LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 7, 2015 TO: Honorable John Frullo, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2172 by Smithee (Relating to coverage of telehealth services or telemedicine medical services under health benefit plans.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Insurance Code relating to coverage of telehealth services or telemedicine medical services under health benefit plans. Based on information provided by the Texas Department of Insurance (TDI), the University of Texas System Administration, and Texas A&M University System Administration, it is assumed that all duties and responsibilities necessary to implement the provisions of the bill could be accomplished utilizing existing staff and resources. Also, based on information provided by TDI, this analysis assumes implementation of the bill would result in an increase in filings, which could result in a one-time revenue gain of $39,600 in FY 2016 in General Revenue-Dedicated Texas Department of Insurance Fund 36 (Fund 36) from filing fees. Since Fund 36 is a self-leveling account, this analysis also assumes that any additional revenue resulting from the implementation of the bill would accumulate in account fund balances and TDI would adjust the assessment of the maintenance tax or other fees accordingly in the following year. The bill takes effect September 1, 2015, but applies only to a health benefit plan that is delivered, issued for delivery, or renewed on or after January 1, 2016. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:323 Teacher Retirement System, 454 Department of Insurance, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: UP, AG, ER, NHe, ED LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 7, 2015 TO: Honorable John Frullo, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2172 by Smithee (Relating to coverage of telehealth services or telemedicine medical services under health benefit plans.), As Introduced TO: Honorable John Frullo, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB2172 by Smithee (Relating to coverage of telehealth services or telemedicine medical services under health benefit plans.), As Introduced Honorable John Frullo, Chair, House Committee on Insurance Honorable John Frullo, Chair, House Committee on Insurance Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board HB2172 by Smithee (Relating to coverage of telehealth services or telemedicine medical services under health benefit plans.), As Introduced HB2172 by Smithee (Relating to coverage of telehealth services or telemedicine medical services under health benefit plans.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend the Insurance Code relating to coverage of telehealth services or telemedicine medical services under health benefit plans. Based on information provided by the Texas Department of Insurance (TDI), the University of Texas System Administration, and Texas A&M University System Administration, it is assumed that all duties and responsibilities necessary to implement the provisions of the bill could be accomplished utilizing existing staff and resources. Also, based on information provided by TDI, this analysis assumes implementation of the bill would result in an increase in filings, which could result in a one-time revenue gain of $39,600 in FY 2016 in General Revenue-Dedicated Texas Department of Insurance Fund 36 (Fund 36) from filing fees. Since Fund 36 is a self-leveling account, this analysis also assumes that any additional revenue resulting from the implementation of the bill would accumulate in account fund balances and TDI would adjust the assessment of the maintenance tax or other fees accordingly in the following year. The bill takes effect September 1, 2015, but applies only to a health benefit plan that is delivered, issued for delivery, or renewed on or after January 1, 2016. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 323 Teacher Retirement System, 454 Department of Insurance, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration 323 Teacher Retirement System, 454 Department of Insurance, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: UP, AG, ER, NHe, ED UP, AG, ER, NHe, ED