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