Primary Department: Management and Budget
Primary Department Head/Elected Official: Daniel Ramos
Secondary Department: Choose an item.
Secondary Department Head/Elected Official:
Regular or Supplemental RCA: Regular RCA
Type of Request: Financial Authorization
Project ID (if applicable): N/A
Vendor/Entity Legal Name (if applicable): N/A
MWBE Contracted Goal (if applicable): N/A
MWBE Current Participation (if applicable): N/A
Justification for 0% MWBE Participation Goal: N/A - Goal not applicable to request
Grant Indirect Costs Rate (if applicable): N/A
Justification for 0% Grant Indirect Costs Rate (if applicable): N/A - Not a grant item
Request Summary (Agenda Caption):
title
Request for approval to submit the annual Patient-Centered Outcomes Research Institute report and payment in the estimated amount of $285,555 to the Internal Revenue Service in compliance with the Affordable Care Act.
end
Background and Discussion:
The Affordable Care Act assesses an annual fee on issuers of health insurance policies and certain self-insured health plans to help fund the Patient-Centered Outcomes Research Institute (P-CORI). The Institute was established to research and assist patients, clinicians, purchasers and policymakers, in making informed health decisions by advancing the quality and relevance of evidence-based medicine. The fee is required to be reported annually on the second quarter Internal Revenue Service Form 720 (Quarterly Federal Excise Tax Return) and paid by July 31st.
Expected Impact:
For the short plan year ending December 31, 2023, the fee is approximately $135,246 and is based on $3.22 per the average number of covered lives during the plan year and includes all active employees, retirees, dependents, and COBRA participants for all entities covered under the medical plan (Harris County, Harris County Flood Control District, Greater Harris County 9-1-1 Emergency Network, Harris County Community Supervision & Corrections, Harris County Sports & Convention Corporation, and Harris County Housing Authority). For the plan year ending December 31, 2024, the fee is approximately $150,309 and is based on $3.47 per the average number of covered lives. The fee will be paid from the Health Insurance Fund.
Alternative Options: N/A
County Strategic Plan Goal: N/A
County Strategic Plan Objective: N/A
Justice/Safety Initiative (Goal 1): N/A
Infrastructure Initiative (Goal 2): N/A
Economy Initiative (Goal 3): N/A
Health Initiative (Goal 4): N/A
Climate/Resilience Initiative (Goal 5): N/A
Housing Initiative (Goal 6): N/A
Additional notes related to the Strategic Plan: N/A
Prior Court Action (if any):
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Date |
Agenda Item # |
Action Taken |
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Location:
Address (if applicable): N/A
Precinct(s): Countywide
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Fiscal and Personnel Summary |
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Service Name |
Benefits & Wellness |
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Current Fiscal Year Cost |
Annual Fiscal Cost |
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Labor |
Non-Labor |
Total |
Recurring Expenses |
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Funding Sources |
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Existing Budget |
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Other |
$ |
$285,555 |
$285,555 |
$160,000 |
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Choose an item. |
$ |
$ |
$ |
$ |
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Choose an item. |
$ |
$ |
$ |
$ |
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Total Existing Budget |
$ |
$285,555 |
$285,555 |
$160,000 |
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Additional Budget Request (Requires Fiscal Review Request Form) |
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Choose an item. |
$ |
$ |
$ |
$ |
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Choose an item. |
$ |
$ |
$ |
$ |
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Choose an item. |
$ |
$ |
$ |
$ |
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Total Additional Budget Request |
$ |
$ |
$ |
$ |
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Total Funding Sources |
$ |
$285,555 |
$285,555 |
$160,000 |
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Grants - Proposed Budget (For Grants Items only) |
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Labor |
Non-Labor |
Total |
No. of Grant Years |
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Local Match Source - Existing Budget: Choose an item. |
$ |
$ |
$ |
|
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Local Match Source - Additional Budget Request: Choose an item. |
$ |
$ |
$ |
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Grant Funds Applied for/Awarded (Total) |
$ |
$ |
$ |
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Personnel (Fill out section only if requesting new PCNs) |
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Current Position Count for Service |
- |
- |
- |
- |
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Additional Positions Request |
- |
- |
- |
- |
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Total Personnel |
- |
- |
- |
- |
Anticipated Court Date: 7/10/2025
Anticipated Implementation Date (if different from Court date): 7/31/2025
Emergency/Disaster Recovery Note: Not an emergency, disaster, or ARPA related item
Contact(s) name, title, department: Shain Carrizal, Deputy Executive Director of Risk Management, Office of Management and Budget
Attachments (if applicable): N/A