LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION March 16, 2023 TO: Honorable Bryan Hughes, Chair, Senate Committee on State Affairs FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1029 by Hall (Relating to civil liability for, governmental health plan coverage of, and public funding for gender modification procedures and treatments.), As Introduced No significant fiscal implication to the State is anticipated. The bill would provide for civil liabilities against a physician or health care provider who provides certain medical procedures related to this bill. The bill would amend the Insurance Code to prohibit coverage by a health benefit plan for certain medical procedures related to this bill. The bill would amend the Government Code to prohibit a government entity of this state from using public funds for certain medical procedures related to this bill.According to the Employees Retirement System, the prohibition of certain medical procedures related to this bill may conflict with federal law. A determination by the federal government that this state is out of compliance with federal provisions could result in enforcement actions and potential loss of federal funds.Based on the analysis of the Teacher Retirement System of Texas, Employees Retirement System, Department of Insurance, Health and Human Services Commission, Texas A&M University System Administrative & General Offices, and the University of Texas System Administration, duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. Local Government ImpactNo significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: b > td > JMc, SMAT, GDZ, LBl
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION
March 16, 2023
TO: Honorable Bryan Hughes, Chair, Senate Committee on State Affairs FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1029 by Hall (Relating to civil liability for, governmental health plan coverage of, and public funding for gender modification procedures and treatments.), As Introduced
TO: Honorable Bryan Hughes, Chair, Senate Committee on State Affairs
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: SB1029 by Hall (Relating to civil liability for, governmental health plan coverage of, and public funding for gender modification procedures and treatments.), As Introduced
Honorable Bryan Hughes, Chair, Senate Committee on State Affairs
Honorable Bryan Hughes, Chair, Senate Committee on State Affairs
Jerry McGinty, Director, Legislative Budget Board
Jerry McGinty, Director, Legislative Budget Board
SB1029 by Hall (Relating to civil liability for, governmental health plan coverage of, and public funding for gender modification procedures and treatments.), As Introduced
SB1029 by Hall (Relating to civil liability for, governmental health plan coverage of, and public funding for gender modification procedures and treatments.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would provide for civil liabilities against a physician or health care provider who provides certain medical procedures related to this bill. The bill would amend the Insurance Code to prohibit coverage by a health benefit plan for certain medical procedures related to this bill. The bill would amend the Government Code to prohibit a government entity of this state from using public funds for certain medical procedures related to this bill.According to the Employees Retirement System, the prohibition of certain medical procedures related to this bill may conflict with federal law. A determination by the federal government that this state is out of compliance with federal provisions could result in enforcement actions and potential loss of federal funds.Based on the analysis of the Teacher Retirement System of Texas, Employees Retirement System, Department of Insurance, Health and Human Services Commission, Texas A&M University System Administrative & General Offices, and the University of Texas System Administration, duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.
Source Agencies: b > td > 323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration
323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration
LBB Staff: b > td > JMc, SMAT, GDZ, LBl
JMc, SMAT, GDZ, LBl