LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION May 20, 2021 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB1664 by White (Relating to the reinstatement of eligibility for medical assistance of certain children placed in juvenile facilities.), As Engrossed No significant fiscal implication to the State is anticipated. The bill would amend Chapter 32 of the Human Resources Code to require that when a child placed in a juvenile facility is hospitalized or becomes an inpatient in another type of medical facility, the Health and Human Services Commission (HHSC) reinstate the child's Medicaid eligibility. This analysis assumes there would be a minimal cost to HHSC associated with implementing the provisions of the bill that could be absorbed within current resources. Additionally, it is assumed that any costs to HHSC for Medicaid client services would be offset by cost savings at the Texas Juvenile Justice Department. Local Government ImpactNo significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Hlth & Human Svcs Comm, 644 Juvenile Justice Department LBB Staff: b > td > JMc, AKI, RD, JLI LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION May 20, 2021 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB1664 by White (Relating to the reinstatement of eligibility for medical assistance of certain children placed in juvenile facilities.), As Engrossed TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB1664 by White (Relating to the reinstatement of eligibility for medical assistance of certain children placed in juvenile facilities.), As Engrossed Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB1664 by White (Relating to the reinstatement of eligibility for medical assistance of certain children placed in juvenile facilities.), As Engrossed HB1664 by White (Relating to the reinstatement of eligibility for medical assistance of certain children placed in juvenile facilities.), As Engrossed No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend Chapter 32 of the Human Resources Code to require that when a child placed in a juvenile facility is hospitalized or becomes an inpatient in another type of medical facility, the Health and Human Services Commission (HHSC) reinstate the child's Medicaid eligibility. This analysis assumes there would be a minimal cost to HHSC associated with implementing the provisions of the bill that could be absorbed within current resources. Additionally, it is assumed that any costs to HHSC for Medicaid client services would be offset by cost savings at the Texas Juvenile Justice Department. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Hlth & Human Svcs Comm, 644 Juvenile Justice Department 529 Hlth & Human Svcs Comm, 644 Juvenile Justice Department LBB Staff: b > td > JMc, AKI, RD, JLI JMc, AKI, RD, JLI