LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 16, 2013 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2217 by Bonnen, Greg (Relating to the provision of a cranial molding orthosis under the medical assistance and child health plan programs.), As Introduced The fiscal implications of the bill cannot be determined at this time, but are expected to have a significant negative impact to General Revenue Funds based on the number of children who could potentially qualify for the expanded Medicaid benefit and the cost for each child. The bill would expand the conditions under which a cranial molding orthosis is a covered benefit in Medicaid and the Children's Health Insurance Program (CHIP). The bill would be effective immediately if it receives a vote of two-thirds of all members elected to each house; otherwise, the bill would be effective September 1, 2013. The incidence of the conditions described in the bill among the Medicaid and CHIP population is not known. It is also not known how many children meeting the conditions would see a doctor who would prescribe the cranial molding orthosis. An average of more than 200,000 infants are covered through the Medicaid and CHIP programs; the unduplicated number of children aged three to 18 months covered each year would be higher. The Health and Human Services Commission (HHSC) estimates a cost per orthosis of approximately $2,700. The cost to provide 1,000 orthoses would be $2.7 million in All Funds, including $1.1 million in General Revenue Funds. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission LBB Staff: UP, CL, MB, LR, NB
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION
April 16, 2013
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2217 by Bonnen, Greg (Relating to the provision of a cranial molding orthosis under the medical assistance and child health plan programs.), As Introduced
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: HB2217 by Bonnen, Greg (Relating to the provision of a cranial molding orthosis under the medical assistance and child health plan programs.), 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
HB2217 by Bonnen, Greg (Relating to the provision of a cranial molding orthosis under the medical assistance and child health plan programs.), As Introduced
HB2217 by Bonnen, Greg (Relating to the provision of a cranial molding orthosis under the medical assistance and child health plan programs.), As Introduced
The fiscal implications of the bill cannot be determined at this time, but are expected to have a significant negative impact to General Revenue Funds based on the number of children who could potentially qualify for the expanded Medicaid benefit and the cost for each child.
The fiscal implications of the bill cannot be determined at this time, but are expected to have a significant negative impact to General Revenue Funds based on the number of children who could potentially qualify for the expanded Medicaid benefit and the cost for each child.
The bill would expand the conditions under which a cranial molding orthosis is a covered benefit in Medicaid and the Children's Health Insurance Program (CHIP). The bill would be effective immediately if it receives a vote of two-thirds of all members elected to each house; otherwise, the bill would be effective September 1, 2013. The incidence of the conditions described in the bill among the Medicaid and CHIP population is not known. It is also not known how many children meeting the conditions would see a doctor who would prescribe the cranial molding orthosis. An average of more than 200,000 infants are covered through the Medicaid and CHIP programs; the unduplicated number of children aged three to 18 months covered each year would be higher. The Health and Human Services Commission (HHSC) estimates a cost per orthosis of approximately $2,700. The cost to provide 1,000 orthoses would be $2.7 million in All Funds, including $1.1 million in General Revenue Funds.
The bill would expand the conditions under which a cranial molding orthosis is a covered benefit in Medicaid and the Children's Health Insurance Program (CHIP). The bill would be effective immediately if it receives a vote of two-thirds of all members elected to each house; otherwise, the bill would be effective September 1, 2013.
The incidence of the conditions described in the bill among the Medicaid and CHIP population is not known. It is also not known how many children meeting the conditions would see a doctor who would prescribe the cranial molding orthosis. An average of more than 200,000 infants are covered through the Medicaid and CHIP programs; the unduplicated number of children aged three to 18 months covered each year would be higher. The Health and Human Services Commission (HHSC) estimates a cost per orthosis of approximately $2,700. The cost to provide 1,000 orthoses would be $2.7 million in All Funds, including $1.1 million in General Revenue Funds.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 529 Health and Human Services Commission
529 Health and Human Services Commission
LBB Staff: UP, CL, MB, LR, NB
UP, CL, MB, LR, NB