LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION April 28, 2017 TO: Honorable Byron Cook, Chair, House Committee on State Affairs FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1936 by Springer (Relating to prohibiting certain transactions between a governmental entity and an abortion provider or affiliate of the provider.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would prohibit a governmental entity from entering into a taxpayer resource transaction with abortion providers including licensed abortion facilities, certain ambulatory surgical centers, or an affiliate of these providers. Taxpayer resource transactions deemed, by the executive commissioner of the Health and Human Services Commission (HHSC) with written confirmation from the Attorney General, as required by federal law would be excluded from the prohibition. The Attorney General would be permitted to enjoin a violation of the prohibition on behalf of the state. It is assumed that the prohibition would not apply to Medicaid. If the prohibition were applied to Medicaid, it could conflict with federal requirements and result in penalties including the loss of federal matching funds for Medicaid. Based on the analysis provided by HHSC and the Office of Attorney General, the provisions of thebill can be implemented within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:302 Office of the Attorney General, 529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: UP, AG, LR, RGU, KCA LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION April 28, 2017 TO: Honorable Byron Cook, Chair, House Committee on State Affairs FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1936 by Springer (Relating to prohibiting certain transactions between a governmental entity and an abortion provider or affiliate of the provider.), Committee Report 1st House, Substituted TO: Honorable Byron Cook, Chair, House Committee on State Affairs FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB1936 by Springer (Relating to prohibiting certain transactions between a governmental entity and an abortion provider or affiliate of the provider.), Committee Report 1st House, Substituted Honorable Byron Cook, Chair, House Committee on State Affairs Honorable Byron Cook, Chair, House Committee on State Affairs Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board HB1936 by Springer (Relating to prohibiting certain transactions between a governmental entity and an abortion provider or affiliate of the provider.), Committee Report 1st House, Substituted HB1936 by Springer (Relating to prohibiting certain transactions between a governmental entity and an abortion provider or affiliate of the provider.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would prohibit a governmental entity from entering into a taxpayer resource transaction with abortion providers including licensed abortion facilities, certain ambulatory surgical centers, or an affiliate of these providers. Taxpayer resource transactions deemed, by the executive commissioner of the Health and Human Services Commission (HHSC) with written confirmation from the Attorney General, as required by federal law would be excluded from the prohibition. The Attorney General would be permitted to enjoin a violation of the prohibition on behalf of the state. It is assumed that the prohibition would not apply to Medicaid. If the prohibition were applied to Medicaid, it could conflict with federal requirements and result in penalties including the loss of federal matching funds for Medicaid. Based on the analysis provided by HHSC and the Office of Attorney General, the provisions of thebill can be implemented within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 302 Office of the Attorney General, 529 Health and Human Services Commission, 537 State Health Services, Department of 302 Office of the Attorney General, 529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: UP, AG, LR, RGU, KCA UP, AG, LR, RGU, KCA