LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  March 21, 1997
         
         
      TO: Honorable Allen Hightower, Chair            IN RE:  House Bill No. 214, Committee Report 1st House, Substituted
          Committee on Corrections                              By: Staples
          House
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on HB214 ( Relating 
to the provision of health care to an inmate confined in a facility 
operated by or under contract with the Texas Department of Criminal 
Justice.) this office has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by HB214-Committee Report 1st House, Substituted
         
Implementing the provisions of the bill would result in a net 
positive impact of $497,000 to General Revenue Related Funds 
through the biennium ending August 31, 1999.
         
The bill would make no appropriation but could provide the legal 
basis for an appropriation of funds to implement the provisions 
of the bill.
         
 
Fiscal Analysis
 
The bill would amend the Government Code by requiring inmates 
confined in facilities operated by or under contract with the 
Texas Department of Criminal Justice (TDCJ), other than halfway 
houses,  who initiate visits to a health care provider to make 
a $3.00 copayment per visit to TDCJ. Application of this provision 
would apply to inmates confined in said TDCJ facilities on or 
after January 1, 1998. Provisions are made for specific exemptions 
to the copayment requirement. 

Money received as a result 
of copayments would be deposited in a new dedicated account 
in the General Revenue Fund that may be used only to pay the 
cost of administering the copayment requirements. At the beginning 
of each fiscal year, the Comptroller would transfer any surplus 
from the preceding fiscal year to the credit of the General 
Revenue Fund. 
 
Methodolgy
 
It is estimated the proposed copayment plan would reduce inmate 
sick-call visits by 30 percent, and that 75 percent of the remaining 
visits would be exempted from the copayment charge. The average 
number of visits subject to the copayment is then applied to 
the projected number of inmates confined in TDCJ facilities 
who would have sufficient funds to cover charges.
The probable fiscal implications of implementing the provisions 
of the bill during each of the first five years following passage 
is estimated as follows:
 
Five Year Impact:
 
Fiscal Year Probable           Probable Revenue   Probable Revenue   
            Savings/(Cost)     Gain/(Loss) from   Gain/(Loss) from                                        
            from New           New GR-Dedicated   General Revenue                                         
            GR-Dedicated       Account -          Fund                                                    
            Account -                                                                                     
            8021               8021               0001                                                     
       1998        ($100,000)          $597,000                $0                                    
       1998                             897,000           497,000                                    
       2000                             897,000           897,000                                    
       2001                             897,000           897,000                                    
       2002                             897,000           897,000                                    
 
 
         Net Impact on General Revenue Related Funds:
 
The probable fiscal implication to General Revenue related funds 
during each of the first five years is estimated as follows:
 
              Fiscal Year      Probable Net Postive/(Negative)
                               General Revenue Related Funds
                                             Funds
               1998                   $0
               1999              497,000
               2000              897,000
               2001              897,000
               2002              897,000
 
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:            Agencies:   696   Department of Criminal Justice
                                         304   Comptroller of Public Accounts
                                         
                      LBB Staff:   JK ,CB ,JN