LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION May 6, 2015 TO: Honorable John Frullo, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB481 by Hancock (Relating to consumer information concerning facility-based physicians and notice and availability of mediation for balance billing by a facility-based physician.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code relating to consumer information concerning facility-based physicians and notice and availability of mediation for balance billing by a facility-based physician.Based on information provided by the State Office of Administrative Hearings, the Texas Department of Insurance, Texas Medical Board, Teacher Retirement System, Employees Retirement System, Texas A&M University System Administration, and the University of Texas 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.Based on information provided by the Texas Department of Insurance (TDI), the bill would result in an average of 3.3 rate filings from 120 issuers. Each insurer pays $100 per filing which would yield a one-time revenue gain of $39,400 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. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:323 Teacher Retirement System, 327 Employees Retirement System, 360 State Office of Administrative Hearings, 454 Department of Insurance, 720 The University of Texas System Administration, 503 Texas Medical Board, 710 Texas A&M University System Administrative and General Offices LBB Staff: UP, ER, AG, CL, NV, ED, EMo, TWh LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION May 6, 2015 TO: Honorable John Frullo, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB481 by Hancock (Relating to consumer information concerning facility-based physicians and notice and availability of mediation for balance billing by a facility-based physician.), Committee Report 2nd House, Substituted TO: Honorable John Frullo, Chair, House Committee on Insurance FROM: Ursula Parks, Director, Legislative Budget Board IN RE: SB481 by Hancock (Relating to consumer information concerning facility-based physicians and notice and availability of mediation for balance billing by a facility-based physician.), Committee Report 2nd House, Substituted 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 SB481 by Hancock (Relating to consumer information concerning facility-based physicians and notice and availability of mediation for balance billing by a facility-based physician.), Committee Report 2nd House, Substituted SB481 by Hancock (Relating to consumer information concerning facility-based physicians and notice and availability of mediation for balance billing by a facility-based physician.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code relating to consumer information concerning facility-based physicians and notice and availability of mediation for balance billing by a facility-based physician.Based on information provided by the State Office of Administrative Hearings, the Texas Department of Insurance, Texas Medical Board, Teacher Retirement System, Employees Retirement System, Texas A&M University System Administration, and the University of Texas 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.Based on information provided by the Texas Department of Insurance (TDI), the bill would result in an average of 3.3 rate filings from 120 issuers. Each insurer pays $100 per filing which would yield a one-time revenue gain of $39,400 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. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 323 Teacher Retirement System, 327 Employees Retirement System, 360 State Office of Administrative Hearings, 454 Department of Insurance, 720 The University of Texas System Administration, 503 Texas Medical Board, 710 Texas A&M University System Administrative and General Offices 323 Teacher Retirement System, 327 Employees Retirement System, 360 State Office of Administrative Hearings, 454 Department of Insurance, 720 The University of Texas System Administration, 503 Texas Medical Board, 710 Texas A&M University System Administrative and General Offices LBB Staff: UP, ER, AG, CL, NV, ED, EMo, TWh UP, ER, AG, CL, NV, ED, EMo, TWh