LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 20, 2015 TO: Honorable Myra Crownover, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1623 by Laubenberg (Relating to the reimbursement of providers for the provision of certain home telemonitoring services under Medicaid.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill requires the Health and Human Services Commission (HHSC) to provide home telemonitoring to certain pediatric clients with complex medical needs. It is assumed this is only required if HHSC determines the service is cost effective, as with other conditions listed, and therefore this provision would have no significant fiscal impact. The bill also repeals the expiration date of September 1, 2015 for existing home telemonitoring services. HHSC has authority to stop reimbursing for home telemonitoring services if the agency determines that it is no longer cost effective, therefore it is assumed the services will only continue if cost effective. HHSC indicates that any costs associated with the bill could be absorbed within the agency's 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, NB, JJ, JQ LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 20, 2015 TO: Honorable Myra Crownover, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1623 by Laubenberg (Relating to the reimbursement of providers for the provision of certain home telemonitoring services under Medicaid.), Committee Report 1st House, Substituted TO: Honorable Myra Crownover, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB1623 by Laubenberg (Relating to the reimbursement of providers for the provision of certain home telemonitoring services under Medicaid.), Committee Report 1st House, Substituted Honorable Myra Crownover, Chair, House Committee on Public Health Honorable Myra Crownover, Chair, House Committee on Public Health Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board HB1623 by Laubenberg (Relating to the reimbursement of providers for the provision of certain home telemonitoring services under Medicaid.), Committee Report 1st House, Substituted HB1623 by Laubenberg (Relating to the reimbursement of providers for the provision of certain home telemonitoring services under Medicaid.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill requires the Health and Human Services Commission (HHSC) to provide home telemonitoring to certain pediatric clients with complex medical needs. It is assumed this is only required if HHSC determines the service is cost effective, as with other conditions listed, and therefore this provision would have no significant fiscal impact. The bill also repeals the expiration date of September 1, 2015 for existing home telemonitoring services. HHSC has authority to stop reimbursing for home telemonitoring services if the agency determines that it is no longer cost effective, therefore it is assumed the services will only continue if cost effective. HHSC indicates that any costs associated with the bill could be absorbed within the agency's 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, NB, JJ, JQ UP, NB, JJ, JQ