LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 4, 2023 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB44 by Swanson (relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would prohibit a provider participating in Medicaid or the Children's Health Insurance Program (CHIP) from refusing services to clients due to immunization status. It is assumed that any costs associated with the bill could be absorbed using existing resources. Local Government ImpactNo fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Health and Human Services Commission LBB Staff: b > td > JMc, NPe, ER, CST, SDa LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 4, 2023 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB44 by Swanson (relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.), Committee Report 1st House, Substituted TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB44 by Swanson (relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.), Committee Report 1st House, Substituted 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 HB44 by Swanson (relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.), Committee Report 1st House, Substituted HB44 by Swanson (relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would prohibit a provider participating in Medicaid or the Children's Health Insurance Program (CHIP) from refusing services to clients due to immunization status. It is assumed that any costs associated with the bill could be absorbed using existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Health and Human Services Commission 529 Health and Human Services Commission LBB Staff: b > td > JMc, NPe, ER, CST, SDa JMc, NPe, ER, CST, SDa