LEGISLATIVE BUDGET BOARD
                          Austin, Texas

                           FISCAL NOTE
                       74th Regular Session

                          March 8, 1995



 TO:     Honorable Keith Oakley, Chair          IN RE: Committee Substitute
         Committee on Public Safety             for
         House of Representatives                              House Bill
         Austin, Texas                          No. 235









FROM: John Keel, Director

In response to your request for a Fiscal Note on House Bill No.
235 (relating to the provision of emergency medical information
services) this office has determined the following:

The bill would permit emergency communication centers to provide
emergency medical information under certain conditions.  The
centers choosing to provide this information must ensure that
employees or volunteers receive training under a program approved
by the Texas Department of Health (TDH).  The department would
also be required to produce a protocol for the delivery of
emergency medical information.  TDH would be allowed to charge
fees in association with several provisions of the bill to cover
the costs of the bill.

No fiscal implication to the State is anticipated.

There may be costs to local governments for training employees or
volunteers and for acquiring associated materials.  However,
costs to units of local governments cannot be determined.





Source:   Texas Department of Health
          LBB Staff: JK, AZ, KF, RR