LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 23, 2013 TO: Honorable Brandon Creighton, Chair, House Committee on Federalism & Fiscal Responsibility, Select FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HJR109 by Laubenberg (Proposing a constitutional amendment authorizing certain payments for health care services and prohibiting requiring participation in a mandatory health care system.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated, other than the cost of publication. The cost to the state for publication of the resolution is $108,921. The constitutional amendment would prohibit the state, an agency of the state, or a health care system (including a health insurer or health benefit plan) from: imposing a fine or penalty on an individual or their employer for direct payment for a health care service; prohibiting or imposing a fine or penalty on a health care provider for billing or accepting direct payment for a health care service; or requiring an individual, employer, or health care provider to participate in a health care system, or fining or penalizing them for failing to participate. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies:454 Department of Insurance, 529 Health and Human Services Commission LBB Staff: UP, SZ, MH, LI, MW, CH LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 23, 2013 TO: Honorable Brandon Creighton, Chair, House Committee on Federalism & Fiscal Responsibility, Select FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HJR109 by Laubenberg (Proposing a constitutional amendment authorizing certain payments for health care services and prohibiting requiring participation in a mandatory health care system.), Committee Report 1st House, Substituted TO: Honorable Brandon Creighton, Chair, House Committee on Federalism & Fiscal Responsibility, Select FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HJR109 by Laubenberg (Proposing a constitutional amendment authorizing certain payments for health care services and prohibiting requiring participation in a mandatory health care system.), Committee Report 1st House, Substituted Honorable Brandon Creighton, Chair, House Committee on Federalism & Fiscal Responsibility, Select Honorable Brandon Creighton, Chair, House Committee on Federalism & Fiscal Responsibility, Select Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board HJR109 by Laubenberg (Proposing a constitutional amendment authorizing certain payments for health care services and prohibiting requiring participation in a mandatory health care system.), Committee Report 1st House, Substituted HJR109 by Laubenberg (Proposing a constitutional amendment authorizing certain payments for health care services and prohibiting requiring participation in a mandatory health care system.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated, other than the cost of publication. The cost to the state for publication of the resolution is $108,921. No significant fiscal implication to the State is anticipated, other than the cost of publication. The cost to the state for publication of the resolution is $108,921. The cost to the state for publication of the resolution is $108,921. The constitutional amendment would prohibit the state, an agency of the state, or a health care system (including a health insurer or health benefit plan) from: imposing a fine or penalty on an individual or their employer for direct payment for a health care service; prohibiting or imposing a fine or penalty on a health care provider for billing or accepting direct payment for a health care service; or requiring an individual, employer, or health care provider to participate in a health care system, or fining or penalizing them for failing to participate. Local Government Impact No significant 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, SZ, MH, LI, MW, CH UP, SZ, MH, LI, MW, CH