LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION March 13, 2025 TO: Honorable Charles Schwertner, Chair, Senate Committee on Business & Commerce FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB815 by Schwertner (relating to the use of certain automated systems or personnel in, and certain adverse determinations made in connection with, the health benefit claims process.), Committee Report 1st House, Substituted The fiscal implications of the bill cannot be determined as the extent to which managed care organizations currently use automated decision systems is unknown. The fiscal implications of the bill cannot be determined as the extent to which managed care organizations that currently use automated decision systems is unknown; therefore, the fiscal impact to Medicaid client services cannot be determined.Other than the unknown impact to Medicaid client services, it is assumed that any costs associated with 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 LBB Staff: b > td > JMc, RStu, GDZ, BFa, NV LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION March 13, 2025 TO: Honorable Charles Schwertner, Chair, Senate Committee on Business & Commerce FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB815 by Schwertner (relating to the use of certain automated systems or personnel in, and certain adverse determinations made in connection with, the health benefit claims process.), Committee Report 1st House, Substituted TO: Honorable Charles Schwertner, Chair, Senate Committee on Business & Commerce FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB815 by Schwertner (relating to the use of certain automated systems or personnel in, and certain adverse determinations made in connection with, the health benefit claims process.), Committee Report 1st House, Substituted Honorable Charles Schwertner, Chair, Senate Committee on Business & Commerce Honorable Charles Schwertner, Chair, Senate Committee on Business & Commerce Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board SB815 by Schwertner (relating to the use of certain automated systems or personnel in, and certain adverse determinations made in connection with, the health benefit claims process.), Committee Report 1st House, Substituted SB815 by Schwertner (relating to the use of certain automated systems or personnel in, and certain adverse determinations made in connection with, the health benefit claims process.), Committee Report 1st House, Substituted The fiscal implications of the bill cannot be determined as the extent to which managed care organizations currently use automated decision systems is unknown. The fiscal implications of the bill cannot be determined as the extent to which managed care organizations currently use automated decision systems is unknown. The fiscal implications of the bill cannot be determined as the extent to which managed care organizations that currently use automated decision systems is unknown; therefore, the fiscal impact to Medicaid client services cannot be determined.Other than the unknown impact to Medicaid client services, it is assumed that any costs associated with the bill could be absorbed using existing resources. Other than the unknown impact to Medicaid client services, it is assumed that any costs associated with 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 454 Department of Insurance, 529 Health and Human Services Commission LBB Staff: b > td > JMc, RStu, GDZ, BFa, NV JMc, RStu, GDZ, BFa, NV