LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  April 22, 1997
         
         
      TO: Honorable Hugo Berlanga, Chair            IN RE:  House Bill No. 935
          Committee on Public Health                              By: Maxey/et al.
          House
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on HB935 ( Relating 
to public access to certain information pertaining to medical 
practitioners.) this office has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by HB935-As Introduced
         
Implementing the provisions of the bill would result in a net 
negative impact of $(1,295,167) to General Revenue Related Funds 
through the biennium ending August 31, 1999.
         

         
 
Fiscal Analysis
 
The bill would amend the Medical Practice Act by requiring the 
Board of Medical Examiners (BME) to create a professional profile 
of licensed physicians.  This profile would be updated annually; 
would be available to the public, and would be more comprehensive 
than the profile currently maintained by the BME.  The BME would 
adopt rules necessary to implement the provisions of the bill. 

 
Methodolgy
 
The bill would increase the workload related to collecting additional 
information from the physicians, subsequent verification of 
information, annual profile updates, and requests for information 
by consumers and physicians.   Such increases in workload would 
demand additional staff resources beyond current staff levels. 
 The physician profile would also require computer hardware 
and software upgrades sufficient to meet the number and size 
of the profiles.  Start-up costs would include $250,000 for 
hardware and software upgrades, $300,000 for computer programming, 
and 4 Administrative Technicians to enter the profile data. 
 Although 10 FTEs would be needed the first year, 5 FTEs would 
be necessary in subsequent years.   

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           Change in Number   
            Savings/(Cost)     of State                                                                   
            from General       Employees from                                                             
            Revenue Fund       FY 1997                                                                    
            0001                                                                                           
       1998        ($883,199)              10.0                                                      
       1998         (411,968)               5.0                                                      
       2000         (416,986)               5.0                                                      
       2001         (422,155)               5.0                                                      
       2002         (422,155)               5.0                                                      
 
 
         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           ($883,199)
               1999            (411,968)
               2000            (416,986)
               2001            (422,155)
               2002            (422,155)
 
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:   405   Department of Public Safety
                                         503   Board of Medical Examiners
                                         
                      LBB Staff:   JK ,BB ,AC