LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 2, 2015 TO: Honorable Myra Crownover, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1661 by Guerra (Relating to Medicaid billing for the services of substitute dentists.), As Introduced No significant fiscal implication to the State is anticipated. The bill would require the executive commissioner of the Health and Human Services Commission (HHSC) to adopt rules ensuring the same standards that apply to a physician billing Medicaid for services provided by a substitute physician also apply to a dentist billing Medicaid for services provided by a substitute dentist. The bill would require agencies to seek any necessary federal waiver or authorization and allow the agencies to delay implementation until waiver or authorization is granted. The bill would be effective immediately with a two-thirds vote of all members elected to each house; otherwise, the bill would be effective September 1, 2015.According to HHSC, any cost associated with adopting rules would not be significant and could be absorbed within the available resources of the agency. Any required Medicaid policy changes would be made within the scope of dental managed care contracts and would have no fiscal impact to HHSC. 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, LR, CH
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION
April 2, 2015
TO: Honorable Myra Crownover, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1661 by Guerra (Relating to Medicaid billing for the services of substitute dentists.), As Introduced
TO: Honorable Myra Crownover, Chair, House Committee on Public Health
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: HB1661 by Guerra (Relating to Medicaid billing for the services of substitute dentists.), As Introduced
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
HB1661 by Guerra (Relating to Medicaid billing for the services of substitute dentists.), As Introduced
HB1661 by Guerra (Relating to Medicaid billing for the services of substitute dentists.), 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 executive commissioner of the Health and Human Services Commission (HHSC) to adopt rules ensuring the same standards that apply to a physician billing Medicaid for services provided by a substitute physician also apply to a dentist billing Medicaid for services provided by a substitute dentist. The bill would require agencies to seek any necessary federal waiver or authorization and allow the agencies to delay implementation until waiver or authorization is granted. The bill would be effective immediately with a two-thirds vote of all members elected to each house; otherwise, the bill would be effective September 1, 2015.According to HHSC, any cost associated with adopting rules would not be significant and could be absorbed within the available resources of the agency. Any required Medicaid policy changes would be made within the scope of dental managed care contracts and would have no fiscal impact to HHSC.
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, LR, CH
UP, NB, LR, CH