LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 22, 2017 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2590 by Raymond (Relating to the administrative penalty, amelioration, and informal dispute resolution processes for providers participating in certain Medicaid waiver programs.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend the Human Resources Code related to administrative penalties and to direct the Health and Human Services Commission (HHSC) to establish an amelioration and informal dispute resolution process for providers participating in certain Medicaid waiver programs. The bill would take effect September 1, 2017.Based on the Legislative Budget Board analysis of HHSC, duties and responsibilities associated with establishing an amelioration and informal dispute resolution process could be accomplished by utilizing existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission LBB Staff: UP, TBo, KCA, EP LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 22, 2017 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2590 by Raymond (Relating to the administrative penalty, amelioration, and informal dispute resolution processes for providers participating in certain Medicaid waiver programs.), 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: HB2590 by Raymond (Relating to the administrative penalty, amelioration, and informal dispute resolution processes for providers participating in certain Medicaid waiver programs.), 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 HB2590 by Raymond (Relating to the administrative penalty, amelioration, and informal dispute resolution processes for providers participating in certain Medicaid waiver programs.), Committee Report 2nd House, Substituted HB2590 by Raymond (Relating to the administrative penalty, amelioration, and informal dispute resolution processes for providers participating in certain Medicaid waiver programs.), 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 Human Resources Code related to administrative penalties and to direct the Health and Human Services Commission (HHSC) to establish an amelioration and informal dispute resolution process for providers participating in certain Medicaid waiver programs. The bill would take effect September 1, 2017.Based on the Legislative Budget Board analysis of HHSC, duties and responsibilities associated with establishing an amelioration and informal dispute resolution process could be accomplished by utilizing existing resources. 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, TBo, KCA, EP UP, TBo, KCA, EP