LEGISLATIVE BUDGET BOARD
                          Austin, Texas

                           FISCAL NOTE
                       74th Regular Session

                          April 17, 1995



 TO:     Honorable Hugo Berlanga, Chair         IN RE:  House Bill No. 2311
         Committee on Public Health                     By: Rangel
         House of Representatives
         Austin, Texas







FROM: John Keel, Director

In response to your request for a Fiscal Note on House Bill No.
2311 (Relating to the establishment of a health professional
recruitment program.) 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 create the health professional recruitment
program, a grant program to assist nonprofit, community-based
organizations in recruiting and retaining health professionals to
practice in medically underserved areas.  The program would be
administered by the Department of Health.  Among the requirements
for the administration of the program in the bill are the
specifications that the department, in conjunction with the
Center for Rural Health Initiatives, conduct field research,
collect data, and prepare reports relating to the need for the
program. 

The bill would create a grant program, specifying that the
Department award grants for one-year periods, with the amount of
the grant not to exceed $15,000.  The grants are to be awarded to
nonprofit, community-based organizations and may only be used to
assist the organization in paying for the salary or expenses of
health professionals.

The bill would require that, not later than February 1, 1997, the
Texas Board of Health report to the 75th Legislature regarding
the allocation of funds and the progress of the program in    




recruiting and retaining resident physicians to practice in 
medically underserved areas.

Assumptions in the fiscal implications noted below include:  an
estimated 60 grants at $15,000 each in fiscal year 1996, 70 in
fiscal year 1997, 80 in fiscal year 1998, and 90 grants in fiscal
years 1999 and 2000; funds to hire a statistician at the
Department of Health to track data; and associated operating
expenses, including travel and computer equipment.















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      Change in   
             Year      of  General      Number of State
                     Revenue Fund 001   Employees from 
                                            FY 1995    
                                                       
          1996                $941,697              1.0
          1997               1,085,907              1.0
                                                       
          1998               1,236,057              1.0
                                                       
          1999               1,386,207              1.0
          2000               1,386,207              1.0
                                                       
                                                       
                                                       
       Similar annual fiscal implications would continue as long as the
provisions of the bill are in effect.

No fiscal implication to units of local government is
anticipated.    




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