LEGISLATIVE BUDGET BOARD
                          Austin, Texas

                           FISCAL NOTE
                       74th Regular Session

                           May 17, 1995



 TO:     Honorable Judith Zaffirini, Chair      IN RE:  House BillNo. 1604,
         Committee on Health & Human Services                as engrossed
         Senate                                         By: Glaze
         Austin, Texas








FROM: John Keel, Director

In response to your request for a Fiscal Note on House Bill No.
1604 (Relating to the regulation of emergency medical services
providers and of training programs for those providers.) this
office has determined the following:

The bill would make no appropriation, but would modify fees set
in statute or create new fees relating to out-of-state and out-
of-country Emergency  Medical Service (EMS) personnel
certification, program instructors, examiners and course
coordinators, training programs for providers, EMS patient
transport vehicles, provisional licenses, and reinspections to
determine compliance.

The Department of Health states that there would be no costs
associated with the implementation of this bill and that the
revenue gains through fee increases could be used to help offset
costs in the EMS programs, which currently cover only 28% of
costs through fees.

The Department of Health estimates costs to local units of
government associated with this bill at a total increase of
$40,225 per fiscal year, due to an increase in the fee to license
EMS vehicles from $100 to $150.

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 Revenue 
             Year      Gain to   GR   
                      Consolidated -  
                    Emergency Mgmt Fd 
                           512        
                                      
          1996                $163,975
          1997                 163,975
                                      
          1998                 172,174
                                      
          1999                 172,174
          2000                 180,783
                                      
                                      
                                      





Similar fiscal implications would continue as long as the
provisions of the bill are in effect.


Source:   Department of Health
          LBB Staff: JK, KF, DF