LEGISLATIVE BUDGET BOARD
                          Austin, Texas

                           FISCAL NOTE
                       74th Regular Session

                        February 27, 1995



 TO:     Honorable Hugo Berlanga, Chair         IN RE:  House Bill No. 1345
         Committee on Public Health                     By: Hamric
         House of Representatives
         Austin, Texas







FROM: John Keel, Director

In response to your request for a Fiscal Note on House Bill No.
1345 (Relating to tests for human immunodeficiency virus
infection of pregnant women or on delivery of a child.) 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 physicians attending pregnant women during
gestation or at delivery to test the woman for HIV infection. 

The assumptions in the fiscal implications noted below include: 
fifty (50) percent of the specimens would be sent to the Texas
Department of Health for testing; some costs would accrue to the
Department for treatment of patients testing positive and it is
assumed that fifty percent of patients testing positive would be
eligible for Medicaid or the HIV Medication program; and first
year costs are phased in due to the fact that the provisions of
the bill would only apply to physicians attending pregnant women
on or after January 1, 1996.

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 from Federal   Number of State 
                     Revenue Fund 001      Funds - 555       Employees from 
                                                                FY 1995     
                                                                            
          1996                $464,156             $30,506                .0
          1997                 696,665              45,327                .0
                                                                            
          1998                 696,665              45,327                .0
                                                                            
          1999                 696,665              45,327                .0
          2000                 696,665              45,327                .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, The University of Texas System
          LBB Staff: JK, AZ, KF