LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 76th Regular Session March 8, 1999 TO: Honorable Patricia Gray, Chair, House Committee on Public Health FROM: John Keel, Director, Legislative Budget Board IN RE: HB1311 by Delisi (Relating to the creation of the Council on Cardiovascular Disease and Stroke to develop a program to prevent cardiovascular disease and stroke.), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB1311, As Introduced: negative impact of $(744,396) through the * * biennium ending August 31, 2001. * * * * 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 create the Council on Cardiovascular Disease and Stroke, which would be administratively attached to the Department of Health. General Revenue-Related Funds, Five-Year Impact: **************************************************** * Fiscal Year Probable Net Positive/(Negative) * * Impact to General Revenue Related * * Funds * * 2000 $(299,974) * * 2001 (444,422) * * 2002 (444,422) * * 2003 (444,422) * * 2004 (444,422) * **************************************************** All Funds, Five-Year Impact: *************************************************************************** *Fiscal Probable Savings/(Cost) from Change in Number of State * * Year General Revenue Fund Employees from FY 1999 * * 0001 * * 2000 $(299,974) 1.3 * * 2001 (444,422) 2.0 * * 2002 (444,422) 2.0 * * 2003 (444,422) 2.0 * * 2004 (444,422) 2.0 * *************************************************************************** Technology Impact Cost implications noted above assume the purchase of two personal computers at $2,000 each and one laser printer at $2,500. Fiscal Analysis The bill would create the Council on Cardiovascular Disease and Stroke. The Council would be composed of 12 members appointed by the Board of Health. The Department of Health would be required to accept funds appropriated for the Council and allocate the funds. The Council would be required to develop a plan to reduce the burden of cardiovascular disease in Texas and implement various activities to accomplish this goal, including health education programs, assisting communities in developing plans, and others. The Council would be required to develop a database of recommendations for appropriate care and treatment of patients with cardiovascular disease or who have suffered from or who are at risk for stroke. The Council would be authorized to appoint consultants to the council or advisory committees. Methodology The two full-time equivalent positions noted in the table above would be an Epidemiologist and an Information Specialist to manage public awareness and database activities. It is assumed that the first year will be phased-in. It is assumed that the campaign to promote public awareness would be a contracted service. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: LBB Staff: JK, TP, KF, AZ