LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  April 15, 1997
         
         
      TO: Honorable David Sibley, Chair            IN RE:  House Bill No. 219, As Engrossed
          Committee on Economic Development                              By: Brimer
          Senate
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on HB219 ( Relating 
to the licensing of agents for health maintenance organizations.) 
this office has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by HB219-As Engrossed
         
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
 
Article 21.07-1 of the Insurance Code would be amended to: redefine 
"agent" to include those representing health maintenance organizations 
(HMOs); include a member employed by an HMO to be included on 
the licensing Advisory Board; and, include HMOs in penalty for 
violations of licensor requirements.  This bill would combine 
the license authorities for Legal Reserve Life Agents and HMO 
agents, and applies to licenses issued or renewed on or after 
January 1, 1998.  This bill would phase out HMO licenses by 
January 1, 2000 by repealing Articles 20A.15 and 20A.15A of 
the Insurance Code.

TDI's operating fund (Fund 036) would 
experience a one-time revenue gain of $285,500 in fiscal year 
1998, due to approximately 5,710 HMO agents applying and paying 
for the Legal Reserve Life License.  This fund also would experience 
a revenue loss of $35,760 per year, since approximately 745 
agents hold both a Legal Reserve Life License and an HMO License. 
 The bill would combine both licenses, which would require these 
agents to renew only one license. 
 
Methodolgy
 
As of the end of fiscal year 1996, the total number of HMO agents 
in Texas was 6,455; 5,710 held only an HMO license and 745 held 
both a Legal Reserve Life License and an HMO License.  Revenue 
gains and losses to TDI Fund 036 were based on the following 
assumptions: 

(1) the 5,710 agents who hold an HMO License 
would be required to apply and pay for a Legal Reserve Life 
License at a cost of $50 per license (5,710 x $50 = $285,500); 
and, 

(2) the 745 agents who hold both a Legal Reserve Life 
License and an HMO License would renew only one, at a loss to 
Fund 036 of $48 per license not renewed (745 x $48 = $35,760).
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 Revenue   Probable Revenue   
            Gain/(Loss) from   Gain/(Loss) from                                                           
            Texas Department   Texas Department                                                           
            of Insurance       of Insurance                                                               
            Operating          Operating                                                                  
            Account/           Account/                                                                   
            GR-Dedicated       GR-Dedicated                                                               
            0036               0036                                                                        
       1998         ($35,760)          $285,500                                                      
       1998          (35,760)                                                                        
       2000          (35,760)                                                                        
       2001          (35,760)                                                                        
       2002          (35,760)                                                                        
 
 
         Net Impact on General Revenue Related Funds:
 

 
              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:   454   Department of Insurance
                                         
                      LBB Staff:   JK ,TH ,BK