LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION April 3, 2025 TO: Honorable Gary VanDeaver, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2747 by Frank (Relating to requiring certain health care entities to submit notice of material change transactions to the attorney general and the attorney general's authority to conduct certain related studies; imposing civil and administrative penalties.), As Introduced No significant fiscal implication to the State is anticipated. The bill would require healthcare entities to provide advance notice to the Office of the Attorney General (OAG) for material change transactions. The OAG would be permitted to request data from healthcare entities for the purpose of collecting studies on the conditions of Texas healthcare markets.The OAG would be authorized to collect civil and administrative penalties for noncompliance from healthcare entities.It is assumed that any costs associated with the bill could be absorbed using existing resources.It is also assumed any revenues generated as a result of civil penalties associated with the bill would not have a significant impact. Local Government ImpactNo significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General LBB Staff: b > td > JMc, NPe, LCO, JKe LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION April 3, 2025 TO: Honorable Gary VanDeaver, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2747 by Frank (Relating to requiring certain health care entities to submit notice of material change transactions to the attorney general and the attorney general's authority to conduct certain related studies; imposing civil and administrative penalties.), As Introduced TO: Honorable Gary VanDeaver, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2747 by Frank (Relating to requiring certain health care entities to submit notice of material change transactions to the attorney general and the attorney general's authority to conduct certain related studies; imposing civil and administrative penalties.), As Introduced Honorable Gary VanDeaver, Chair, House Committee on Public Health Honorable Gary VanDeaver, Chair, House Committee on Public Health Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB2747 by Frank (Relating to requiring certain health care entities to submit notice of material change transactions to the attorney general and the attorney general's authority to conduct certain related studies; imposing civil and administrative penalties.), As Introduced HB2747 by Frank (Relating to requiring certain health care entities to submit notice of material change transactions to the attorney general and the attorney general's authority to conduct certain related studies; imposing civil and administrative penalties.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would require healthcare entities to provide advance notice to the Office of the Attorney General (OAG) for material change transactions. The OAG would be permitted to request data from healthcare entities for the purpose of collecting studies on the conditions of Texas healthcare markets.The OAG would be authorized to collect civil and administrative penalties for noncompliance from healthcare entities.It is assumed that any costs associated with the bill could be absorbed using existing resources.It is also assumed any revenues generated as a result of civil penalties associated with the bill would not have a significant impact. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General 212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General LBB Staff: b > td > JMc, NPe, LCO, JKe JMc, NPe, LCO, JKe