LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 74th Regular Session February 20, 1995 TO: Honorable Hugo Berlanga, Chair IN RE: Committee Substitute Committee on Public Health for Senate House of Representatives Bill No. 192 Austin, Texas FROM: John Keel, Director In response to your request for a Fiscal Note on Senate Bill No. 192 (relating to the administration and responsibilities of The University of Texas M. D. Anderson Cancer Center) this office has determined the following: Major provisions of the bill include: Modification of the M. D. Anderson patient admission requirement of physician referral that would allow patient self referral. Authorization to M.D. Anderson to enter into a contract with a county or hospital district to provide treatment to residents of the county or district who are eligible for assistance under the Indigent Health Care and Treatment Act. The liability of the county or hospital district to M. D. Anderson for such treatment is limited to that specified by the Indigent Health Care and Treatment Act unless otherwise agreed upon by the county or district through a contract with M.D. Anderson. Authorization to M. D. Anderson to offer incentive retirement plans to employees. The incentives offered would be paid from institutional funds. M. D. Anderson would be exempted from General Service Commission regulations regarding purchases of goods and services. M. D. Anderson would be authorized to purchase goods and services by any method that provided the best value. Contracts between M. D. Anderson and counties must take into account the actual costs related to treatment provided. A county's liability to M. D. Anderson may not exceed such costs. If no contractual arrangement is established for treatment of a non-emergency patient, M. D. Anderson must receive county permission to offer health care services. If no such permission is received, the county is not liable for the costs of health care services provided. No fiscal implication to the State is anticipated. The fiscal implication to units of local government cannot be determined. Source: LBB Staff: JK, MK, DF; Higher Education Coordinating Board