LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 7, 2015 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1475 by Garcia (Relating to establishing an enhanced Medicaid managed care consumer support system.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for SB1475, As Introduced: a negative impact of ($5,093,553) through the biennium ending August 31, 2017. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION
April 7, 2015
TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1475 by Garcia (Relating to establishing an enhanced Medicaid managed care consumer support system.), As Introduced
TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: SB1475 by Garcia (Relating to establishing an enhanced Medicaid managed care consumer support system.), 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
SB1475 by Garcia (Relating to establishing an enhanced Medicaid managed care consumer support system.), As Introduced
SB1475 by Garcia (Relating to establishing an enhanced Medicaid managed care consumer support system.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for SB1475, As Introduced: a negative impact of ($5,093,553) through the biennium ending August 31, 2017. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
Estimated Two-year Net Impact to General Revenue Related Funds for SB1475, As Introduced: a negative impact of ($5,093,553) through the biennium ending August 31, 2017.
The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
General Revenue-Related Funds, Five-Year Impact: Fiscal Year Probable Net Positive/(Negative) Impact to General Revenue Related Funds 2016 ($2,557,079) 2017 ($2,536,474) 2018 ($2,536,474) 2019 ($2,536,474) 2020 ($2,536,474)
2016 ($2,557,079)
2017 ($2,536,474)
2018 ($2,536,474)
2019 ($2,536,474)
2020 ($2,536,474)
All Funds, Five-Year Impact: Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 Probable (Cost) fromFederal Funds555 Change in Number of State Employees from FY 2015 2016 ($2,557,079) ($2,557,080) 6.1 2017 ($2,536,474) ($2,536,474) 6.1 2018 ($2,536,474) ($2,536,474) 6.1 2019 ($2,536,474) ($2,536,474) 6.1 2020 ($2,536,474) ($2,536,474) 6.1
Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 Probable (Cost) fromFederal Funds555 Change in Number of State Employees from FY 2015 2016 ($2,557,079) ($2,557,080) 6.1 2017 ($2,536,474) ($2,536,474) 6.1 2018 ($2,536,474) ($2,536,474) 6.1 2019 ($2,536,474) ($2,536,474) 6.1 2020 ($2,536,474) ($2,536,474) 6.1
2016 ($2,557,079) ($2,557,080) 6.1
2017 ($2,536,474) ($2,536,474) 6.1
2018 ($2,536,474) ($2,536,474) 6.1
2019 ($2,536,474) ($2,536,474) 6.1
2020 ($2,536,474) ($2,536,474) 6.1
Fiscal Analysis
The bill would require the Health and Human Services Commission (HHSC) to establish an enhanced Medicaid managed care consumer support system no later than January 1, 2016. The bill would direct HHSC to request any federal waiver or authorization necessary to implement the provisions of the bill and authorizes the agency to delay implementation of any provision until such waiver or authorization is granted. The bill would take effect immediately if a two-thirds majority vote in both houses of the Legislature is received. Otherwise, the bill would take effect on September 1, 2015.
Methodology
According to HHSC, 6.1 full time-equivalents (FTEs) would be needed to implement the Medicaid managed care consumer support system at a cost of $629,159 in fiscal year 2016 and $587,948 in fiscal years 2017 through 2020. Additionally, HHSC estimates 65 contracted community partners (five in each of the 13 Medicaid managed care service areas) would be required to provide the regional network at a cost of $69,000 per partner, or $4,485,000 annually.
Technology
There would be technology costs related to the new FTEs of $20,520 in fiscal year 2016, and $16,964 in fiscal year 2017 and each subsequent year.
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, WP, LR, CH
UP, NB, WP, LR, CH