LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  May 13, 1997
         
         
      TO: Honorable Judith Zaffirini, Chair            IN RE:  House Bill No. 1637, As Engrossed
          Committee on Health & Human Services                              By: Alvarado
          Senate
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on HB1637 ( Relating 
to increased penalties for fraudulent or other unlawful acts 
committed under the state Medicaid program that result in injury 
to a child.) this office has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by HB1637-As Engrossed
         
No significant fiscal implication to the State is anticipated.
         
The bill provides for additional civil penalties which would 
be collected by the Sanctions Unit at the Health and Human Services 
Commission.  These additional penalties could create some additional 
revenue.
         
 
          
No fiscal implication to units of local government is anticipated.
          
   Source:            Agencies:   501   Department of Health
                                         530   Department of Protective and Regulatory Services
                                         655   Texas Department of Mental Health and Mental Retardation
                                         529   Health and Human Services Commission
                                         302   Office of the Attorney General
                                         324   Department of Human Services
                                         
                      LBB Staff:   JK ,BB ,MM