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:HB3292 by Klick (Relating to the continuation of medical assistance for certain individuals.), Committee Report 2nd 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 agency is not required to implement the legislation in the absence of a specific appropriation. The bill would require that certain individuals with an intellectual or developmental disability continue to be eligible for Medicaid if the individual experiences a temporary increase in income for one month or less. To continue to be eligible for Medicaid, the recipient would be required to submit an application, no later than the 90th day after the date the individual was determined ineligible. The bill would only take effect if a specific appropriation is provided in a general appropriations act of the Eighty-fifth Legislature. 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 22, 2017 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB3292 by Klick (Relating to the continuation of medical assistance for certain individuals.), 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: HB3292 by Klick (Relating to the continuation of medical assistance for certain individuals.), 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 HB3292 by Klick (Relating to the continuation of medical assistance for certain individuals.), Committee Report 2nd House, Substituted HB3292 by Klick (Relating to the continuation of medical assistance for certain individuals.), Committee Report 2nd 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 agency is not required to implement the legislation in the absence of a specific appropriation. 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 agency is not required to implement the legislation in the absence of a specific appropriation. The bill would require that certain individuals with an intellectual or developmental disability continue to be eligible for Medicaid if the individual experiences a temporary increase in income for one month or less. To continue to be eligible for Medicaid, the recipient would be required to submit an application, no later than the 90th day after the date the individual was determined ineligible. The bill would only take effect if a specific appropriation is provided in a general appropriations act of the Eighty-fifth Legislature. 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