LEGISLATIVE BUDGET BOARD
                          Austin, Texas

                           FISCAL NOTE
                       74th Regular Session

                          March 26, 1995



 TO:     Honorable Harvey Hilderbran, Chair     IN RE:  House Bill No. 2704
         Committee on Human Services                    By: Naishtat
         House of Representatives
         Austin, Texas







FROM: John Keel, Director

In response to your request for a Fiscal Note on House Bill No.
2704 (Relating to criminal history checks of employees and
applicants for employment in certain facilities serving the
elderly or persons with disabilities.) this office has determined
the following:

The bill amends the Health and Safety Code, Chapter 250
concerning nurse aide registry and criminal history checks of
employees and applicants for employment in facilities serving the
elderly or persons with disabilities.  The bill places the
responsibility for criminal history checks on the facility
employing unlincensed persons whose duties involve direct
contract with a resident, client, or family member or visitor of
the resident or client to request a criminal history check of the
unlincensed persons and to determine whether the unlicensed
person is employable. 

Placing this responsibility on the facilities,  eliminates the
need for the Department of Human Services hearing panel that
currently determines if a criminal conviction may bar a person
from employment in a facility.  The discontinuance of the panel
would result in a savings due to the elimination of one position. 
 Although, the bill allows facilities to obtain criminal history
checks without going through DHS, it is assumed that most
facilities will continue to use the DHS.  This assumption is
based on the difference in the cost of obtaining the information. 
The Department of Public Safety currently charges DHS $1.00 per
criminal history check as compared to $10.00 it would charge a
facility for the same information.    




 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 Savings    Probable Savings    Probable Savings  
             Year    from  General     to General Revenue  from Federal Funds 
                    Revenue Fund 001     from Match For            555        
                                           Medicaid                           
                                                                              
          1996                 $3,174              $6,514              $17,988
          1997                  3,174               6,514               17,988
                                                                              
          1998                  3,174               6,514               17,988
                                                                              
          1999                  3,174               6,514               17,988
          2000                  3,174               6,514               17,988
                                                                              
                                                                              
                                                                              
            Fiscal     Change in    
             Year   Number of State 
                     Employees from 
                        FY 1995     
                                    
          1996                 (1.0)
          1997                 (1.0)
                                    
          1998                 (1.0)
                                    
          1999                 (1.0)
          2000                 (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 Human Services, Department of Public
Safety, Department of Health
          LBB Staff: JK, MU, DF