LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 74th Regular Session April 24, 1995 TO: Honorable Hugo Berlanga, Chair IN RE: Committee Substitute Committee on Public Health for House House of Representatives Bill No. 1023 Austin, Texas FROM: John Keel, Director In response to your request for a Fiscal Note on House Bill No. 1023 (Relating to regulation of end stage renal disease facilities; providing criminal penalties.) 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 regulate end stage renal disease facilities. The bill provides the Board of Health and the Department of Health with powers relating to licensure of end stage renal disease facilities, establishment of minimum requirements for training of dialysis technicians, inspections of end stafe renal disease facilities, administrative penalties, and recovery of costs for administrative hearings when a person's license is denied, suspended, or revoked, or if administrative penalties are assessed against the person. Fiscal implications noted in the table below assume costs for personnel, travel, computer equipment and programming, and other operating costs associated with a licensing function. Federal funds appearing below are assumed to become available as end stage renal disease facilities receive Medicare funding, so it is projected that the Health Care Financing Administration would share the cost of surveying the facilities. 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 Probable Revenue Probable Cost Out Year of General Gain to General of Federal Funds Revenue Fund 001 Revenue Fund 001 555 1996 $470,000 $470,000 $14,378 1997 317,751 317,751 14,378 1998 320,779 320,779 14,378 1999 321,571 321,571 14,378 2000 324,627 324,627 14,378 Fiscal Probable Revenue Change in Year Gain to Federal Number of State Funds 555 Employees from FY 1995 1996 $14,378 5.5 1997 14,378 4.7 1998 14,378 4.7 1999 14,378 4.7 2000 14,378 4.7 Similar annual fiscal implications would continue as long as the provisions of the bill are in effect. No significant fiscal implication to units of local government is anticipated. Source: Department of Health, Health and Human Services Commission LBB Staff: JK, KF, DF