LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION April 23, 2017 TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1769 by Muñoz, Jr. (Relating to information sharing among care coordinators and providers participating in the Medicaid managed care program.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Government Code to require managed care organizations under contract with the Health and Human Services Commission (HHSC) to ensure the sharing of information, including medical records, among care coordinators and health care providers to coordinate care.HHSC indicated that significant changes to managed care organization (MCO) provider portals may be necessary to implement the requirements of the bill. According to HHSC, this could impact MCO administrative rates, but the agency does not have the information necessary to make appropriate assumptions to determine the fiscal impact. This analysis assumes that any costs to modify provider portals could be absorbed within existing resources and the provisions of the bill would not have a significant fiscal impact to the state.This bill would take effect immediately if it receives a vote of two-thirds of all the members elected to each house. Otherwise the provisions would be effective September 1, 2017. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission LBB Staff: UP, KCA, JJ, KMc, TBo, LR LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION April 23, 2017 TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1769 by Muñoz, Jr. (Relating to information sharing among care coordinators and providers participating in the Medicaid managed care program.), As Introduced TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB1769 by Muñoz, Jr. (Relating to information sharing among care coordinators and providers participating in the Medicaid managed care program.), As Introduced Honorable Richard Peña Raymond, Chair, House Committee on Human Services Honorable Richard Peña Raymond, Chair, House Committee on Human Services Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board HB1769 by Muñoz, Jr. (Relating to information sharing among care coordinators and providers participating in the Medicaid managed care program.), As Introduced HB1769 by Muñoz, Jr. (Relating to information sharing among care coordinators and providers participating in the Medicaid managed care program.), 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 Government Code to require managed care organizations under contract with the Health and Human Services Commission (HHSC) to ensure the sharing of information, including medical records, among care coordinators and health care providers to coordinate care.HHSC indicated that significant changes to managed care organization (MCO) provider portals may be necessary to implement the requirements of the bill. According to HHSC, this could impact MCO administrative rates, but the agency does not have the information necessary to make appropriate assumptions to determine the fiscal impact. This analysis assumes that any costs to modify provider portals could be absorbed within existing resources and the provisions of the bill would not have a significant fiscal impact to the state.This bill would take effect immediately if it receives a vote of two-thirds of all the members elected to each house. Otherwise the provisions would be effective September 1, 2017. 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, KCA, JJ, KMc, TBo, LR UP, KCA, JJ, KMc, TBo, LR