LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 17, 2015 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1471 by Watson (Relating to the use of home telemonitoring services under the Medicaid program.), As Introduced No significant fiscal implication to the State is anticipated. The bill requires the Health and Human Services Commission (HHSC) to determine what conditions qualify for telemonitoring services based on cost-effectiveness and feasibility, rather than reimbursing only for conditions listed in statute. HHSC may conduct pilot projects to collect evidence regarding the effectiveness of using home telemonitoring services to monitor certain conditions. In addition, the bill extends home telemonitoring medical reimbursement through 2021. HHSC indicates it already uses evidence-based research to determine conditions which can be managed through telemonitoring and will continue to do so, and therefore the primary impact of this bill is to extend the existing benefit. HHSC must amend contracts to change the expiration date of the home telemonitoring benefit from September 1, 2015 to September 1, 2021. 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, JQ, LR, NB, JJ LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 17, 2015 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1471 by Watson (Relating to the use of home telemonitoring services under the Medicaid program.), As Introduced TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE: SB1471 by Watson (Relating to the use of home telemonitoring services under the Medicaid program.), As Introduced Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board SB1471 by Watson (Relating to the use of home telemonitoring services under the Medicaid program.), As Introduced SB1471 by Watson (Relating to the use of home telemonitoring services under the Medicaid program.), As Introduced 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 determine what conditions qualify for telemonitoring services based on cost-effectiveness and feasibility, rather than reimbursing only for conditions listed in statute. HHSC may conduct pilot projects to collect evidence regarding the effectiveness of using home telemonitoring services to monitor certain conditions. In addition, the bill extends home telemonitoring medical reimbursement through 2021. HHSC indicates it already uses evidence-based research to determine conditions which can be managed through telemonitoring and will continue to do so, and therefore the primary impact of this bill is to extend the existing benefit. HHSC must amend contracts to change the expiration date of the home telemonitoring benefit from September 1, 2015 to September 1, 2021. 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, JQ, LR, NB, JJ UP, JQ, LR, NB, JJ