LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 74th Regular Session February 28, 1995 TO: Honorable Hugo Berlanga, Chair IN RE: House Bill No. 866 Committee on Public Health By: Maxey House of Representatives 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 to award a grant to establish school health clinics. 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. Estimates associated with an estimate of the fiscal implications of a similar proposal in Gaining Ground were predicated upon another proposal, not addressed in this bill, to earmark a certain portion of federal reimbursements for Medicaid administrative costs for school-based clinics for school-based and school-linked programs. If this latter proposal were adopted, it is possible that the fiscal implications detailed below would be modified. 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 Out Change in Year of General Number of State Revenue Fund 001 Employees from FY 1995 1996 $2,300,000 .0 1997 2,750,000 .0 1998 2,800,000 .0 1999 2,850,000 .0 2000 2,900,000 .0 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: Department of Human Services, Department of Health, Central Education Agency LBB Staff: JK, AZ, KF, DF