LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 17, 2023 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1581 by Bettencourt (relating to the establishment of the Texas Health Insurance Mandate Advisory Collaborative; authorizing a fee.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for SB1581, Committee Report 1st House, Substituted : an impact of $0 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$02025$02026$02027$02028$0All Funds, Five-Year Impact: Fiscal Year Probable Revenue Gain fromGeneral Revenue Fund1 Probable Revenue (Loss) fromGeneral Revenue Fund1 Change in Number of State Employees from FY 20232024$508,287($508,287)5.02025$1,813,295($1,813,295)5.02026$1,812,995($1,812,995)5.02027$1,838,435($1,838,435)5.02028$1,864,638($1,864,638)5.0 Fiscal AnalysisThis bill would amend the Insurance Code to require the Center for Healthcare Data at The University of Texas Health Science Center at Houston to establish the Texas Health Insurance Mandate Advisory Collaborative. Additionally, this bill authorizes a fee.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION
April 17, 2023
TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1581 by Bettencourt (relating to the establishment of the Texas Health Insurance Mandate Advisory Collaborative; authorizing a fee.), Committee Report 1st House, Substituted
TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: SB1581 by Bettencourt (relating to the establishment of the Texas Health Insurance Mandate Advisory Collaborative; authorizing a fee.), Committee Report 1st House, Substituted
Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
Jerry McGinty, Director, Legislative Budget Board
Jerry McGinty, Director, Legislative Budget Board
SB1581 by Bettencourt (relating to the establishment of the Texas Health Insurance Mandate Advisory Collaborative; authorizing a fee.), Committee Report 1st House, Substituted
SB1581 by Bettencourt (relating to the establishment of the Texas Health Insurance Mandate Advisory Collaborative; authorizing a fee.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for SB1581, Committee Report 1st House, Substituted : an impact of $0 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 SB1581, Committee Report 1st House, Substituted : an impact of $0 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 $0
2025 $0
2026 $0
2027 $0
2028 $0
All Funds, Five-Year Impact:
2024 $508,287 ($508,287) 5.0
2025 $1,813,295 ($1,813,295) 5.0
2026 $1,812,995 ($1,812,995) 5.0
2027 $1,838,435 ($1,838,435) 5.0
2028 $1,864,638 ($1,864,638) 5.0
Fiscal Analysis
This bill would amend the Insurance Code to require the Center for Healthcare Data at The University of Texas Health Science Center at Houston to establish the Texas Health Insurance Mandate Advisory Collaborative. Additionally, this bill authorizes a fee.
Methodology
This analysis assumes the Department of Insurance will assess a fee on each health benefit plan issuer in the state to cover $2,321,582 in General Revenue for the 2024-25 biennium as determined by the University of Texas Health Science Center at Houston to establish, organize, and manage the Texas Health Insurance Mandate Advisory Collaborative. The advisory collaborative would include 5.0 Full-Time Equivalents, which consist of 1.0 faculty policy expert, 1.0 project manager, and 3.0 data scientists by the end of fiscal year 2025, as required by the provisions of the bill. Based on the analysis of the Comptroller of Public Accounts and the Department of Insurance, any duties and responsibilities associated with implementing the provisions of the bill could be accomplished by the agencies utilizing existing resources.Note: The revenue dedication included in this bill would be subject to funds consolidation review by the current Legislature.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.
Source Agencies: b > td > 304 Comptroller of Public Accounts, 454 Department of Insurance, 720 The University of Texas System Administration
304 Comptroller of Public Accounts, 454 Department of Insurance, 720 The University of Texas System Administration
LBB Staff: b > td > JMc, NPe, GDZ, LBl
JMc, NPe, GDZ, LBl