LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION May 10, 2021 TO: Honorable Tom Oliverson, Chair, House Committee on Insurance FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1296 by Johnson (Relating to the authority of the commissioner of insurance to review rates and rate changes for certain health benefit plans.), As Engrossed Estimated Two-year Net Impact to General Revenue Related Funds for SB1296, 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($58,117)$58,1170.52023($57,367)$57,3670.52024($57,367)$57,3670.52025($57,367)$57,3670.52026($57,367)$57,3670.5 Fiscal AnalysisThe bill would amend the Insurance Code relating to the authority of the commissioner of insurance to review rates and rate changes for certain health benefit plans. The bill requires the commissioner to review health benefit plan rates and rate changes for compliance with federal law. LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION May 10, 2021 TO: Honorable Tom Oliverson, Chair, House Committee on Insurance FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1296 by Johnson (Relating to the authority of the commissioner of insurance to review rates and rate changes for certain health benefit plans.), As Engrossed TO: Honorable Tom Oliverson, Chair, House Committee on Insurance FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1296 by Johnson (Relating to the authority of the commissioner of insurance to review rates and rate changes for certain health benefit plans.), As Engrossed 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 SB1296 by Johnson (Relating to the authority of the commissioner of insurance to review rates and rate changes for certain health benefit plans.), As Engrossed SB1296 by Johnson (Relating to the authority of the commissioner of insurance to review rates and rate changes for certain health benefit plans.), As Engrossed Estimated Two-year Net Impact to General Revenue Related Funds for SB1296, 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 SB1296, 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 ($58,117) $58,117 0.5 2023 ($57,367) $57,367 0.5 2024 ($57,367) $57,367 0.5 2025 ($57,367) $57,367 0.5 2026 ($57,367) $57,367 0.5 Fiscal Analysis The bill would amend the Insurance Code relating to the authority of the commissioner of insurance to review rates and rate changes for certain health benefit plans. The bill requires the commissioner to review health benefit plan rates and rate changes for compliance with federal law. Methodology Based on information provided by the Texas Department of Insurance (TDI), review of rates for association plans will increase the number of rate filings processed. The agency estimates that additional time required for ensuring filings comply with federal guidelines following training would be an additional 20 hours on average, with approximately 40 filings per year, totaling an additional 800 work hours. The bill would result in a cost of $0.1 million in General Revenue-Dedicated Fund 36 per fiscal year and 0.5 FTEs, for an actuary at TDI.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 There is no anticipated technology impact as a result of implementing this bill. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: b > td > 454 Department of Insurance 454 Department of Insurance LBB Staff: b > td > JMc, AAL, MB, MPUK, SZ JMc, AAL, MB, MPUK, SZ