LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 29, 2013 TO: Honorable Tommy Williams, Chair, Senate Committee on Finance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SJR61 by Schwertner (proposing a constitutional amendment requiring the reduction of amounts paid by Texans to provide health care to the uninsured if Medicaid eligibility is expanded in accordance with the federal Patient Protection and Affordable Care Act; requiring hospital district and county tax rate reductions.), Committee Report 1st House, Substituted No 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 joint resolution proposes a constitutional amendment that would require the legislature to statutorily reduce hospital district and county taxation rates and to reduce uncompensated care appropriations accordingly, contingent upon the receipt of additional federal funds received pursuant to expanding Medicaid eligibility under the Affordable Care Act. The joint resolution specifies that the proposed constitutional amendment would be submitted to voters at an election to be held November 5, 2013. Local Government Impact No 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, MB, AM, MH LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION April 29, 2013 TO: Honorable Tommy Williams, Chair, Senate Committee on Finance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SJR61 by Schwertner (proposing a constitutional amendment requiring the reduction of amounts paid by Texans to provide health care to the uninsured if Medicaid eligibility is expanded in accordance with the federal Patient Protection and Affordable Care Act; requiring hospital district and county tax rate reductions.), Committee Report 1st House, Substituted TO: Honorable Tommy Williams, Chair, Senate Committee on Finance FROM: Ursula Parks, Director, Legislative Budget Board IN RE: SJR61 by Schwertner (proposing a constitutional amendment requiring the reduction of amounts paid by Texans to provide health care to the uninsured if Medicaid eligibility is expanded in accordance with the federal Patient Protection and Affordable Care Act; requiring hospital district and county tax rate reductions.), Committee Report 1st House, Substituted 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 SJR61 by Schwertner (proposing a constitutional amendment requiring the reduction of amounts paid by Texans to provide health care to the uninsured if Medicaid eligibility is expanded in accordance with the federal Patient Protection and Affordable Care Act; requiring hospital district and county tax rate reductions.), Committee Report 1st House, Substituted SJR61 by Schwertner (proposing a constitutional amendment requiring the reduction of amounts paid by Texans to provide health care to the uninsured if Medicaid eligibility is expanded in accordance with the federal Patient Protection and Affordable Care Act; requiring hospital district and county tax rate reductions.), Committee Report 1st House, Substituted No 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 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 joint resolution proposes a constitutional amendment that would require the legislature to statutorily reduce hospital district and county taxation rates and to reduce uncompensated care appropriations accordingly, contingent upon the receipt of additional federal funds received pursuant to expanding Medicaid eligibility under the Affordable Care Act. The joint resolution specifies that the proposed constitutional amendment would be submitted to voters at an election to be held November 5, 2013. The joint resolution proposes a constitutional amendment that would require the legislature to statutorily reduce hospital district and county taxation rates and to reduce uncompensated care appropriations accordingly, contingent upon the receipt of additional federal funds received pursuant to expanding Medicaid eligibility under the Affordable Care Act. The joint resolution specifies that the proposed constitutional amendment would be submitted to voters at an election to be held November 5, 2013. Local Government Impact No 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, MB, AM, MH UP, KK, MB, AM, MH