LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  February 17, 1997
         
         
      TO: Honorable Allen Hightower, Chair            IN RE:  House Bill No. 214
          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 the 
institutional division of the Texas Department of Criminal Justice.) 
this office has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by HB214-As Introduced
         
Implementing the provisions of the bill would result in a net 
impact of $0 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 the institutional division of the Texas Department 
of Criminal Justice (TDCJ) 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 all inmates confined in the 
institutional division on or after September 1, 1997. 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 dedicated Compensation to Victims of Crime 
account in the General Revenue Fund.

 
Methodolgy
 
It is estimated that 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 the institutional 
division 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   Compensation to                                         
            GR-Dedicated       Account -          Victims of Crime                                        
            Account -                             Account/                                                
                                                  GR-Dedicated                                            
            8021               8021               0469                                                     
       1998        ($100,000)          $825,000                $0                                    
       1998           825,000           725,000                                    
       2000           825,000           825,000                                    
       2001           825,000           825,000                                    
       2002           825,000           825,000                                    
 
 
         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                    0
               2000                    0
               2001                    0
               2002                    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:            Agencies:   696   Department of Criminal Justice
                                         304   Comptroller of Public Accounts
                                         
                      LBB Staff:   JK ,CB ,JN