LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 28, 2015 TO: Honorable John Frullo, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB3986 by Simmons (Relating to coverage by certain health benefit plans for certain services prescribed to treat autism spectrum disorder.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Insurance Code relating to coverage by certain health benefit plans for certain services prescribed to treat autism spectrum disorder.Based on information provided by the Texas Department of Insurance (TDI), the bill could result in 200 additional filings. The fee for each additional filing is $100, which would result in a one-time revenue gain $20,000 to be deposited to General Revenue-Dedicated Texas Department of Insurance Fund 36 (Fund 36). 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 that TDI would adjust the assessment of the maintenance tax or other fees accordingly in the following year.Additionally, based on information provided by TDI, Teacher Retirement System, Employees Retirement System, Texas A&M University System Administration, and UT System Administration, it is assumed that all duties and responsibilities necessary to implement the provisions of the bill could be accomplished within existing resources. Local Government Impact According to the Teacher Retirement System, the provisions of the bill could result in a cost of$7.0 million annually for the TRS-ActiveCare program, a health benefit plan available to employees of public school districts and charter schools. Increased program costs would be passed along through plan design changes or increased premiums paid by school districts or participating employees. The level of increase may vary by the employee's plan choice within TRS-ActiveCare. Source Agencies:323 Teacher Retirement System, 327 Employees 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 LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 28, 2015 TO: Honorable John Frullo, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB3986 by Simmons (Relating to coverage by certain health benefit plans for certain services prescribed to treat autism spectrum disorder.), As Introduced TO: Honorable John Frullo, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB3986 by Simmons (Relating to coverage by certain health benefit plans for certain services prescribed to treat autism spectrum disorder.), 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 HB3986 by Simmons (Relating to coverage by certain health benefit plans for certain services prescribed to treat autism spectrum disorder.), As Introduced HB3986 by Simmons (Relating to coverage by certain health benefit plans for certain services prescribed to treat autism spectrum disorder.), 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 by certain health benefit plans for certain services prescribed to treat autism spectrum disorder.Based on information provided by the Texas Department of Insurance (TDI), the bill could result in 200 additional filings. The fee for each additional filing is $100, which would result in a one-time revenue gain $20,000 to be deposited to General Revenue-Dedicated Texas Department of Insurance Fund 36 (Fund 36). 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 that TDI would adjust the assessment of the maintenance tax or other fees accordingly in the following year.Additionally, based on information provided by TDI, Teacher Retirement System, Employees Retirement System, Texas A&M University System Administration, and UT System Administration, it is assumed that all duties and responsibilities necessary to implement the provisions of the bill could be accomplished within existing resources. Local Government Impact According to the Teacher Retirement System, the provisions of the bill could result in a cost of$7.0 million annually for the TRS-ActiveCare program, a health benefit plan available to employees of public school districts and charter schools. Increased program costs would be passed along through plan design changes or increased premiums paid by school districts or participating employees. The level of increase may vary by the employee's plan choice within TRS-ActiveCare. Source Agencies: 323 Teacher Retirement System, 327 Employees 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, 327 Employees 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 UP, AG, ER