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IN MILLIONS General Government $1,518.3 (2.5%) Health and Human Services $13,225.9 (21.5%) Agencies of Education $36,521.1 (59.4%) Natural Resources $592.0 (1.0%) Business and Economic Development $380.7 (0.6%) The Legislature $291.0 (0.5%) General Provisions $253.3 (0.4%) Tobacco Settlement $945.0 (1.5%) Total = $61,487.1 Million Texas General Revenue Funds Budget 2002-03 biennium The Judiciary $. [...] IN MILLIONS General Government $1,987.4 (3.0%) Health and Human Services $13,808.9 (20.6%) Natural Resources $1,847.7 (2.8%) Business and Economic Development $777.7 (1.2%) The Legislature $291.0 (0.4%) General Provisions $348.0 (0.5%) Tobacco Settlement $987.7 (1.5%) Total = $66,871.9 Million Texas General Revenue and General Revenue-Dedicated Funds Budget 2002-03 biennium The Judiciary $353.1 (0. [...] Agencies of Education $38,826.7 (58.1%) Texas Comptroller's $5.2 billion Imbalance Estimate for 2004-2005 Start with 2002-2003 base $114 billion budget • $3.8 billion decrease in revenue due to loss of one time revenue sources • $1.4 billion additional funds needed for: - Teacher Health Insurance $1.2 billion - Non-payment of 25th month of Medicaid $161 million Additional Health Care Budget Need. [...] • Pharmaceutical savings - $70 million General Revenue savings • Audit related pricing reductions and reimbursement formula changes • Maximum daily dosages • Age and gender limits for certain drugs • Clinical pathways • Pharmacy data management • CHIP rebates/cost savings • Co-payments for pharmaceuticals • Four brand/34 day supply limits Medicaid Cost Containment, cont. [...] • Competitive contracting for medical equipment and supplies - $8.3 million General Revenue savings • Implement case management for high cost/high need individuals - $3.0 million General Revenue savings Texas Medicaid Income Eligibility Levels and Categories 0 50 100 150 200 250 Pregnant Women and Infants Children ages 1-5 Children ages 6-18 Parent with TANF children SSI, Aged & Disabled Long Term.