LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION April 18, 2021 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2856 by Swanson (Relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend Chapter 531 of the Government Code to prohibit a provider who participates in Medicaid or the Children's Health Insurance Program (CHIP) from refusing to provide health care services to a Medicaid or CHIP recipient based on the recipient's refusal or failure to obtain a vaccine or immunization. The Health and Human Services Commission (HHSC) would be required to not provide reimbursement to providers who violate this requirement and disenroll the provider from Medicaid and CHIP. HHSC indicates it could absorb the costs associated with the bill within current resources. 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 LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION April 18, 2021 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2856 by Swanson (Relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.), As Introduced TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2856 by Swanson (Relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.), 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 HB2856 by Swanson (Relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.), As Introduced HB2856 by Swanson (Relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend Chapter 531 of the Government Code to prohibit a provider who participates in Medicaid or the Children's Health Insurance Program (CHIP) from refusing to provide health care services to a Medicaid or CHIP recipient based on the recipient's refusal or failure to obtain a vaccine or immunization. The Health and Human Services Commission (HHSC) would be required to not provide reimbursement to providers who violate this requirement and disenroll the provider from Medicaid and CHIP. HHSC indicates it could absorb the costs associated with the bill within current resources. 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 JMc, AKI, JLI, RD