LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  February 11, 1997
         
         
      TO: Honorable Bill Ratliff, Chair            IN RE:  Senate Bill No. 203, Committee Report 1st House
          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-Committee Report 1st 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 amend the Government Code by requiring inmates 
confined in an institution 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 would apply to all inmates confined in TDCJ institutions 
on or after January 1, 1998. 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 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 TDCJ institutions 
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)          $597,000                $0                                    
       1998           897,000           497,000                                    
       2000           897,000           897,000                                    
       2001           897,000           897,000                                    
       2002           897,000           897,000                                    
 
 
         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:   
                                         
                      LBB Staff:   JK ,RR ,JN