LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION April 6, 2017 TO: Honorable Charles Perry, Chair, Senate Committee on Agriculture, Water & Rural Affairs FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1429 by Perry (Relating to the creation and operations of health care provider participation programs in certain counties.), As Introduced 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 that have a population more than 100,000 and include a portion of the Concho River. The health care provider participation program would authorize a county to collect mandatory payments from nonpublic hospitals. 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 the Medicaid managed care program. 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.According to the Health and Human Services Commission, there is no significant fiscal impact to the state anticipated from this bill.The bill would take effect immediately if it receives a vote of two-thirds of all the members elected to 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 Health and Human Services Commission assumes there is no fiscal impact to local government entities from the bill.According to Tom Green County, there is no significant fiscal implications from the bill. Source Agencies:529 Health and Human Services Commission LBB Staff: UP, SZ, GG, GP, KVe, SD, MH
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION
April 6, 2017
TO: Honorable Charles Perry, Chair, Senate Committee on Agriculture, Water & Rural Affairs FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1429 by Perry (Relating to the creation and operations of health care provider participation programs in certain counties.), As Introduced
TO: Honorable Charles Perry, Chair, Senate Committee on Agriculture, Water & Rural Affairs
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: SB1429 by Perry (Relating to the creation and operations of health care provider participation programs in certain counties.), As Introduced
Honorable Charles Perry, Chair, Senate Committee on Agriculture, Water & Rural Affairs
Honorable Charles Perry, Chair, Senate Committee on Agriculture, Water & Rural Affairs
Ursula Parks, Director, Legislative Budget Board
Ursula Parks, Director, Legislative Budget Board
SB1429 by Perry (Relating to the creation and operations of health care provider participation programs in certain counties.), As Introduced
SB1429 by Perry (Relating to the creation and operations of health care provider participation programs in certain counties.), As Introduced
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 that have a population more than 100,000 and include a portion of the Concho River. The health care provider participation program would authorize a county to collect mandatory payments from nonpublic hospitals. 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 the Medicaid managed care program. 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.According to the Health and Human Services Commission, there is no significant fiscal impact to the state anticipated from this bill.The bill would take effect immediately if it receives a vote of two-thirds of all the members elected to 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 Health and Human Services Commission assumes there is no fiscal impact to local government entities from the bill.According to Tom Green County, there is no significant fiscal implications from the bill.
Source Agencies: 529 Health and Human Services Commission
529 Health and Human Services Commission
LBB Staff: UP, SZ, GG, GP, KVe, SD, MH
UP, SZ, GG, GP, KVe, SD, MH