LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  March 9, 1997
         
         
      TO: Honorable Hugo Berlanga, Chair            IN RE:  Senate Bill No. 434, As Engrossed
          Committee on Public Health                              By: Harris
          House
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on SB434 ( Relating 
to the provision of mental health services, including review 
of agency rulemaking by the Health and Human Services Commission 
and the creation of an advisory committee on inpatient mental 
health services) this office has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by SB434-As Engrossed
         
No significant fiscal implication to the state is anticipated.
         
The bill would make no appropriation but could provide the legal 
basis for an appropriation of funds to implement the provisions 
of the bill.

The bill would amend Section 531.034 of the 
Government Code to direct that the Health and Human Services 
Commission require the Department of Health and the Department 
of Mental Health and Mental Retardation to coordinate activities 
relating to rules and policies that deal with mental health 
services in inpatient mental health facilities licensed by TDMHMR 
or TDH.  The Commission is charged with oversight responsibilities 
to determine compliance with the provisions by the two agencies.

The 
bill would also amend Chapter 571 of the Health and Safety Code 
to add a new section that requires Board of Mental Health and 
Mental Retardation to appoint a nine-member advisory committee. 
 The committee's purpose would be to advise and assist the board 
and department in the consideration, promulgation, and adoption 
of departmental policies and regulations relating to the provision 
of mental health services in inpatient mental health facilities 
licensed by TDMHMR or TDH. 

         
 
          
No fiscal implication to units of local government is anticipated.
          
   Source:            Agencies:   655   Texas Department of Mental Health and Mental Retardation
                                         529   Health and Human Services Commission
                                         501   Department of Health
                                         
                      LBB Staff:   JK ,BB ,AZ