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