LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 17, 2023 TO: Honorable Victoria Neave Criado, Chair, House Committee on County Affairs FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB3456 by Ashby (relating to the continuation and operation of certain health care provider participation programs in this state.), Committee Report 1st House, Substituted The fiscal implications of the bill cannot be determined due to the jurisdictions that would be affected being unknown. The bill would allow for the administration of a health care provider participation program by a hospital district, county, or municipality that is currently not authorized to do so.According to the Health and Human Services Commission, the bill would limit the ability of jurisdictions to generate revenue utilizing authority currently provided in Health and Safety Code, Chapter 300. While the implementation could result in a significant fiscal impact, the jurisdictions that would be limited are unknown and the fiscal implications cannot be determined at this time. Local Government ImpactThe fiscal implications of the bill cannot be determined at this time. Source Agencies: b > td > 529 Health and Human Services Commission LBB Staff: b > td > JMc, AF, ER, CST LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 17, 2023 TO: Honorable Victoria Neave Criado, Chair, House Committee on County Affairs FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB3456 by Ashby (relating to the continuation and operation of certain health care provider participation programs in this state.), Committee Report 1st House, Substituted TO: Honorable Victoria Neave Criado, Chair, House Committee on County Affairs FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB3456 by Ashby (relating to the continuation and operation of certain health care provider participation programs in this state.), Committee Report 1st House, Substituted Honorable Victoria Neave Criado, Chair, House Committee on County Affairs Honorable Victoria Neave Criado, Chair, House Committee on County Affairs Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB3456 by Ashby (relating to the continuation and operation of certain health care provider participation programs in this state.), Committee Report 1st House, Substituted HB3456 by Ashby (relating to the continuation and operation of certain health care provider participation programs in this state.), Committee Report 1st House, Substituted The fiscal implications of the bill cannot be determined due to the jurisdictions that would be affected being unknown. The fiscal implications of the bill cannot be determined due to the jurisdictions that would be affected being unknown. The bill would allow for the administration of a health care provider participation program by a hospital district, county, or municipality that is currently not authorized to do so.According to the Health and Human Services Commission, the bill would limit the ability of jurisdictions to generate revenue utilizing authority currently provided in Health and Safety Code, Chapter 300. While the implementation could result in a significant fiscal impact, the jurisdictions that would be limited are unknown and the fiscal implications cannot be determined at this time. Local Government Impact The fiscal implications of the bill cannot be determined at this time. Source Agencies: b > td > 529 Health and Human Services Commission 529 Health and Human Services Commission LBB Staff: b > td > JMc, AF, ER, CST JMc, AF, ER, CST