LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION May 17, 2021 TO: Honorable Kelly Hancock, Chair, Senate Committee on Business & Commerce FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2595 by Price (Relating to a parity complaint portal and educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through the portal and otherwise; designating October as mental health condition and substance use disorder parity awareness month.), As Engrossed Estimated Two-year Net Impact to General Revenue Related Funds for HB2595, As Engrossed : 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($278,769)$278,7693.02023($76,218)$76,2181.02024($76,218)$76,2181.02025($76,218)$76,2181.02026($76,218)$76,2181.0 Fiscal AnalysisThe bill would amend the Government Code relating to a parity complaint portal and educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through the 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 trainings, 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 May 17, 2021 TO: Honorable Kelly Hancock, Chair, Senate Committee on Business & Commerce FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2595 by Price (Relating to a parity complaint portal and educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through the portal and otherwise; designating October as mental health condition and substance use disorder parity awareness month.), As Engrossed TO: Honorable Kelly Hancock, Chair, Senate Committee on Business & Commerce FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2595 by Price (Relating to a parity complaint portal and educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through the portal and otherwise; designating October as mental health condition and substance use disorder parity awareness month.), As Engrossed Honorable Kelly Hancock, Chair, Senate Committee on Business & Commerce Honorable Kelly Hancock, Chair, Senate Committee on Business & Commerce Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB2595 by Price (Relating to a parity complaint portal and educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through the portal and otherwise; designating October as mental health condition and substance use disorder parity awareness month.), As Engrossed HB2595 by Price (Relating to a parity complaint portal and educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through the portal and otherwise; designating October as mental health condition and substance use disorder parity awareness month.), As Engrossed Estimated Two-year Net Impact to General Revenue Related Funds for HB2595, As Engrossed : 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 Engrossed : 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 ($278,769) $278,769 3.0 2023 ($76,218) $76,218 1.0 2024 ($76,218) $76,218 1.0 2025 ($76,218) $76,218 1.0 2026 ($76,218) $76,218 1.0 Fiscal Analysis The bill would amend the Government Code relating to a parity complaint portal and educational materials and parity law training regarding benefits for mental health conditions and substance use disorders to be made available through the 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 trainings, 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 Specialist V) to develop training content in fiscal year 2022 at a cost of $202,551 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 III) at a cost of $76,218 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 $5,850 in fiscal year 2022 and $600 in each subsequent fiscal year for 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, SZ, MB, MPUK, AAL JMc, SZ, MB, MPUK, AAL