LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 19, 2023 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB2193 by LaMantia (relating to programs established and operated by federally qualified health centers to provide primary care access to certain employees.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. This bill would amend the Health and Safety Code to increase access to primary care services for certain Texans at federally qualified health centers.This analysis assumes the Department of Insurance, Health and Human Services Commission, and the Department of State Health Services can accomplished any duties and responsibilities associated with implementing the provisions of the bill by utilizing existing resources.According to the Health and Human Services Commission, the bill may result in higher utilization for Medicaid clients at Federally Qualified Health Centers, however costs cannot be determined at this time. HHSC estimates that additional full-time equivalent positions would be required to establish, support, and administer the grant program in collaboration with TDI. It is assumed that any additional costs associated with the implementation of the bill could be absorbed using existing resources. Local Government ImpactNo significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 454 Department of Insurance, 529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: b > td > JMc, NPe, LBl, SB, GDZ LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 19, 2023 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB2193 by LaMantia (relating to programs established and operated by federally qualified health centers to provide primary care access to certain employees.), 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: SB2193 by LaMantia (relating to programs established and operated by federally qualified health centers to provide primary care access to certain employees.), 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 SB2193 by LaMantia (relating to programs established and operated by federally qualified health centers to provide primary care access to certain employees.), Committee Report 1st House, Substituted SB2193 by LaMantia (relating to programs established and operated by federally qualified health centers to provide primary care access to certain employees.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. This bill would amend the Health and Safety Code to increase access to primary care services for certain Texans at federally qualified health centers.This analysis assumes the Department of Insurance, Health and Human Services Commission, and the Department of State Health Services can accomplished any duties and responsibilities associated with implementing the provisions of the bill by utilizing existing resources.According to the Health and Human Services Commission, the bill may result in higher utilization for Medicaid clients at Federally Qualified Health Centers, however costs cannot be determined at this time. HHSC estimates that additional full-time equivalent positions would be required to establish, support, and administer the grant program in collaboration with TDI. It is assumed that any additional costs associated with the implementation of the bill could be absorbed using existing resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 454 Department of Insurance, 529 Health and Human Services Commission, 537 State Health Services, Department of 454 Department of Insurance, 529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: b > td > JMc, NPe, LBl, SB, GDZ JMc, NPe, LBl, SB, GDZ