LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 74th Regular Session March 31, 1995 TO: Honorable Bill Ratliff, Chair IN RE: Committee Substitute Committee on Education for Senate SenateBill Austin, Texas No. 1280 FROM: John Keel, Director In response to your request for a Fiscal Note on Senate Bill No. 1280 (Relating to the creation of statewide preceptorship programs in general internal medicine and general pediatrics and the expansion of primary care residency positions) this office has determined the following: The bill would create a statewide preceptorship program in general internal medicine and general pediatrics; establish the Primary Care Residency Advisory Committee to review applications for approval and funding of primary care training program expansion; and expand primary care residency positions. The following assumptions are included in the amounts below. Preceptorship Program: an estimated 800 students (400 students per program ) would be supported annually in both programs. Costs are estimated at $600,000 per year for recipient stipends, travel expenses, program administration, and provider expenses. Primary Care Residency Program Expansion: approximately 150 new positions would be created and phased in over a five-year period at a rate of 30 new first-year positions per year. Continued postgraduate positions for the second and third year of training (as well as postgraduate year four for obstetrics and gynecology residents) would be funded. 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 Year of General Revenue Fund 001 1996 $1,050,000 1997 1,950,000 1998 2,625,000 1999 3,300,000 2000 3,323,000 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: Higher Education Coordinating Board LBB Staff: JK, DB, WRR