LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  May 15, 1997
         
         
      TO: Honorable Judith Zaffirini, Chair            IN RE:  House Bill No. 2984, As Engrossed
          Committee on Health & Human Services                              By: Hunter
          Senate
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on HB2984 ( Relating 
to the establishment of a pilot program regarding the care, 
rehabilitation, and education of medically fragile children 
and their families.) this office has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by HB2984-As Engrossed
         
Implementing the provisions of the bill would result in a net 
negative impact of $(800,000) 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 Board of Health to establish a pilot 
program to study and research the unique health care, maintenance, 
education, social, and related needs of medically fragile children 
and their families in this state.  The Board of Health would 
be required to select a nonprofit private entity to operate 
the pilot program.
 
Methodolgy
 
The Board of Health would be authorized to provide the entity 
operating the pilot program a grant in an amount not to exceed 
$400,000 per fiscal year.

The amounts shown below reflect 
the cost of the grant.
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           
            Savings/(Cost)                                                                                
            from General                                                                                  
            Revenue Fund                                                                                  
            0001                                                                                           
       1998        ($400,000)                                                                        
       1998         (400,000)                                                                        
       2000         (400,000)                                                                        
       2001         (400,000)                                                                        
       2002         (400,000)                                                                        
 
 
         Net Impact on General Revenue Related Funds:
 

 
              Fiscal Year      Probable Net Postive/(Negative)
                               General Revenue Related Funds
                                             Funds
               1998           ($400,000)
               1999            (400,000)
               2000            (400,000)
               2001            (400,000)
               2002            (400,000)
 
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