LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 18, 2017 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1629 by Coleman (Relating to the development of a quality-based outcome measure for the child health plan program and Medicaid regarding certain persons with HIV.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. The bill would require coordination between the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) to develop and implement a quality-based outcome measure for Medicaid and Children's Health Insurance Program (CHIP) recipients related to HIV infection. HHSC would be required to include the quality-based outcome measure data in the annual report required by Government Code §536.008 and would be permitted to include the data in other reports required by Chapter 536 of Government Code. HHSC would be required to determine the appropriateness of including the quality-based outcome measure in the quality-based payment and payment systems. The bill would take effect immediately upon a two-thirds vote from all members of each house or, if such a vote is not received, on September 1, 2017.Based on the analysis provided by HHSC and DSHS, the provisions of the bill can be implemented within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: UP, KCA, LR, RGU LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 18, 2017 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1629 by Coleman (Relating to the development of a quality-based outcome measure for the child health plan program and Medicaid regarding certain persons with HIV.), Committee Report 2nd House, Substituted TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB1629 by Coleman (Relating to the development of a quality-based outcome measure for the child health plan program and Medicaid regarding certain persons with HIV.), Committee Report 2nd House, Substituted 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 HB1629 by Coleman (Relating to the development of a quality-based outcome measure for the child health plan program and Medicaid regarding certain persons with HIV.), Committee Report 2nd House, Substituted HB1629 by Coleman (Relating to the development of a quality-based outcome measure for the child health plan program and Medicaid regarding certain persons with HIV.), 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 require coordination between the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) to develop and implement a quality-based outcome measure for Medicaid and Children's Health Insurance Program (CHIP) recipients related to HIV infection. HHSC would be required to include the quality-based outcome measure data in the annual report required by Government Code §536.008 and would be permitted to include the data in other reports required by Chapter 536 of Government Code. HHSC would be required to determine the appropriateness of including the quality-based outcome measure in the quality-based payment and payment systems. The bill would take effect immediately upon a two-thirds vote from all members of each house or, if such a vote is not received, on September 1, 2017.Based on the analysis provided by HHSC and DSHS, the provisions of the bill can be implemented within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 529 Health and Human Services Commission, 537 State Health Services, Department of 529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: UP, KCA, LR, RGU UP, KCA, LR, RGU