LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 8, 2013 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1150 by Hinojosa (Relating to a provider protection plan that ensures efficiency and reduces administrative burdens on providers participating in a Medicaid managed care model or arrangement.), As Introduced No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to develop and implement a provider protection plan to reduce administrative burdens placed on providers participating in a Medicaid managed care plan and ensure efficiency in provider enrollment and reimbursement. The bill requires HHSC to incorporate the plan into each contract between a managed care organization and HHSC. HHSC would be required to implement the provider protection plan as soon as possible, but not later than September 1, 2014. The bill allows HHSC to seek federal approval if necessary to implement the bill and delay implementation until approval is granted. The bill would be effective September 1, 2013. According to HHSC, costs related to implementing the provisions of this bill would be absorbed within existing resources. 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, LR, NB, MH LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 8, 2013 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1150 by Hinojosa (Relating to a provider protection plan that ensures efficiency and reduces administrative burdens on providers participating in a Medicaid managed care model or arrangement.), As Introduced TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE: SB1150 by Hinojosa (Relating to a provider protection plan that ensures efficiency and reduces administrative burdens on providers participating in a Medicaid managed care model or arrangement.), As Introduced Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board SB1150 by Hinojosa (Relating to a provider protection plan that ensures efficiency and reduces administrative burdens on providers participating in a Medicaid managed care model or arrangement.), As Introduced SB1150 by Hinojosa (Relating to a provider protection plan that ensures efficiency and reduces administrative burdens on providers participating in a Medicaid managed care model or arrangement.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to develop and implement a provider protection plan to reduce administrative burdens placed on providers participating in a Medicaid managed care plan and ensure efficiency in provider enrollment and reimbursement. The bill requires HHSC to incorporate the plan into each contract between a managed care organization and HHSC. HHSC would be required to implement the provider protection plan as soon as possible, but not later than September 1, 2014. The bill allows HHSC to seek federal approval if necessary to implement the bill and delay implementation until approval is granted. The bill would be effective September 1, 2013. According to HHSC, costs related to implementing the provisions of this bill would be absorbed within existing resources. The bill would require the Health and Human Services Commission (HHSC) to develop and implement a provider protection plan to reduce administrative burdens placed on providers participating in a Medicaid managed care plan and ensure efficiency in provider enrollment and reimbursement. The bill requires HHSC to incorporate the plan into each contract between a managed care organization and HHSC. HHSC would be required to implement the provider protection plan as soon as possible, but not later than September 1, 2014. The bill allows HHSC to seek federal approval if necessary to implement the bill and delay implementation until approval is granted. The bill would be effective September 1, 2013. According to HHSC, costs related to implementing the provisions of this bill would be absorbed within existing resources. 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, LR, NB, MH UP, CL, LR, NB, MH