LEGISLATIVE BUDGET BOARD
                          Austin, Texas

                           FISCAL NOTE
                       74th Regular Session

                          April 4, 1995



 TO:     Honorable Judith Zaffirini, Chair      IN RE:  Senate BillNo. 1229
         Committee on Health & Human Services           By: Zaffirini
         Senate
         Austin, Texas






FROM: John Keel, Director

In response to your request for a Fiscal Note on Senate Bill No.
1229 (Relating to the Maternal and Infant Health Improvement Act
and to the development of a perinatal health care system.) this
office has determined the following:

The bill would provide for the creation of a perinatal health
care system.  The Board of Health would be responsible for
adopting minimum standards and objectives to implement voluntary
perinatal health care systems.  The Department of Health would be
responsible for developing and monitoring a statewide network of
voluntary perinatal health care systems, developing and
maintaining a reporting and analysis system, and providing for
coordination and cooperation within the state and among Texas and
adjoining states. 

The bill specifies criteria for creation of a voluntary perinatal
health care system and stipulates that the Department of Health
may establish a grant program.

The Department anticipates no fiscal implications in association
with this bill, stating that the bill aligns state law with the
Department's responsibilities under Title V, Maternal and Child
Health Services Block Grant, and that, unless new funds were
appropriated, the Department does not anticipate awarding any
grants under the program described in the bill.


No fiscal implication to the State is anticipated.

No significant fiscal implication to units of local government is    




anticipated.
 

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