LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 8, 2013 TO: Honorable John T. Smithee, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2530 by Guerra (Relating to certain fees charged for adjudication of claims under health benefit plans.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Insurance Code relating to certain fees charged for adjudication of claims under health benefit plans. The bill would prohibit a third-party administrator or pharmacy benefit manager acting on behalf of certain health benefit plans to charge a health care professional, a health care facility, or a person enrolled in a health benefit plan for the adjudication of a claim. Based on information provided by the Texas Department of Insurance and Texas A&M University System Administration, it is assumed that all duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing staff and resources. Based on information provided by the Teacher Retirement System and the University of Texas System Administration, the bill would have no fiscal impact to the agencies. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:323 Teacher Retirement System, 454 Department of Insurance, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: UP, AG, ER, JW LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 8, 2013 TO: Honorable John T. Smithee, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2530 by Guerra (Relating to certain fees charged for adjudication of claims under health benefit plans.), As Introduced TO: Honorable John T. Smithee, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB2530 by Guerra (Relating to certain fees charged for adjudication of claims under health benefit plans.), 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 HB2530 by Guerra (Relating to certain fees charged for adjudication of claims under health benefit plans.), As Introduced HB2530 by Guerra (Relating to certain fees charged for adjudication of claims under health benefit plans.), 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 certain fees charged for adjudication of claims under health benefit plans. The bill would prohibit a third-party administrator or pharmacy benefit manager acting on behalf of certain health benefit plans to charge a health care professional, a health care facility, or a person enrolled in a health benefit plan for the adjudication of a claim. Based on information provided by the Texas Department of Insurance and Texas A&M University System Administration, it is assumed that all duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing staff and resources. Based on information provided by the Teacher Retirement System and the University of Texas System Administration, the bill would have no fiscal impact to the agencies. The bill would amend the Insurance Code relating to certain fees charged for adjudication of claims under health benefit plans. The bill would prohibit a third-party administrator or pharmacy benefit manager acting on behalf of certain health benefit plans to charge a health care professional, a health care facility, or a person enrolled in a health benefit plan for the adjudication of a claim. Based on information provided by the Texas Department of Insurance and Texas A&M University System Administration, it is assumed that all duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing staff and resources. Based on information provided by the Teacher Retirement System and the University of Texas System Administration, the bill would have no fiscal impact to the agencies. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 323 Teacher Retirement System, 454 Department of Insurance, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration 323 Teacher Retirement System, 454 Department of Insurance, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: UP, AG, ER, JW UP, AG, ER, JW