LEGISLATIVE BUDGET BOARD
                          Austin, Texas

                           FISCAL NOTE
                       74th Regular Session

                          March 29, 1995



 TO:     Honorable Judith Zaffirini, Chair      IN RE:  Senate BillNo. 1486
         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.
1486 (Relating to the creation of an immunization tracking
registry and reporting requirements.; Relating to the creation of
an immunization tracking registry and reporting requirements.)
this office has determined the following:

The bill would require the Department of Health to establish and
maintain an immunization tracking registry for the state.  The
bill specifies that the registry be accessible to the public, the
conditions under which providers must submit data, and that
insurance companies, health maintenance organizations, and
similar entities must provide immunization information to the
Department of Health.  The bill also defines data elements to be
included in the immunization record.

The Department of Health has established an immunization tracking
system.  Funds have been expended for this purpose during fiscal
years 1994 and 1995.  Therefore, this bill is expected to have no
significant fiscal impact to the state.


The fiscal implication to  units of local government cannot be
determined.


Source:
          LBB Staff: JK, KF, DF