LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 3, 2013 TO: Honorable Tommy Williams, Chair, Senate Committee on Finance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1808 by Schwertner (Relating to the cost effects of expanding eligibility for medical assistance under the federal Patient Protection and Affordable Care Act.), As Introduced No significant fiscal implication to the State is anticipated. The bill would add Section 32.02473 to Chapter 32 of the Human Resource Code, related to the cost effects of expanding eligibility for medical assistance under the federal Patient Protection and Affordable Care Act (PPACA). The bill would require that if the Health and Human Services Commission (HHSC) expanded medical assistance under the PPACA it would, in cooperation with the Comptroller of Public Accounts (CPA) and the Legislative Budget Board (LBB), conduct a study estimating the cost savings to both the state and hospital districts and the resulting appropriate reduction in hospital district tax rates. HHSC and the LBB would respectively ensure that the cost savings were reflected in subsequent legislative appropriation requests and proposed general appropriations bills. The study would be due on the first anniversary of the effective date of expanded eligibility. It is anticipated that affected agencies would absorb the costs associated with implementing the study directed by the bill within current resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies:304 Comptroller of Public Accounts, 529 Health and Human Services Commission LBB Staff: UP, KK, JTe, NB
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION
April 3, 2013
TO: Honorable Tommy Williams, Chair, Senate Committee on Finance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1808 by Schwertner (Relating to the cost effects of expanding eligibility for medical assistance under the federal Patient Protection and Affordable Care Act.), As Introduced
TO: Honorable Tommy Williams, Chair, Senate Committee on Finance
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: SB1808 by Schwertner (Relating to the cost effects of expanding eligibility for medical assistance under the federal Patient Protection and Affordable Care Act.), As Introduced
Honorable Tommy Williams, Chair, Senate Committee on Finance
Honorable Tommy Williams, Chair, Senate Committee on Finance
Ursula Parks, Director, Legislative Budget Board
Ursula Parks, Director, Legislative Budget Board
SB1808 by Schwertner (Relating to the cost effects of expanding eligibility for medical assistance under the federal Patient Protection and Affordable Care Act.), As Introduced
SB1808 by Schwertner (Relating to the cost effects of expanding eligibility for medical assistance under the federal 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 add Section 32.02473 to Chapter 32 of the Human Resource Code, related to the cost effects of expanding eligibility for medical assistance under the federal Patient Protection and Affordable Care Act (PPACA). The bill would require that if the Health and Human Services Commission (HHSC) expanded medical assistance under the PPACA it would, in cooperation with the Comptroller of Public Accounts (CPA) and the Legislative Budget Board (LBB), conduct a study estimating the cost savings to both the state and hospital districts and the resulting appropriate reduction in hospital district tax rates. HHSC and the LBB would respectively ensure that the cost savings were reflected in subsequent legislative appropriation requests and proposed general appropriations bills. The study would be due on the first anniversary of the effective date of expanded eligibility. It is anticipated that affected agencies would absorb the costs associated with implementing the study directed by the bill within current resources.
The bill would add Section 32.02473 to Chapter 32 of the Human Resource Code, related to the cost effects of expanding eligibility for medical assistance under the federal Patient Protection and Affordable Care Act (PPACA). The bill would require that if the Health and Human Services Commission (HHSC) expanded medical assistance under the PPACA it would, in cooperation with the Comptroller of Public Accounts (CPA) and the Legislative Budget Board (LBB), conduct a study estimating the cost savings to both the state and hospital districts and the resulting appropriate reduction in hospital district tax rates. HHSC and the LBB would respectively ensure that the cost savings were reflected in subsequent legislative appropriation requests and proposed general appropriations bills. The study would be due on the first anniversary of the effective date of expanded eligibility.
It is anticipated that affected agencies would absorb the costs associated with implementing the study directed by the bill within current resources.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.
Source Agencies: 304 Comptroller of Public Accounts, 529 Health and Human Services Commission
304 Comptroller of Public Accounts, 529 Health and Human Services Commission
LBB Staff: UP, KK, JTe, NB
UP, KK, JTe, NB