LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 75th Regular Session April 22, 1997 TO: Honorable Hugo Berlanga, Chair IN RE: House Bill No. 1534, Committee Report 1st House, Substituted Committee on Public Health By: Hamric/et al. House Austin, Texas FROM: John Keel, Director In response to your request for a Fiscal Note on HB1534 ( Relating to the certification of mammography systems.) this office has detemined the following: Biennial Net Impact to General Revenue Funds by HB1534-Committee Report 1st House, Substituted 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 require the Department of Health to apply to become an accreditation body under the federal Mammography Quality Standards Act of 1992. In addition, the bill changes the renewal of mammography systems from one to three years and requires the Board of Health to set and collect an annual fee for certification holders in amounts reasonable and necessary to administer the program. All mammography systems are required under federal law to be accredited and certified. Methodolgy The Department of Health would apply in September 1997 to become an accreditation body. It is assumed that the Department of Health would obtain that status by October, 1997 and have rules and fees established by October, 1998. It is assumed that approximately 120 mammography systems per year would be accredited by the Department of Health. Revenue estimates are based on the assumption of 120 units per year, with approximately 40 percent of those having additional units at the same facility, which would also need accreditation, for a total of 168. It is estimated that the charge assessed would be approximately $700 per unit. 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 Change in Number Savings/(Cost) Gain/(Loss) from of State from General General Revenue Employees from Revenue Fund Fund FY 1997 0001 0001 1998 $0 $0 0.0 1998 (117,600) 117,600 1.5 2000 (117,600) 117,600 1.5 2001 (117,600) 117,600 1.5 2002 (117,600) 117,600 1.5 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: 501 Department of Health LBB Staff: JK ,BB