LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION March 18, 2013 TO: Honorable John T. Smithee, Chair, House Committee On Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB459 by Guillen (Relating to the creation of a navigator program as described by the Patient Protection and Affordable Care Act.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Insurance Code relating to the creation of a navigator program as described by the Patient Protection and Affordable Care Act. The bill would require the Texas Department of Insurance (TDI) to establish a navigator program as described by the Patient Protection and Affordable Care Act. The bill would also require TDI to adopt rules governing the certification and training of navigators, as well as providing training to navigators. The bill would allow TDI to charge a reasonable fee for training services offered by the agency, but would exempt certain nonprofit and tax-exempt organizations from those fees. Based on information provided by the Texas Department of Insurance and the Health and Human Services Commission, it is assumed that all duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:454 Department of Insurance, 529 Health and Human Services Commission LBB Staff: UP, AG, ER LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION March 18, 2013 TO: Honorable John T. Smithee, Chair, House Committee On Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB459 by Guillen (Relating to the creation of a navigator program as described by the Patient Protection and Affordable Care Act.), As Introduced TO: Honorable John T. Smithee, Chair, House Committee On Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB459 by Guillen (Relating to the creation of a navigator program as described by the Patient Protection and Affordable Care Act.), 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 HB459 by Guillen (Relating to the creation of a navigator program as described by the Patient Protection and Affordable Care Act.), As Introduced HB459 by Guillen (Relating to the creation of a navigator program as described by the Patient Protection and Affordable Care Act.), 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 navigator program as described by the Patient Protection and Affordable Care Act. The bill would require the Texas Department of Insurance (TDI) to establish a navigator program as described by the Patient Protection and Affordable Care Act. The bill would also require TDI to adopt rules governing the certification and training of navigators, as well as providing training to navigators. The bill would allow TDI to charge a reasonable fee for training services offered by the agency, but would exempt certain nonprofit and tax-exempt organizations from those fees. Based on information provided by the Texas Department of Insurance and the Health and Human Services Commission, it is assumed that all duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. The bill would amend the Insurance Code relating to the creation of a navigator program as described by the Patient Protection and Affordable Care Act. The bill would require the Texas Department of Insurance (TDI) to establish a navigator program as described by the Patient Protection and Affordable Care Act. The bill would also require TDI to adopt rules governing the certification and training of navigators, as well as providing training to navigators. The bill would allow TDI to charge a reasonable fee for training services offered by the agency, but would exempt certain nonprofit and tax-exempt organizations from those fees. Based on information provided by the Texas Department of Insurance and the Health and Human Services Commission, it is assumed that all duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 454 Department of Insurance, 529 Health and Human Services Commission 454 Department of Insurance, 529 Health and Human Services Commission LBB Staff: UP, AG, ER UP, AG, ER