LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION May 13, 2015 TO: Honorable Larry Taylor, Chair, Senate Committee on Education FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1878 by Laubenberg (Relating to the provision of telemedicine medical services in a school-based setting, including the reimbursement of providers under the Medicaid program for those services.), As Engrossed No significant fiscal implication to the State is anticipated. This bill would require telemedicine services in primary or secondary school-based setting to be a payable Medicaid benefit. However, telemedicine services are currently payable benefits in a school setting. The Health and Human Services Commission (HHSC) assumes physician nonpayment for telemedicine services under Medicaid managed care to be a rare occurrence, and indicates any costs associated with the bill could be absorbed within the agency's existing resources. The Texas Education Agency also anticipates no significant fiscal impact to the state. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission, 701 Central Education Agency LBB Staff: UP, JBi, JJ, JQ, NB, LR LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION May 13, 2015 TO: Honorable Larry Taylor, Chair, Senate Committee on Education FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1878 by Laubenberg (Relating to the provision of telemedicine medical services in a school-based setting, including the reimbursement of providers under the Medicaid program for those services.), As Engrossed TO: Honorable Larry Taylor, Chair, Senate Committee on Education FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB1878 by Laubenberg (Relating to the provision of telemedicine medical services in a school-based setting, including the reimbursement of providers under the Medicaid program for those services.), As Engrossed Honorable Larry Taylor, Chair, Senate Committee on Education Honorable Larry Taylor, Chair, Senate Committee on Education Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board HB1878 by Laubenberg (Relating to the provision of telemedicine medical services in a school-based setting, including the reimbursement of providers under the Medicaid program for those services.), As Engrossed HB1878 by Laubenberg (Relating to the provision of telemedicine medical services in a school-based setting, including the reimbursement of providers under the Medicaid program for those services.), As Engrossed No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. This bill would require telemedicine services in primary or secondary school-based setting to be a payable Medicaid benefit. However, telemedicine services are currently payable benefits in a school setting. The Health and Human Services Commission (HHSC) assumes physician nonpayment for telemedicine services under Medicaid managed care to be a rare occurrence, and indicates any costs associated with the bill could be absorbed within the agency's existing resources. The Texas Education Agency also anticipates no significant fiscal impact to the state. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 529 Health and Human Services Commission, 701 Central Education Agency 529 Health and Human Services Commission, 701 Central Education Agency LBB Staff: UP, JBi, JJ, JQ, NB, LR UP, JBi, JJ, JQ, NB, LR