LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 75th Regular Session February 19, 1997 TO: Honorable Bill Ratliff, Chair IN RE: Senate Bill No. 102 Committee on Finance 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 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 create the emergency medical services and trauma care system fund as a special account in the state treasury. The fund would receive revenue from a $6 court fee that would be imposed on a person convicted of an offense related to the operation and movement of vehicle provisions in Chapter 545, Subchapters B, C, D, E, F, H, and I in the Transportation Code. The fund also would receive revenue from a $6 court fee for offenses related to the driving or operating a motor vehicle, aircraft, or watercraft while intoxicated. Revenues in the fund would be appropriated to the Department of Health and used to fund county and regional emergency medical services and trauma care systems. The bill would require the Commissioner of Health to maintain $250,000 in reserve of money appropriated from the fund for extraordinary emergencies. At least seventy percent of the appropriated money remaining in the fund in any given year must be used to fund local emergency medical services. Not more than twenty-five percent of the appropriated funds remaining may be used for operation of the 22 trauma support areas. Not more than three percent of the appropriated money remaining in the fund may be used for administrative costs at the Department of Health. At least two percent of the remaining money appropriated in any given year will be used to fund a portion of uncompensated trauma care. Methodolgy The numbers used to estimate the total number of convictions that would be subject to the surcharge were based on information from the Texas Judicial System: Annual Report for Fiscal Year 1996. It is estimated that approximately 70,000 DWI convictions and 920,000 traffic-related convictions subject to the provisions of this bill would occur annually, for a total revenue of $5,940,000 per year. It is assumed that there would be delay in generation of revenue during the first year and a delay in distribution of the grants during fiscal year 1998. 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 Revenue Probable Change in Number Gain/(Loss) to Savings/(Cost) of State New - Emergency from New - Employees from Medical Services Emergency FY 1997 and Trauma Care Medical Services Fund and Trauma Care Fund NEW-OTH NEW-OTH 1998 $2,970,000 ($2,970,000) 1.0 1998 5,940,000 (5,940,000) 2.0 2000 5,940,000 (5,940,000) 2.0 2001 5,940,000 (5,940,000) 2.0 2002 5,940,000 (5,940,000) 2.0 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. LOCAL Counties would realize positive fiscal impacts from the provisions of the bill, since 70% of funds appropriated, or at least approximately $4.2 million in each fiscal year after 1998, 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. It is estimated that the 254 counties in the state would receive annual grants from the commission ranging from $1,000 to each of the smallest counties with low levels of trauma runs to $200,000 per fiscal year in the largest and most populous counties with highly active trauma service providers. The creation of a new court cost, however, could have adverse effects on local courts. Many municipal court judges and administrators contend that after the imposition of additional court costs, fines are actually reduced because judges take the new fines into consideration when determining the total amount the defendant will pay. According to a recent study by the Texas Municipal League, data collected from a survey of 125 cities shows that over a four-year period municipal court revenue collection increased from $67.9 million to $73.9 million, an increase of 8.9 percent, while revenue retained by the municipalities actually decreased over the same period, from $56.1 million to $55.8 million, a decrease of 0.5%. Any such losses to counties would be offset by the receipt of new trauma care funds as provided by the bill. For municipalities, however, the bill could result in nominal negative fiscal implications. Source: Agencies: 304 Comptroller of Public Accounts 501 Department of Health LBB Staff: JK ,RR ,KF ,TL