LEGISLATIVE BUDGET BOARD
                          Austin, Texas

                           FISCAL NOTE
                       74th Regular Session

                          April 26, 1995



 TO:     Honorable David Sibley, Chair          IN RE:  Senate Bill No. 202
         Committee on Economic Development              By:Patterson, Jerry
         Senate
         Austin, Texas







FROM: John Keel, Director

In response to your request for a Fiscal Note on Senate Bill No.
202 (relating to provision of certain services provided through
health maintenance organizations) 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 amend Insurance Code provisions known as the Texas
Health Maintenance Organization Act to include mental health
services and substance abuse services within the scope of single
health service plans.

Implementation of the provisions of the bill would result in cost
and revenue implications.  The Department of Insurance estimates
that at least 25 mental health and chemical dependency entities
would be subject to licensure.  Additional workload would be
related to reviewing applications for licensure, monitoring
financial solvency and on-site examinations.

Additional revenue would be generated from licensure application
filing fees.

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 Cost Out      Change in    
             Year    of Department of    of Department of   Number of State 
                         Insurance          Insurance        Employees from 
                        Operating           Operating           FY 1995     
                         Fund 036            Fund 036                       
                     GR Consolidated     GR Consolidated                    
                                                                            
          1996                $195,311             $93,750               4.0
          1997                 175,585              93,750               4.0
                                                                            
          1998                 111,052                                   2.0
                                                                            
          1999                 111,052                                   2.0
          2000                 111,052                                   2.0
                                                                            
                                                                            
                                                                            
       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 Insurance
          LBB Staff: JK, RM, RR