined at this time. Local Government Impact Because the bill 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:529 Health and Human Services Commission LBB Staff: UP, CL, LR, NB
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION
April 8, 2013
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1605 by Davis, Sarah (Relating to the establishment of a pilot program in Harris County to provide maternity care management to certain women enrolled in the Medicaid managed care program.), As Introduced
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: HB1605 by Davis, Sarah (Relating to the establishment of a pilot program in Harris County to provide maternity care management to certain women enrolled in the Medicaid managed care program.), As Introduced
Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
Ursula Parks, Director, Legislative Budget Board
Ursula Parks, Director, Legislative Budget Board
HB1605 by Davis, Sarah (Relating to the establishment of a pilot program in Harris County to provide maternity care management to certain women enrolled in the Medicaid managed care program.), As Introduced
HB1605 by Davis, Sarah (Relating to the establishment of a pilot program in Harris County to provide maternity care management to certain women enrolled in the Medicaid managed care program.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill adds Section 531.0996, Government Code, which would require the Health and Human Services Commission (HHSC) to develop and implement a pilot program in Harris County to create pregnancy medical homes for women enrolled in Medicaid managed care under Chapter 533, Government Code. Each pregnancy medical home created would be required to provide a maternity management team and the bill authorizes HHSC to incorporate financial incentives to providers participating in the maternity management teams. HHSC would be required to report to the legislature on the progress of the pilot no later than January 1, 2015. Section 531.0996, Government Code, as added by the bill would expire September 1, 2017. According to HHSC, any costs related to systems modifications, contract amendments, adoption of rules, evaluation of the pilot program, and reporting are not expected to have a significant fiscal impact and any costs can be absorbed within the existing resources of the agency. It is assumed that any costs related to provider reimbursement and incentive payments would be offset by savings from improved birth outcomes; however, discretion for setting these payment rates would be with HHSC and expenditures could exceed savings since the bill does not include a requirement for cost-effectiveness. The fiscal impact would be further affected by the number of providers and women participating and the effectiveness of the pilot program, none of which can be determined at this time.
The bill adds Section 531.0996, Government Code, which would require the Health and Human Services Commission (HHSC) to develop and implement a pilot program in Harris County to create pregnancy medical homes for women enrolled in Medicaid managed care under Chapter 533, Government Code. Each pregnancy medical home created would be required to provide a maternity management team and the bill authorizes HHSC to incorporate financial incentives to providers participating in the maternity management teams. HHSC would be required to report to the legislature on the progress of the pilot no later than January 1, 2015. Section 531.0996, Government Code, as added by the bill would expire September 1, 2017.
According to HHSC, any costs related to systems modifications, contract amendments, adoption of rules, evaluation of the pilot program, and reporting are not expected to have a significant fiscal impact and any costs can be absorbed within the existing resources of the agency. It is assumed that any costs related to provider reimbursement and incentive payments would be offset by savings from improved birth outcomes; however, discretion for setting these payment rates would be with HHSC and expenditures could exceed savings since the bill does not include a requirement for cost-effectiveness. The fiscal impact would be further affected by the number of providers and women participating and the effectiveness of the pilot program, none of which can be determined at this time.
Local Government Impact
Because the bill 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: 529 Health and Human Services Commission
529 Health and Human Services Commission
LBB Staff: UP, CL, LR, NB
UP, CL, LR, NB