LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION March 20, 2025 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB961 by Kolkhorst (Relating to fraud prevention and verifying eligibility for benefits under Medicaid.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to conduct certain verifications on a Medicaid recipient related to lottery winnings, out-of-state electronic benefit transfer card transactions, and voter registration status, to identify possible changes to the recipient's eligibility for Medicaid benefits.The bill would take effect September 1, 2025.According to the Comptroller of Public Accounts, state Medicaid expenditures could be reduced to the extent that the provisions of the bill could reduce Medicaid caseloads; however, the amounts and timing of any such reductions are unknown, and the corresponding fiscal impact to the state cannot be determined.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 > 212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General, 304 Comptroller of Public Accounts, 362 Texas Lottery Commission, 529 Health and Human Services Commission LBB Staff: b > td > JMc, NPe, ER, ESch, NV LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION March 20, 2025 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB961 by Kolkhorst (Relating to fraud prevention and verifying eligibility for benefits under Medicaid.), 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: SB961 by Kolkhorst (Relating to fraud prevention and verifying eligibility for benefits under Medicaid.), 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 SB961 by Kolkhorst (Relating to fraud prevention and verifying eligibility for benefits under Medicaid.), Committee Report 1st House, Substituted SB961 by Kolkhorst (Relating to fraud prevention and verifying eligibility for benefits under Medicaid.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would require the Health and Human Services Commission (HHSC) to conduct certain verifications on a Medicaid recipient related to lottery winnings, out-of-state electronic benefit transfer card transactions, and voter registration status, to identify possible changes to the recipient's eligibility for Medicaid benefits.The bill would take effect September 1, 2025.According to the Comptroller of Public Accounts, state Medicaid expenditures could be reduced to the extent that the provisions of the bill could reduce Medicaid caseloads; however, the amounts and timing of any such reductions are unknown, and the corresponding fiscal impact to the state cannot be determined.It is assumed that any costs associated with the bill could be absorbed using existing resources. The bill would take effect September 1, 2025. According to the Comptroller of Public Accounts, state Medicaid expenditures could be reduced to the extent that the provisions of the bill could reduce Medicaid caseloads; however, the amounts and timing of any such reductions are unknown, and the corresponding fiscal impact to the state cannot be determined.It is assumed that any costs associated with the bill could be absorbed using existing resources. According to the Comptroller of Public Accounts, state Medicaid expenditures could be reduced to the extent that the provisions of the bill could reduce Medicaid caseloads; however, the amounts and timing of any such reductions are unknown, and the corresponding fiscal impact to the state cannot be determined. 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 > 212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General, 304 Comptroller of Public Accounts, 362 Texas Lottery Commission, 529 Health and Human Services Commission 212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General, 304 Comptroller of Public Accounts, 362 Texas Lottery Commission, 529 Health and Human Services Commission LBB Staff: b > td > JMc, NPe, ER, ESch, NV JMc, NPe, ER, ESch, NV