LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION March 14, 2021 TO: Honorable James B. Frank, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB105 by Ortega (Relating to the use of promotoras and community health workers in Medicaid managed care.), As Introduced No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to allow Medicaid managed care organizations to categorize services provided by a promotora or community health worker as a quality improvement cost instead of an administrative expense. According to HHSC, this practice is currently allowable and therefore no significant fiscal impact is anticipated. Local Government ImpactNo significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Hlth & Human Svcs Comm LBB Staff: b > td > JMc, AKi, JLi, RD, WP LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION March 14, 2021 TO: Honorable James B. Frank, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB105 by Ortega (Relating to the use of promotoras and community health workers in Medicaid managed care.), As Introduced TO: Honorable James B. Frank, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB105 by Ortega (Relating to the use of promotoras and community health workers in Medicaid managed care.), As Introduced Honorable James B. Frank, Chair, House Committee on Human Services Honorable James B. Frank, Chair, House Committee on Human Services Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB105 by Ortega (Relating to the use of promotoras and community health workers in Medicaid managed care.), As Introduced HB105 by Ortega (Relating to the use of promotoras and community health workers in Medicaid managed care.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to allow Medicaid managed care organizations to categorize services provided by a promotora or community health worker as a quality improvement cost instead of an administrative expense. According to HHSC, this practice is currently allowable and therefore no significant fiscal impact is anticipated. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Hlth & Human Svcs Comm 529 Hlth & Human Svcs Comm LBB Staff: b > td > JMc, AKi, JLi, RD, WP JMc, AKi, JLi, RD, WP