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