LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  April 9, 1997
         
         
      TO: Honorable Hugo Berlanga, Chair            IN RE:  House Bill No. 1956
          Committee on Public Health                              By: Counts
          House
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on HB1956 ( Relating 
to certification of certain persons who practice acupuncture.) 
this office has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by HB1956-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 amend the Medical Practice Act to define "acudetox 
specialist" as someone who practices acupuncture for the limited 
purpose of treating alcoholism, substance abuse, and chemical 
dependency.  The bill would also outline the conditions under 
which a person can be certified by the Board of Medical Examiners 
as an "acudetox specialist."  
 
Methodolgy
 
It is estimated that 500 "acudetox specialist" certifications 
would be awarded and that the increased workload would necessitate 
.5 FTE with ensuing phase-in and operating costs.  The Board 
of Medical Examiners would be allowed to collect fees to cover 
costs.
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           Change in Number   
            Savings/(Cost)     Savings/(Cost)     of State                                                
            from General       from General       Employees from                                          
            Revenue Fund       Revenue Fund       FY 1997                                                 
            0001               0001                                                                        
       1998         ($11,540)           $11,540               0.5                                    
       1998          (11,540)            11,540               0.5                                    
       2000          (11,540)            11,540               0.5                                    
       2001          (11,540)            11,540               0.5                                    
       2002          (11,540)            11,540               0.5                                    
 
 
         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:   503   Board of Medical Examiners
                                         
                      LBB Staff:   JK ,BB ,AC