LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  April 16, 1997
         
         
      TO: Honorable Hugo Berlanga, Chair            IN RE:  House Bill No. 1534
          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-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 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:
 
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:   501   Department of Health
                                         
                      LBB Staff:   JK ,BB ,KF