LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  April 22, 1997
         
         
      TO: Honorable Judith Zaffirini, Chair            IN RE:  Senate Bill No. 257
          Committee on Health & Human Services                              By: Luna Gregory
          Senate
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on SB257 ( Relating 
to the regulation of the practice of naturopathic medicine; 
providing penalties.) this office has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by SB257-As Introduced   FN Revision 1
         
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 provide for the regulation of naturopathic medicine. 
 The Department of Health would administer the program, including 
investigating violations of the Act and administering examinations, 
among other responsibilities.  The Board of Health would be 
given rulemaking authority, with the advice of the Naturopathic 
Physicians Advisory Committee.  The Board of Health would adopt 
fees by rule as necessary to cover the costs of administering 
the Act.  
 
Methodolgy
 
The Department of Health assumes that approximately 200 - 300 
persons would be licensed in the state of Texas as naturopathic 
physicians.  The bill would provide for several "grandparenting" 
options of persons who can prove they have been previously engaged 
in the practice of naturopathic health care. (This fiscal note 
is based on revised information received from the Department 
of Health on 4/22/97.)
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   Change in Number   
            Savings/(Cost)     Gain/(Loss) from   of State                                                
            from General       General Revenue    Employees from                                          
            Revenue Fund       Fund               FY 1997                                                 
            0001               0001                                                                        
       1998         ($93,833)           $93,833               2.0                                    
       1998          (77,564)            77,564               2.0                                    
       2000          (77,564)            77,564               2.0                                    
       2001          (77,564)            77,564               2.0                                    
       2002          (77,564)            77,564               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.
          
No fiscal implication to units of local government is anticipated.
          
   Source:            Agencies:   501   Department of Health
                                         
                      LBB Staff:   JK ,BB ,KF