LEGISLATIVE BUDGET BOARD
                          Austin, Texas

                           FISCAL NOTE
                       74th Regular Session

                          March 12, 1995



 TO:     Honorable Hugo Berlanga, Chair         IN RE:  House Bill No. 866,
         Committee on Public Health                           as amended
         House of Representatives                       By: maxey
         Austin, Texas








FROM: John Keel, Director

In response to your request for a Fiscal Note on House Bill No.
866 (relating to public school health clinics) this office has
determined the following:

The bill would make no appropriation but could provide the legal
basis for an appropriation of funds to implement the provisions
of the bill.

The bill would require the Texas Department of Health to select
17 eligible school districts to which a grant to establish school
health clinics would be awarded.  The Department of Health would
enter into an interagency agreement with the Texas Department of
Human Services to amend eligibility requirements for the state's
emergency assistance plan under Title IV-A, Social Security Act. 
The Texas Department of Human Services would be required to apply
for funds to supplement other financial support for school health
clinics.

The bill would implement recommendations in the Comptroller of
Public Accounts' Gaining Ground.  The bill would authorize the
Texas Department of Health to withhold a portion of federal funds
resulting from Medicaid administrative matching by the school
districts for the purpose of funding the school-based clinics.

The probable fiscal implication of implementing the provisions of
the bill during each of the first  five years following passage
is estimated as follows:
         






 
          Fiscal  Probable Cost for   Probable Gain to  
          Year       Grants and        General Revenue  
                  Contracts Out of         Fund 001     
                   General Revenue                      
                      Fund 001                          
                                                        
          1996            $2,300,000          $2,300,000
          1997             2,750,000           2,750,000
                                                        
          1998             2,800,000           2,800,000
                                                        
          1999             2,850,000           2,850,000
          2000             2,900,000           2,900,000
                                                        
                                                        
                                                        



Similar annual fiscal implications would continue as long as the
provisions of the bill are in effect.

The fiscal implication to  units of local government cannot be
determined.


Source:   Comptroller of Public Accounts
          LBB Staff: JK, KF, DF