LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 9, 2023 TO: Honorable Senfronia Thompson, Chair, House Committee on Youth Health & Safety, Select FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB4366 by Howard (Relating to the eligibility for and provision of benefits under Medicaid or the child health plan program for certain individuals committed, placed, or detained in certain facilities and settings.), As Introduced No significant fiscal implication to the State is anticipated. According to the Health and Human Services Commission (HHSC), the bill would not have a significant effect on Medicaid and CHIP caseloads, but would require modifications to the Texas Integrated Eligibility Redesign System. The Texas Juvenile Justice Department (TJJD) estimates that additional staffing will be needed to comply with the requirements of the bill. It is assumed that any costs associated with the bill for the Department of Family and Protective Services, HHSC, and TJJD could be absorbed using existing resources. Local Government ImpactAccording to TJJD, county juvenile probation departments would require additional support staff to collect the information needed for eligibility determination and to provide support services. Source Agencies: b > td > 529 Health and Human Services Commission, 530 Family and Protective Services, Department of, 644 Juvenile Justice Department LBB Staff: b > td > JMc, NPe, ER, CST LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 9, 2023 TO: Honorable Senfronia Thompson, Chair, House Committee on Youth Health & Safety, Select FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB4366 by Howard (Relating to the eligibility for and provision of benefits under Medicaid or the child health plan program for certain individuals committed, placed, or detained in certain facilities and settings.), As Introduced TO: Honorable Senfronia Thompson, Chair, House Committee on Youth Health & Safety, Select FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB4366 by Howard (Relating to the eligibility for and provision of benefits under Medicaid or the child health plan program for certain individuals committed, placed, or detained in certain facilities and settings.), As Introduced Honorable Senfronia Thompson, Chair, House Committee on Youth Health & Safety, Select Honorable Senfronia Thompson, Chair, House Committee on Youth Health & Safety, Select Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB4366 by Howard (Relating to the eligibility for and provision of benefits under Medicaid or the child health plan program for certain individuals committed, placed, or detained in certain facilities and settings.), As Introduced HB4366 by Howard (Relating to the eligibility for and provision of benefits under Medicaid or the child health plan program for certain individuals committed, placed, or detained in certain facilities and settings.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. According to the Health and Human Services Commission (HHSC), the bill would not have a significant effect on Medicaid and CHIP caseloads, but would require modifications to the Texas Integrated Eligibility Redesign System. The Texas Juvenile Justice Department (TJJD) estimates that additional staffing will be needed to comply with the requirements of the bill. It is assumed that any costs associated with the bill for the Department of Family and Protective Services, HHSC, and TJJD could be absorbed using existing resources. Local Government Impact According to TJJD, county juvenile probation departments would require additional support staff to collect the information needed for eligibility determination and to provide support services. Source Agencies: b > td > 529 Health and Human Services Commission, 530 Family and Protective Services, Department of, 644 Juvenile Justice Department 529 Health and Human Services Commission, 530 Family and Protective Services, Department of, 644 Juvenile Justice Department LBB Staff: b > td > JMc, NPe, ER, CST JMc, NPe, ER, CST