LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  April 29, 1997
         
         
      TO: Honorable Judith Zaffirini, Chair            IN RE:  House Bill No. 1511, As Engrossed
          Committee on Health & Human Services                              By: Berlanga
          Senate
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on HB1511 ( Relating 
to the administration and allocation of Medicaid and other funds 
used to pay for graduate medical education.) this office has 
detemined the following:
         
         Biennial Net Impact to General Revenue Funds by HB1511-As Engrossed
         
No significant fiscal implication to the State is anticipated.
         
No fiscal impact is expected for the Department of Health.  
Fiscal impact for the Higher Education Coordinating Board is 
related to 0.25 staff and costs associated with an advisory 
board for a total of $12,730 per year. Given the size of the 
Higher Education Coordinating Board, these fiscal implications 
are considered to be not significant.
         
 
          
No significant fiscal implication to units of local government 
is anticipated. However, any formula which alters the current 
distribution of graduate medical education funds could impact 
some local entities.
          
   Source:            Agencies:   501   Department of Health
                                         529   Health and Human Services Commission
                                         781   Higher Education Coordinating Board
                      LBB Staff:   JK ,BB