LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION April 12, 2021 TO: Honorable Tom Oliverson, Chair, House Committee on Insurance FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2595 by Price (Relating to educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through a complaint portal and otherwise; designating October as mental health condition and substance use disorder parity awareness month.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB2595, As Introduced : an impact of $0 through the biennium ending August 31, 2023. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. General Revenue-Related Funds, Five- Year Impact: Fiscal Year Probable Net Positive/(Negative) Impact toGeneral Revenue Related Funds2022$02023$02024$02025$02026$0All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromDept Ins Operating Acct36 Probable Revenue Gain/(Loss) fromDept Ins Operating Acct36 Change in Number of State Employees from FY 20212022($3,605,276)$3,605,27627.02023($3,345,025)$3,345,02525.02024($3,345,025)$3,345,02525.02025($3,345,025)$3,345,02525.02026($3,345,025)$3,345,02525.0 Fiscal AnalysisThe bill would amend the Government Code relating to educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through a complaint portal, and to designate October as mental health condition and substance use disorder parity awareness month.The bill would require training to include online, print, and in-person formats requiring the Customer Operations department to form a team of specialists to create educational materials, training and presentation materials, conduct online and in-person trainings and presentations at relevant locations and settings, including professional conference and trade association meetings, and create a webpage to include links of relevant third-party organization educational and additional parity law awareness materials.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION
April 12, 2021
TO: Honorable Tom Oliverson, Chair, House Committee on Insurance FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2595 by Price (Relating to educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through a complaint portal and otherwise; designating October as mental health condition and substance use disorder parity awareness month.), As Introduced
TO: Honorable Tom Oliverson, Chair, House Committee on Insurance
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: HB2595 by Price (Relating to educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through a complaint portal and otherwise; designating October as mental health condition and substance use disorder parity awareness month.), As Introduced
Honorable Tom Oliverson, Chair, House Committee on Insurance
Honorable Tom Oliverson, Chair, House Committee on Insurance
Jerry McGinty, Director, Legislative Budget Board
Jerry McGinty, Director, Legislative Budget Board
HB2595 by Price (Relating to educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through a complaint portal and otherwise; designating October as mental health condition and substance use disorder parity awareness month.), As Introduced
HB2595 by Price (Relating to educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through a complaint portal and otherwise; designating October as mental health condition and substance use disorder parity awareness month.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for HB2595, As Introduced : an impact of $0 through the biennium ending August 31, 2023. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
Estimated Two-year Net Impact to General Revenue Related Funds for HB2595, As Introduced : an impact of $0 through the biennium ending August 31, 2023. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
General Revenue-Related Funds, Five- Year Impact:
2022 $0
2023 $0
2024 $0
2025 $0
2026 $0
All Funds, Five-Year Impact:
2022 ($3,605,276) $3,605,276 27.0
2023 ($3,345,025) $3,345,025 25.0
2024 ($3,345,025) $3,345,025 25.0
2025 ($3,345,025) $3,345,025 25.0
2026 ($3,345,025) $3,345,025 25.0
Fiscal Analysis
The bill would amend the Government Code relating to educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through a complaint portal, and to designate October as mental health condition and substance use disorder parity awareness month.The bill would require training to include online, print, and in-person formats requiring the Customer Operations department to form a team of specialists to create educational materials, training and presentation materials, conduct online and in-person trainings and presentations at relevant locations and settings, including professional conference and trade association meetings, and create a webpage to include links of relevant third-party organization educational and additional parity law awareness materials.
Methodology
Based on information provided by the Texas Department of Insurance (TDI), the Complaint Processing section of the Customer Operations division currently maintains a complaint portal which can be modified to accommodate processing mental health parity complaints.To develop the educational materials required in the bill, TDI has indicated the agency will need 2.0 additional FTEs (Information Specialists) to develop training content in fiscal year 2022 at a cost of $145,000 to General Revenue-Dedicated Fund 36. To develop a prerecorded online training course that can be viewed by all behavioral health providers on-demand, and hold weekly webinars for these same providers, the agency has indicated a need of 1.0 additional FTEs (Information Specialist) at a cost of $55,000 per fiscal year to General Revenue-Dedicated Fund 36. The bill requires in-person trainings to be delivered to behavioral health providers across the state, and the agency has indicated a need for 21.0 additional FTEs (Information Specialists) to travel and train these behavioral health providers, at a cost of $1.2 million per fiscal year to General Revenue-Dedicated Fund 36.In addition, according to the agency, TDI would require 3.0 FTEs for a management team to oversee the new program, at a cost of $250,000 per fiscal year to General Revenue-Dedicated Fund 36.Additional costs include substantial travel related to provision of in-person behavioral health provider training, $1.3 million per fiscal year to General Revenue-Dedicated Fund 36.Due to the self-leveling nature of the TDI operating account, any additional appropriations made from the account would be considered in the annual adjustment of the maintenance tax rates. Therefore, the overall revenue into the TDI operating account will be equal to the expenses and no net change in fund balance would occur because of this bill.
Technology
Anticipated technology costs as a result of implementing the bill total $76,950 in fiscal year 2022 and $15,000 in each subsequent fiscal year for operating expenses, and software and hardware related to new FTEs.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: b > td > 323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Hlth & Human Svcs Comm, 710 Texas A&M Univ System Admin, 720 UT Sys Admin
323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Hlth & Human Svcs Comm, 710 Texas A&M Univ System Admin, 720 UT Sys Admin
LBB Staff: b > td > JMc, AAL, MB, MPUK
JMc, AAL, MB, MPUK