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