LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 3, 2017 TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB3292 by Klick (Relating to the continuation and reinstatement of medical assistance for certain individuals.), Committee Report 1st House, Substituted The fiscal implications of the bill cannot be determined at this time due to insufficient information regarding the client services impact related to implementing the provisions of the bill. The bill would require that Temporary Assistance for Needy Families (TANF) cash assistance and supplemental security income (SSI) recipients continue to be eligible for Medicaid if the individual experiences a temporary increase in income for one month or less. Additionally, the bill would require the Health and Human Services Commission (HHSC) to recertify these recipients as eligible for Medicaid if they were determined ineligible due to an error by the state or federal government or because the individual experienced a temporary increase in income for one month or less, provided they are otherwise eligible. HHSC would be required to recertify the individual no later than the 90th day after the individual is determined ineligible or the error is discovered.According to HHSC, there would be costs associated with system modifications and other administrative functions necessary to implement the provisions of the bill. Additionally, there would be a significant client services cost associated with implementing the provisions of the bill; however, due to insufficient information provided by HHSC, those costs cannot be determined at this time. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission LBB Staff: UP, KCA, LR, RGU LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 3, 2017 TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB3292 by Klick (Relating to the continuation and reinstatement of medical assistance for certain individuals.), Committee Report 1st House, Substituted TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB3292 by Klick (Relating to the continuation and reinstatement of medical assistance for certain individuals.), Committee Report 1st House, Substituted 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 HB3292 by Klick (Relating to the continuation and reinstatement of medical assistance for certain individuals.), Committee Report 1st House, Substituted HB3292 by Klick (Relating to the continuation and reinstatement of medical assistance for certain individuals.), Committee Report 1st House, Substituted The fiscal implications of the bill cannot be determined at this time due to insufficient information regarding the client services impact related to implementing the provisions of the bill. The fiscal implications of the bill cannot be determined at this time due to insufficient information regarding the client services impact related to implementing the provisions of the bill. The bill would require that Temporary Assistance for Needy Families (TANF) cash assistance and supplemental security income (SSI) recipients continue to be eligible for Medicaid if the individual experiences a temporary increase in income for one month or less. Additionally, the bill would require the Health and Human Services Commission (HHSC) to recertify these recipients as eligible for Medicaid if they were determined ineligible due to an error by the state or federal government or because the individual experienced a temporary increase in income for one month or less, provided they are otherwise eligible. HHSC would be required to recertify the individual no later than the 90th day after the individual is determined ineligible or the error is discovered.According to HHSC, there would be costs associated with system modifications and other administrative functions necessary to implement the provisions of the bill. Additionally, there would be a significant client services cost associated with implementing the provisions of the bill; however, due to insufficient information provided by HHSC, those costs cannot be determined at this time. Local Government Impact No significant 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, LR, RGU UP, KCA, LR, RGU