LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 18, 2023 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1695 by Blanco (Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.), As Introduced The fiscal implications of the bill cannot be determined due to an unknown amount of case assistance affiliate services that would result in an increase of administrative expenses paid by the state. The bill would require the Health and Human Services Commission (HHSC) to establish and seek approval for a statewide case assistance affiliate program. The bill would require HHSC to allow a case assistance affiliate (CAA) to categorize the services provided as an administrative expense. According to HHSC, the bill would require additional full-time equivalent positions to implement and oversee the program. The bill would have an unknown fiscal impact related to the reimbursement of CAA services as an administrative expense. Currently, CAA services are not billable services and managed care organizations are not reimbursed by HHSC. The fiscal implications cannot be estimated due to an unknown amount of CAA services that would result in administrative expenses. 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
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION
April 18, 2023
TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1695 by Blanco (Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.), As Introduced
TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: SB1695 by Blanco (Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.), As Introduced
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
SB1695 by Blanco (Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.), As Introduced
SB1695 by Blanco (Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.), As Introduced
The fiscal implications of the bill cannot be determined due to an unknown amount of case assistance affiliate services that would result in an increase of administrative expenses paid by the state.
The fiscal implications of the bill cannot be determined due to an unknown amount of case assistance affiliate services that would result in an increase of administrative expenses paid by the state.
The bill would require the Health and Human Services Commission (HHSC) to establish and seek approval for a statewide case assistance affiliate program. The bill would require HHSC to allow a case assistance affiliate (CAA) to categorize the services provided as an administrative expense. According to HHSC, the bill would require additional full-time equivalent positions to implement and oversee the program. The bill would have an unknown fiscal impact related to the reimbursement of CAA services as an administrative expense. Currently, CAA services are not billable services and managed care organizations are not reimbursed by HHSC. The fiscal implications cannot be estimated due to an unknown amount of CAA services that would result in administrative expenses.
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
JMc, NPe, ER, CST