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