LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION April 7, 2025 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1467 by Hinojosa, Juan "Chuy" (Relating to death records maintained by the vital statistics unit of the Department of State Health Services and provided to certain hospitals.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for SB1467, As Introduced: a negative impact of ($1,359,039) through the biennium ending August 31, 2027. 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 Funds2026($686,430)2027($672,609)2028($673,709)2029($674,624)2030($675,559)All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Change in Number of State Employees from FY 20252026($686,430)5.02027($672,609)5.02028($673,709)5.02029($674,624)5.02030($675,559)5.0 Fiscal AnalysisThe bill would require the Department of State Health Services (DSHS) to implement a procedure to provide death information to a licensed hospital to assist with the hospital's participation in the Medicaid managed care program.The bill would require the procedure to include minimum information to be provided for each deceased person for whom a death certificate is filed with a local registrar including county of a residence, date of birth, and the full name of the deceased.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION
April 7, 2025
TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB1467 by Hinojosa, Juan "Chuy" (Relating to death records maintained by the vital statistics unit of the Department of State Health Services and provided to certain hospitals.), As Introduced
TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: SB1467 by Hinojosa, Juan "Chuy" (Relating to death records maintained by the vital statistics unit of the Department of State Health Services and provided to certain hospitals.), 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
SB1467 by Hinojosa, Juan "Chuy" (Relating to death records maintained by the vital statistics unit of the Department of State Health Services and provided to certain hospitals.), As Introduced
SB1467 by Hinojosa, Juan "Chuy" (Relating to death records maintained by the vital statistics unit of the Department of State Health Services and provided to certain hospitals.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for SB1467, As Introduced: a negative impact of ($1,359,039) through the biennium ending August 31, 2027. 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 SB1467, As Introduced: a negative impact of ($1,359,039) through the biennium ending August 31, 2027. 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:
2026 ($686,430)
2027 ($672,609)
2028 ($673,709)
2029 ($674,624)
2030 ($675,559)
All Funds, Five-Year Impact:
2026 ($686,430) 5.0
2027 ($672,609) 5.0
2028 ($673,709) 5.0
2029 ($674,624) 5.0
2030 ($675,559) 5.0
Fiscal Analysis
The bill would require the Department of State Health Services (DSHS) to implement a procedure to provide death information to a licensed hospital to assist with the hospital's participation in the Medicaid managed care program.The bill would require the procedure to include minimum information to be provided for each deceased person for whom a death certificate is filed with a local registrar including county of a residence, date of birth, and the full name of the deceased.
The bill would require the procedure to include minimum information to be provided for each deceased person for whom a death certificate is filed with a local registrar including county of a residence, date of birth, and the full name of the deceased.
Methodology
This analysis assumes DSHS would need to develop and enter into data sharing agreements and Memorandum of Understandings (MOUs) in order for provision licensed hospitals to gain access to death data through the State Health Analytics and Reporting Platform (SHARP).The analysis assumes DSHS would require 5.0 additional full-time equivalent positions (FTEs) to ensure ongoing contract management and reporting required to comply with statute requirements. This includes Program Specialist IV positions (2.0 FTEs) to manage and facilitate MOUs with hospitals; Compliance Analyst II positions (2.0 FTEs) to manage, document, and enforce hospital agreements; and a Compliance Analyst III position (1.0 FTE) to manage the team of Program Specialists and Compliance Analysts. Salaries, benefits, and other related costs for the new FTEs total $542,909 in fiscal year 2026 and $672,609 in fiscal year 2027, all from the General Revenue Fund. The lower cost in fiscal year 2026 is attributable to a later start date for the new positions assumed in the first fiscal year.Any consultation, analysis, or adoption of rules by the Health and Human Services Commission to implement the bill can be accomplished within existing resources.
This analysis assumes DSHS would need to develop and enter into data sharing agreements and Memorandum of Understandings (MOUs) in order for provision licensed hospitals to gain access to death data through the State Health Analytics and Reporting Platform (SHARP).
Salaries, benefits, and other related costs for the new FTEs total $542,909 in fiscal year 2026 and $672,609 in fiscal year 2027, all from the General Revenue Fund. The lower cost in fiscal year 2026 is attributable to a later start date for the new positions assumed in the first fiscal year.
Any consultation, analysis, or adoption of rules by the Health and Human Services Commission to implement the bill can be accomplished within existing resources.
Technology
This analysis assumes DSHS would need to modify SHARP to allow hospitals to access the system. The one time information technology costs are estimated to total $143,521 from the General Revenue Fund in fiscal year 2026.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.
Source Agencies: b > td > 529 Health and Human Services Commission, 537 State Health Services, Department of
529 Health and Human Services Commission, 537 State Health Services, Department of
LBB Staff: b > td > JMc, NPe, ER, APA, NV
JMc, NPe, ER, APA, NV