UTH

HICCAP

Welcome to the Texas Health Impact, Cost, and Coverage Analysis Program (HICCAP)

In September 2025, House Bill (HB) 138 was passed in the 89th Regular Legislative session and established the Texas Health Impact, Cost, and Coverage Analysis Program (HICCAP) within UTHealth Houston School of Public Health, Center for Health Care Data (CHCD).

HICCAP is funded by an annual fee assessed by the Texas Comptroller’s office on health benefits plan issuers in Texas. Please click here for more information on the fee assessment.

HICCAP empowers researchers, policymakers, and communities with insights needed to improve care, reduce costs, and advance our understanding of the health of Texas.

- Cecilia Ganduglia Cazaban, MD, DrPH
Director of the Center for Health Care Data

Evidence-based Analysis for Making Informed Decisions

HICCAP is responsible for preparing analyses of legislative bills that would impose new mandates on health insurers that issue and/or administer health benefit plans in Texas.

Leveraging CHCD’s expert researchers and staff, HICCAP will use data from the Texas All-Payor Claims Databases (TX-APCD) and peer-reviewed scientific literature to engage health care providers and other related content experts in evaluating the medical effectiveness, cost impact, and public health impact of proposed bills that relate to health insurance mandates.

HICCAP will provide Texas lawmakers with evidence-based objective analyses of potential medical, financial, and public health impacts of proposed health insurance benefit mandates. These analyses will equip the Texas Legislature with the reliable scientific evidence required to make informed decisions.

Core Components of a HICCAP Analysis

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Medical Effectiveness

Analyze and report the extent to which the proposed bill is expected to impact access to care and/or any relevant health care service that is recognized by the medical community as being effective in the screening, diagnosis, treatment, or improvement of a condition or disease.

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Cost Impact

Analyze and report the extent to which the legislation is expected to increase or decrease total cost of health coverage, spending by individuals and/or entities, or administrative expenses.

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Public Health Impact

Analyze and report the extent to which the proposed bill is expected to impact the health of communities, e.g., by reducing hospitalizations and/or by reducing instances of communicable disease.

Submitting Requests for HICCAP Analysis

HICCAP has not started accepting analysis requests. More information regarding the timeline and request process will be available soon.

When the request process opens, a HICCAP analysis may only be requested by the following:

  • lieutenant governor;
  • speaker of the house of representatives; or
  • chair or vice chair of the appropriate committee in either house of the Texas Legislature.

HICCAP analysis requests must be on appropriate letterhead and be accompanied by a copy of the filed legislation.

Get in Touch

Have a question about HICCAP? Reach out to our team today.

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