LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 10, 2023 TO: Honorable James B. Frank, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2933 by Dorazio (Relating to ensuring certain adoptive parents may consent to medical care and access information regarding their child who is eligible for benefits under Medicaid.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB2933, As Introduced : a negative impact of ($784,567) through the biennium ending August 31, 2025. 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 Funds2024($654,617)2025($129,950)2026$02027$02028$0All Funds, Five-Year Impact: Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 Probable (Cost) fromGR Match For Medicaid758 Probable (Cost) fromFederal Funds5552024($644,820)($9,797)($52,267)2025($128,005)($1,945)($10,376)202620272028 Fiscal AnalysisThe bill would require the Health and Human Services Commission (HHSC) to collaborate with the Department of Family and Protective Services (DFPS) to ensure that both adoptive parents of a child are able to consent to medical care provided under Medicaid, and can provide and receive certain information.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION
April 10, 2023
TO: Honorable James B. Frank, Chair, House Committee on Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2933 by Dorazio (Relating to ensuring certain adoptive parents may consent to medical care and access information regarding their child who is eligible for benefits under Medicaid.), As Introduced
TO: Honorable James B. Frank, Chair, House Committee on Human Services
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: HB2933 by Dorazio (Relating to ensuring certain adoptive parents may consent to medical care and access information regarding their child who is eligible for benefits under Medicaid.), As Introduced
Honorable James B. Frank, Chair, House Committee on Human Services
Honorable James B. Frank, Chair, House Committee on Human Services
Jerry McGinty, Director, Legislative Budget Board
Jerry McGinty, Director, Legislative Budget Board
HB2933 by Dorazio (Relating to ensuring certain adoptive parents may consent to medical care and access information regarding their child who is eligible for benefits under Medicaid.), As Introduced
HB2933 by Dorazio (Relating to ensuring certain adoptive parents may consent to medical care and access information regarding their child who is eligible for benefits under Medicaid.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for HB2933, As Introduced : a negative impact of ($784,567) through the biennium ending August 31, 2025. 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 HB2933, As Introduced : a negative impact of ($784,567) through the biennium ending August 31, 2025. 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:
2024 ($654,617)
2025 ($129,950)
2026 $0
2027 $0
2028 $0
All Funds, Five-Year Impact:
2024 ($644,820) ($9,797) ($52,267)
2025 ($128,005) ($1,945) ($10,376)
2026
2027
2028
Fiscal Analysis
The bill would require the Health and Human Services Commission (HHSC) to collaborate with the Department of Family and Protective Services (DFPS) to ensure that both adoptive parents of a child are able to consent to medical care provided under Medicaid, and can provide and receive certain information.
Methodology
According to DFPS, IT modifications to the Information Management Protecting Adults and Children in Texas (IMPACT) system would be required to be able to send two names through the current automated interface. HHSC would also need to modify their Texas Integrated Eligibility Redesign System (TIERS) system to receive the two names from IMPACT. In addition, DFPS would need to update IMPACT to add an alternative payee to allow both adoptive parents to access information.It is assumed that any costs to HHSC could be absorbed within existing resources.
Technology
This analysis assumes the need of 3.0 System Analyst V Contracted Fulltime Equivalents (FTEs) and 5,962 hours of work in fiscal year 2024 and 0.5 System Analyst V Contracted FTEs and 1,192 hours of work in fiscal year 2025 to complete DFPS IT modifications.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: b > td > 529 Health and Human Services Commission, 530 Family and Protective Services, Department of
529 Health and Human Services Commission, 530 Family and Protective Services, Department of
LBB Staff: b > td > JMc, NPe, ER, AN
JMc, NPe, ER, AN