LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE
75th Regular Session
May 27, 1997
TO: Honorable Bob Bullock IN RE: Senate Bill No. 102, As Passed 2nd House
Lieutenant Governor By: Zaffirini
Senate
Austin, Texas
FROM: John Keel, Director
In response to your request for a Fiscal Note on SB102 ( relating
to the creation and use of an emergency medical services and
trauma care system fund) this office has detemined the following:
Biennial Net Impact to General Revenue Funds by SB102-As Passed 2nd House
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 create the Emergency Medical Services and Trauma
Care System Fund as a new special fund outside of the general
revenue fund. Revenues in the fund would be appropriated to
the Department of Health to fund county and regional emergency
medical services and trauma care systems and administrative
expenses at the Department of Health. The creation and/or continuation
of special funds outside the general revenue fund could further
restrict the Legislature's ability to appropriate revenues for
general operating purposes.
The bill would require the Commissioner
of Health to maintain a reserve of $250,000 of funds appropriated
for extraordinary emergencies. The remaining amounts appropriated
would be allocated as follows during each fiscal year: at least
70 percent would fund the cost of supplies, operational expenses,
education and training, equipment, vehicles, and communications
systems for local emergency medical services; no more than 25
percent would fund operations of the 22 trauma support areas;
not more than three percent would fund the administrative costs
of the Bureau of Emergency Management; and at least two percent
would fund a portion of uncompensated trauma care provided at
facilities designated as state trauma facilities.
Methodolgy
Existing revenue derived from fees imposed under Section 771.071,
Health and Safety Code, may be appropriated to the emergency
medical services trauma care system fund.
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 New -
Emergency
Services and
Trauma Care
System Fund
OTHER-OTH
1998 ($1,500,000)
1998 (2,500,000)
2000 (2,500,000)
2001 (2,500,000)
2002 (2,500,000)
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.
Counties would realize positive fiscal impacts from the provisions
of the bill, since 70% of funds appropriated would be allocated
to counties. The distribution of the appropriated funds would
be based on the relative geographic size and population of the
county and the relative number of emergency trauma runs performed
by eligible recipients in the county.
Source: Agencies:
LBB Staff: JK ,RR ,KF