LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 74th Regular Session May 18, 1995 TO: Honorable Judith Zaffirini, Chair IN RE: Committee Substitute Committee on Health & Human Services forHouse Bill Senate No. 1048 Austin, Texas By: Maxey, et al. FROM: John Keel, Director In response to your request for a Fiscal Note on House Bill No. 1048 (Relating to the creation of the Texas Health Care Information Council; providing civil 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. This bill would implement the Comptroller's Gaining Ground recommendation HHS2 by creating a Health Care Information Council and Office. Costs included in Department of Health estimates of fiscal implications of the bill detailed in the table below include: reimbursements for council members; salaries for council staff; funds for consultant contracts permitted by the bill; development of data systems; and other operating costs to administer the council activities. The bill also provides for a designated account in the general revenue fund for all grants and contributions of money and fees collected by the office and that all balances may be carried forward from year to year within a biennium and between biennia. Gain to the general revenue fund would be through sale of data. Comptroller estimates state that costs would vary depending on the number and types of illnesses reviewed, the services purchased from consultants, the amount of equipment purchased or leased, and the amount of work contracted or performed in-house. Comptroller estimates were: cost to the general revenue fund of $725,000 in fiscal year 1996, $1,600,000 in fiscal year 1997, 1,800,000 in fiscal year 1998, 1,950,000 in fiscal year 1999 and 2,100,000 in fiscal year 2000. 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 Change in Year of General Gain to General Number of State Revenue Fund 001 Revenue Fund 001 Employees from FY 1995 1996 $924,959 3.0 1997 1,788,545 20,000 4.0 1998 1,788,545 75,000 4.0 1999 1,788,545 75,000 4.0 2000 1,788,545 75,000 4.0 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 Health, Comptroller of Public Accounts LBB Staff: JK, KF, DF