LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  April 8, 1997
         
         
      TO: Honorable Bill Ratliff, Chair            IN RE:  Senate Bill No. 606, Committee Report 1st House, Substituted
          Committee on Finance                              By: Lucio
          Senate
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on SB606 ( relating 
to the establishment and operation of a regional academic health 
center by The University of Texas System) this office has detemined 
the following:
         
         Biennial Net Impact to General Revenue Funds by SB606-Committee Report 1st House, Substituted
         
Implementing the provisions of the bill would result in a net 
negative impact of $(12,800,000) 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 authorize the University of Texas System Board 
of Regents to establish and operate a Regional Academic Health 
Center (RAHC), serving Cameron, Hildalgo, Starr and Willacy 
counties.  The RAHC will be managed by an undesignated University 
of Texas component health institution.  The RAHC would provide 
undergraduate clinical education, graduate education, including 
residency training programs, or other levels of medical educational 
work.  The bill would authorize the Board or Regents to provide 
adequate physical facilities for use by the RAHC, including 
library, auditorium, research, and medical education buildings. 
 The facilities may be constructed with money from state appropriations 
or tuition revenue bonds authorized under other law.   A teaching 
hospital may be provided by a public or private entity.  The 
hospital may not be constructed, maintained or operated with 
state funds.
 
Methodolgy
 
This analysis assumes implementation with moderate costs and 
maximum use of existing resources.  The  operating costs and 
capital improvements are estimated to be $6.4 million annually. 
  
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   
            Gain/(Loss) from                                                                              
            General Revenue                                                                               
            Fund                                                                                          
            0001                                                                                           
       1998      ($6,400,000)                                                                        
       1998       (6,400,000)                                                                        
       2000       (6,400,000)                                                                        
       2001       (6,400,000)                                                                        
       2002       (6,400,000)                                                                        
 
 
 
         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         ($6,400,000)
               1999          (6,400,000)
               2000          (6,400,000)
               2001          (6,400,000)
               2002          (6,400,000)
 
Similar annual fiscal implications would continue as long as 
the provisions of the bill are in effect.
          
No significant fiscal implication to units of local government 
is anticipated.
          
   Source:            Agencies:   
                                         
                      LBB Staff:   JK ,LD ,CF