LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 8, 2017 TO: Honorable Eddie Lucio, Jr., Chair, Senate Committee on Intergovernmental Relations FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2995 by Ashby ( Relating to the creation and operations of health care provider participation programs in certain counties.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code by adding a chapter to establish a health care provider participation program for certain counties. The health care provider participation program would authorize a county to collect mandatory payments from nonpublic hospitals that provide inpatient hospital services. These payments would be deposited into a local provider participation fund to fund intergovernmental transfers and subsidize indigent care programs. Intergovernmental transfers would be used by the Health and Human Services Commission (HHSC) as the nonfederal share to draw down Medicaid supplemental payments including payments to the Medicaid managed care program that are dedicated for payment to hospitals. The bill specifies that if a state agency determines that a waiver from a federal agency is necessary, the agency shall request the waiver and delay implementation until such waiver is received.The nonfederal share of Texas Medicaid supplemental payments is provided largely by local public funds provided to HHSC by intergovernmental transfer. The bill's amendments do not contain any implications for state General Revenue funds. According to the Department of Health and Human Services, there would be no significant fiscal impact to the agency resulting from implementation of the bill. The bill would take effect immediately if it receives a vote of two-thirds of all members of each house. If the bill does not receive the vote necessary for immediate effect it would take effect September 1, 2017. Local Government Impact The bill would have a minimal fiscal impact on the affected counties. While certain administrative costs in the billing, collecting, accounting and disbursement of the funds would be incurred these are specifically allowed for reimbursement in the text of the bill. Source Agencies:529 Health and Human Services Commission LBB Staff: UP, JGA, GG, GP
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION
May 8, 2017
TO: Honorable Eddie Lucio, Jr., Chair, Senate Committee on Intergovernmental Relations FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB2995 by Ashby ( Relating to the creation and operations of health care provider participation programs in certain counties.), Committee Report 2nd House, Substituted
TO: Honorable Eddie Lucio, Jr., Chair, Senate Committee on Intergovernmental Relations
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: HB2995 by Ashby ( Relating to the creation and operations of health care provider participation programs in certain counties.), Committee Report 2nd House, Substituted
Honorable Eddie Lucio, Jr., Chair, Senate Committee on Intergovernmental Relations
Honorable Eddie Lucio, Jr., Chair, Senate Committee on Intergovernmental Relations
Ursula Parks, Director, Legislative Budget Board
Ursula Parks, Director, Legislative Budget Board
HB2995 by Ashby ( Relating to the creation and operations of health care provider participation programs in certain counties.), Committee Report 2nd House, Substituted
HB2995 by Ashby ( Relating to the creation and operations of health care provider participation programs in certain counties.), 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 by adding a chapter to establish a health care provider participation program for certain counties. The health care provider participation program would authorize a county to collect mandatory payments from nonpublic hospitals that provide inpatient hospital services. These payments would be deposited into a local provider participation fund to fund intergovernmental transfers and subsidize indigent care programs. Intergovernmental transfers would be used by the Health and Human Services Commission (HHSC) as the nonfederal share to draw down Medicaid supplemental payments including payments to the Medicaid managed care program that are dedicated for payment to hospitals. The bill specifies that if a state agency determines that a waiver from a federal agency is necessary, the agency shall request the waiver and delay implementation until such waiver is received.The nonfederal share of Texas Medicaid supplemental payments is provided largely by local public funds provided to HHSC by intergovernmental transfer. The bill's amendments do not contain any implications for state General Revenue funds. According to the Department of Health and Human Services, there would be no significant fiscal impact to the agency resulting from implementation of the bill. The bill would take effect immediately if it receives a vote of two-thirds of all members of each house. If the bill does not receive the vote necessary for immediate effect it would take effect September 1, 2017.
Local Government Impact
The bill would have a minimal fiscal impact on the affected counties. While certain administrative costs in the billing, collecting, accounting and disbursement of the funds would be incurred these are specifically allowed for reimbursement in the text of the bill.
Source Agencies: 529 Health and Human Services Commission
529 Health and Human Services Commission
LBB Staff: UP, JGA, GG, GP
UP, JGA, GG, GP