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Medicaid and the State Children’s Health Insurance Program in Texas:Appendix C. Fiscal Note for Women’s Health Care WaiverLEGISLATIVE BUDGET BOARDAustin, TexasFISCAL NOTE, 79TH LEGISLATIVE REGULAR SESSIONMarch 22, 2005TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human ServicesFROM: John S. O’Brien, Deputy Director, Legislative Budget BoardIN RE: SB747 by Carona (Relating to establishing a demonstration project for women’s healthcare services), As IntroducedEstimated Two-year Net Impact to General Revenue Related Funds for SB747, AsIntroduced: a positive impact of $135,207,202 through the biennium ending August 31, 2007.The bill would make no appropriation but could provide the legal basis for an appropriation offunds to implement the provisions of the bill.General Revenue-Related Funds, Five-Year Impact:Fiscal YearProbable Net Positive/(Negative) Impactto General Revenue Related Funds2006 $44,403,9282007 $90,803,2742008 $92,490,6362009 $94,173,1842010 $95,954,705All Funds, Five-Year Impact:Probable (Cost) fromFiscal GR MATCH FORYear MEDICAID758Probable Savings fromGR MATCH FORMEDICAID758Probable (Cost) fromFEDERAL FUNDS555Probable Savings fromFEDERAL FUNDS5552006 ($8,131,500) $52,535,428 ($73,183,500) $81,074,5112007 ($16,524,000) $107,327,274 ($148,716,000) $164,181,1342008 ($16,821,000) $109,311,636 ($151,389,000) $167,076,8252009 ($17,127,000) $111,300,184 ($154,143,000) $170,116,2112010 ($17,451,000) $113,405,705 ($157,059,000) $173,334,384Fiscal AnalysisThe bill would require the Health and Human Services Commission (HHSC) to develop a fiveyeardemonstration project in the state Medical Assistance (Medicaid) program relating topreventive health and family planning.The bill would require HHSC to establish a five-year demonstration project through the medicalassistance program to expand access to preventive health and family planning services forwomen. Women eligible under Subsection (b) to participate in the demonstration project mayreceive appropriate preventive health and family planning services, including: medical historyB-55