LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION March 30, 2021 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2612 by Raney (Relating to the provision of Medicaid and child health plan program services using telecommunications or information technology and to reimbursement for those services.), As Introduced The fiscal implications of the bill cannot be determined at this time due to the inability to determine the impact on service utilization. The bill would require the Health and Human Services Commission (HHSC) to ensure a rural health clinic may be reimbursed for the originating site facility fee or the distant site practitioner fee or both, for a covered telemedicine medical service or telehealth service delivered by a health care provider to a Medicaid recipient.The bill would require HHSC to ensure Medicaid and Children's Health Insurance Program (CHIP) enrollees have the option to receive certain services as telemedicine medical services, telehealth services, or otherwise using telecommunications or information technology.The bill would require Medicaid reimbursement for a telehealth service at the same rate as Medicaid reimbursement for the same in-person service.The bill would require CHIP managed care organizations to permit benefits to be provided through telehealth services.The bill would require CHIP reimbursement for a telemedicine medical service or telehealth service at the same rate as CHIP reimbursement for the same in-person service.It is unknown how these changes will impact service utilization.It is assumed that costs associated with rulemaking, and development of any state plan amendments or waivers could be absorbed within existing agency resources. Local Government ImpactNo 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 LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION March 30, 2021 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2612 by Raney (Relating to the provision of Medicaid and child health plan program services using telecommunications or information technology and to reimbursement for those services.), As Introduced TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2612 by Raney (Relating to the provision of Medicaid and child health plan program services using telecommunications or information technology and to reimbursement for those services.), As Introduced Honorable Stephanie Klick, Chair, House Committee on Public Health Honorable Stephanie Klick, Chair, House Committee on Public Health Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB2612 by Raney (Relating to the provision of Medicaid and child health plan program services using telecommunications or information technology and to reimbursement for those services.), As Introduced HB2612 by Raney (Relating to the provision of Medicaid and child health plan program services using telecommunications or information technology and to reimbursement for those services.), As Introduced The fiscal implications of the bill cannot be determined at this time due to the inability to determine the impact on service utilization. The fiscal implications of the bill cannot be determined at this time due to the inability to determine the impact on service utilization. The bill would require the Health and Human Services Commission (HHSC) to ensure a rural health clinic may be reimbursed for the originating site facility fee or the distant site practitioner fee or both, for a covered telemedicine medical service or telehealth service delivered by a health care provider to a Medicaid recipient.The bill would require HHSC to ensure Medicaid and Children's Health Insurance Program (CHIP) enrollees have the option to receive certain services as telemedicine medical services, telehealth services, or otherwise using telecommunications or information technology.The bill would require Medicaid reimbursement for a telehealth service at the same rate as Medicaid reimbursement for the same in-person service.The bill would require CHIP managed care organizations to permit benefits to be provided through telehealth services.The bill would require CHIP reimbursement for a telemedicine medical service or telehealth service at the same rate as CHIP reimbursement for the same in-person service.It is unknown how these changes will impact service utilization.It is assumed that costs associated with rulemaking, and development of any state plan amendments or waivers could be absorbed within existing agency resources. The bill would require HHSC to ensure Medicaid and Children's Health Insurance Program (CHIP) enrollees have the option to receive certain services as telemedicine medical services, telehealth services, or otherwise using telecommunications or information technology. The bill would require Medicaid reimbursement for a telehealth service at the same rate as Medicaid reimbursement for the same in-person service. The bill would require CHIP managed care organizations to permit benefits to be provided through telehealth services. The bill would require CHIP reimbursement for a telemedicine medical service or telehealth service at the same rate as CHIP reimbursement for the same in-person service. It is unknown how these changes will impact service utilization.It is assumed that costs associated with rulemaking, and development of any state plan amendments or waivers could be absorbed within existing agency resources. Local Government Impact No 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 JMc, AKI, JLI, RD