LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  February 6, 1997
         
         
      TO: Honorable Bill Ratliff, Chair            IN RE:  Senate Bill No. 203
          Committee on Finance                              By: Shapiro
          Senate
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
         In response to your request for a Fiscal Note on SB203 ( Relating to the 
         provision of health care to an inmate confined in the institutional division 
         of the Texas Department of Criminal Justice.) this office has detemined 
         the following:
         
         Biennial Net Impact to General Revenue Funds by SB203-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 Government Code by requiring inmates confined in the 
institutional division of the Texas Department of Criminal Justice (TDCJ) who 
initiate visits to a health care provider to make a $3.00 copayment per visit to 
TDCJ. Application of this provision will apply to all inmates confined in the institutional
division on or after September 1, 1997. Provisions are made for specific exemptions to 
the copayment requirement. 

 Money received as a result of copayments would be deposited in a new dedicated 
account in the General Revenue Fund that may be used only to pay the cost of 
administering the copayment requirements. At the beginning of each fiscal year, 
The Comptroller would transfer any surplus from the preceding fiscal year to the 
credit of the dedicated Compensation to Victims of Crime account in the General 
Revenue Fund.
 
Methodolgy
 
 It is estimated that the proposed copayment  plan would reduce inmate sick-call visits 
by 30 percent, and that 75 percent of the remaining visits would be exempted from the 
copayment charge. The average number of visits subject to the copayment is then 
applied to the projected number of inmates confined in the institutional division who 
would have sufficient funds to cover charges. 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 Revenue   
            Savings/(Cost)     Gain/(Loss) from   Gain/(Loss) from                                        
            from New           New GR-Dedicated   Compensation to                                         
            GR-Dedicated       Account -          Victims of Crime                                        
            Account -                             Account/                                                
                                                  GR-Dedicated                                            
            8021               8021               0469                                                     
       1998        ($100,000)          $825,000                $0                                    
       1998           825,000           725,000                                    
       2000           825,000           825,000                                    
       2001           825,000           825,000                                    
       2002           825,000           825,000                                    
 
         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.
          
             No fiscal implication to units of local government is anticipated.
          
   Source:            Agencies:   696   Department of Criminal Justice
                                         304   Comptroller of Public Accounts
                                         
                      LBB Staff:   JK ,RR ,JN