LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION March 17, 2015 TO: Honorable John T. Smithee, Chair, House Committee on Judiciary & Civil Jurisprudence FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1433 by Smithee (Relating to prompt payment of health care claims, including payment for immunizations, vaccines, and serums.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB1433, As Introduced: a negative impact of ($65,600,000) through the biennium ending August 31, 2017. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION March 17, 2015 TO: Honorable John T. Smithee, Chair, House Committee on Judiciary & Civil Jurisprudence FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1433 by Smithee (Relating to prompt payment of health care claims, including payment for immunizations, vaccines, and serums.), As Introduced TO: Honorable John T. Smithee, Chair, House Committee on Judiciary & Civil Jurisprudence FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB1433 by Smithee (Relating to prompt payment of health care claims, including payment for immunizations, vaccines, and serums.), As Introduced Honorable John T. Smithee, Chair, House Committee on Judiciary & Civil Jurisprudence Honorable John T. Smithee, Chair, House Committee on Judiciary & Civil Jurisprudence Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board HB1433 by Smithee (Relating to prompt payment of health care claims, including payment for immunizations, vaccines, and serums.), As Introduced HB1433 by Smithee (Relating to prompt payment of health care claims, including payment for immunizations, vaccines, and serums.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB1433, As Introduced: a negative impact of ($65,600,000) through the biennium ending August 31, 2017. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. Estimated Two-year Net Impact to General Revenue Related Funds for HB1433, As Introduced: a negative impact of ($65,600,000) through the biennium ending August 31, 2017. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. General Revenue-Related Funds, Five-Year Impact: Fiscal Year Probable Net Positive/(Negative) Impact to General Revenue Related Funds 2016 ($32,800,000) 2017 ($32,800,000) 2018 ($32,800,000) 2019 ($32,800,000) 2020 ($32,800,000) 2016 ($32,800,000) 2017 ($32,800,000) 2018 ($32,800,000) 2019 ($32,800,000) 2020 ($32,800,000) All Funds, Five-Year Impact: Fiscal Year Probable Revenue Gain/(Loss) fromGeneral Revenue Fund1 2016 ($32,800,000) 2017 ($32,800,000) 2018 ($32,800,000) 2019 ($32,800,000) 2020 ($32,800,000) Fiscal Year Probable Revenue Gain/(Loss) fromGeneral Revenue Fund1 2016 ($32,800,000) 2017 ($32,800,000) 2018 ($32,800,000) 2019 ($32,800,000) 2020 ($32,800,000) 2016 ($32,800,000) 2017 ($32,800,000) 2018 ($32,800,000) 2019 ($32,800,000) 2020 ($32,800,000) Fiscal Analysis The bill would amend the Insurance Code and the Civil Practice and Remedies Code relating to prompt payment of health care claims, including payment for immunizations, vaccines, and serums. The bill would repeal Sections 843.342(m) and 1301.137(l) of the Insurance Code, to remove requirements that portions of certain penalties imposed upon health maintenance organizations and health insurers be paid to the Texas Health Insurance Risk Pool. This bill would take effect September 1, 2015. The bill would amend the Insurance Code and the Civil Practice and Remedies Code relating to prompt payment of health care claims, including payment for immunizations, vaccines, and serums. The bill would repeal Sections 843.342(m) and 1301.137(l) of the Insurance Code, to remove requirements that portions of certain penalties imposed upon health maintenance organizations and health insurers be paid to the Texas Health Insurance Risk Pool. This bill would take effect September 1, 2015. Methodology Based on information provided by the Texas Department of Insurance and the Comptroller of Public Accounts (CPA), revenues collected under Section 843.342(m) and 1301.137(l) of the Insurance Code has varied from a low of $7.0 million in fiscal year 2011 to a high of $41.0 million in fiscal year 2013. This penalty revenue is currently collected by the Texas Health Insurance Pool and transferred to the credit of General Revenue Fund 1. The CPA estimates a loss to General Revenue Fund 1 of $32.8 million each year based on the CPA's 2016-17 Biennial Revenue Estimate. Based on information provided by the Texas Department of Insurance, Teacher Retirement System, Employees Retirement System, Health and Human Services Commission, Texas A&M University System Administration, and University of Texas System Administration, it is assumed that all duties and responsibilities necessary to implement the provisions of the bill could be accomplished within existing staff and resources. Based on information provided by the Texas Department of Insurance, Teacher Retirement System, Employees Retirement System, Health and Human Services Commission, Texas A&M University System Administration, and University of Texas System Administration, it is assumed that all duties and responsibilities necessary to implement the provisions of the bill could be accomplished within existing staff and resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 304 Comptroller of Public Accounts, 323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration 304 Comptroller of Public Accounts, 323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: UP, FR, NV, ER, NHe, EMo, ED UP, FR, NV, ER, NHe, EMo, ED