LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION March 20, 2017 TO: Honorable Four Price, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB727 by Guerra (Relating to the use of home telemonitoring services under Medicaid.), As Introduced No significant fiscal implication to the State is anticipated. The bill would require that telemonitoring services are made available only to a person who is diagnosed with certain conditions or another condition for which the commission makes an evidence-based determination that monitoring through the use of home telemonitoring services is cost-effective and feasible. The bill also requires the Health and Human Services Commission (HHSC) to provide home telemonitoring to certain pediatric clients with complex medical needs. It is assumed this is only required if HHSC determines the service is cost effective, as with other conditions listed. The bill also would require Medicaid to provide reimbursement for home telemonitoring services in the event of an unsuccessful data transmission if the provider of the services attempts to communicate with the patient by telephone or in person to establish a successful data transmission. The bill would disallow a provider that is reimbursed for home telemonitoring services from also being reimbursed for communicating with the patient by telephone or in person to establish a successful data transmission. The bill would extend home telemonitoring Medicaid reimbursement indefinitely; current statute prohibits reimbursement effective September 1, 2019. Due to the cost effectiveness requirements above, it is assumed that any costs associated with implementing the provisions of the bill could be absorbed within the agency's existing resources. 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, JQ, JJ
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION
March 20, 2017
TO: Honorable Four Price, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB727 by Guerra (Relating to the use of home telemonitoring services under Medicaid.), As Introduced
TO: Honorable Four Price, Chair, House Committee on Public Health
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: HB727 by Guerra (Relating to the use of home telemonitoring services under Medicaid.), As Introduced
Honorable Four Price, Chair, House Committee on Public Health
Honorable Four Price, Chair, House Committee on Public Health
Ursula Parks, Director, Legislative Budget Board
Ursula Parks, Director, Legislative Budget Board
HB727 by Guerra (Relating to the use of home telemonitoring services under Medicaid.), As Introduced
HB727 by Guerra (Relating to the use of home telemonitoring services under Medicaid.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would require that telemonitoring services are made available only to a person who is diagnosed with certain conditions or another condition for which the commission makes an evidence-based determination that monitoring through the use of home telemonitoring services is cost-effective and feasible. The bill also requires the Health and Human Services Commission (HHSC) to provide home telemonitoring to certain pediatric clients with complex medical needs. It is assumed this is only required if HHSC determines the service is cost effective, as with other conditions listed. The bill also would require Medicaid to provide reimbursement for home telemonitoring services in the event of an unsuccessful data transmission if the provider of the services attempts to communicate with the patient by telephone or in person to establish a successful data transmission. The bill would disallow a provider that is reimbursed for home telemonitoring services from also being reimbursed for communicating with the patient by telephone or in person to establish a successful data transmission. The bill would extend home telemonitoring Medicaid reimbursement indefinitely; current statute prohibits reimbursement effective September 1, 2019. Due to the cost effectiveness requirements above, it is assumed that any costs associated with implementing the provisions of the bill could be absorbed within the agency's existing resources.
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, JQ, JJ
UP, KCA, LR, RGU, JQ, JJ