LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  March 25, 1997
         
         
      TO: Honorable Hugo Berlanga, Chair            IN RE:  House Bill No. 2091
          Committee on Public Health                              By: Coleman
          House
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on HB2091 ( Relating 
to the regulation of the practice of therapeutic optometry.) 
this office has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by HB2091-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.

The bill would amend sections 1.02 and 1.03 
of the Texas Optometry Act, and add Section 1.04.  Section 1.03 
(d) would require the Optometry Board to adopt rules setting 
forth specific classifications of pharmaceutical agents therapeutic 
optometrists may use in the practice of therapeutic optometry. 
 Section 1.03 (f) would require the board to establish educational 
standards and credentials required to perform surgical procedures. 
 Section 1.04 would require the University of Houston College 
of Optometry to conduct a study analyzing the safety, efficacy, 
and cost-effectiveness of laser surgery performed by therapeutic 
optometrists and to submit a written report not later than January 
1 of each year to the presiding officer of both houses of the 
legislature.

         
 
Fiscal Analysis
 
The bill would result in a net impact of $0 to the general revenue 
fund since the Optometry Board would raise fees to cover its 
costs.  The Optometry Board would increase its workforce by 
one-half an FTE.  

The College of Optometry would utilize 
patient fees and grants to cover its costs.  

To implement 
the bill, both institutions would need increased appropriation 
authority.
 
Methodolgy
 
Optometry Board:

1.  One-half an additional FTE to perform 
new credentialing services.  The FTE would be classified at 
Group 10, receiving $10,326 per year in salary and $2,603 per 
year in benefits.

2.  $22,776 in year one for printing and 
mailing new rule and credentialing information.  Remaining expenses 
relate to computer programming and support.

College of Optometry:

1. 
 $60,000 per year for professional services.

2.  $35,000 
per year for review and assessment of project, and other operating 
expenses.

3.  $450,000 in year one for surgical and other 
equipment.
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   Probable           Probable Revenue   Change in Number   
            Savings/(Cost)     Gain/(Loss) from   Savings/(Cost)     Gain/(Loss) from   of State          
            from General       General Revenue    from Other         Other              Employees from    
            Revenue Fund:      Fund               Educational and    Educational and    FY 1997           
            Board of Optometry                    General Income/    General Income/                      
                                                  GR-Dedicated       GR-Dedicated                         
            0001               0001               8022               8022                                  
       1998         ($46,185)           $46,185        ($591,185)          $591,185               0.5
       1998          (15,609)            15,609         (110,609)           110,609               0.5
       2000          (15,609)            15,609         (110,609)           110,609               0.5
       2001          (15,609)            15,609         (110,609)           110,609               0.5
       2002          (15,609)            15,609         (110,609)           110,609               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:   783   University of Houston System Administration
                                         514   Optometry Board
                                         
                      LBB Staff:   JK ,BB ,PP