LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 76th Regular Session
  
                               May 14, 1999
  
  
          TO:  Honorable Jane Nelson, Chair, Senate Committee on Health
               Services
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  HB1387  by Van de Putte (Relating to investigating
               certain deaths and performing autopsies on certain
               bodies), Committee Report 2nd House, as amended
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  HB1387, Committee Report 2nd House, as amended:  negative impact      *
*  of $(265,678) 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.                                                             *
**************************************************************************
  
General Revenue-Related Funds, Five-Year Net Impact:
  
          ****************************************************
          *  Fiscal Year  Probable Net Positive/(Negative)   *
          *               Impact to General Revenue Related  *
          *                             Funds                *
          *       2000                           $(132,839)  *
          *       2001                            (132,839)  *
          *       2002                            (132,839)  *
          *       2003                            (132,839)  *
          *       2004                            (132,839)  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
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*Fiscal    Probable Savings/(Cost) from     Change in Number of State     *
* Year         General Revenue Fund           Employees from FY 1999      *
*                      0001                                               *
*  2000                        $(132,839)                             0.3 *
*  2001                         (132,839)                             0.3 *
*  2002                         (132,839)                             0.3 *
*  2003                         (132,839)                             0.3 *
*  2004                         (132,839)                             0.3 *
***************************************************************************
  
Fiscal Analysis
  
The bill would change the age of a child for which an autopsy is required
from 2 years or younger to 12 months or younger; make an autopsy
mandatory for this age group; and require the state to reimburse a county
$500 for the cost of the autopsy if the cause of death is sudden infant
death syndrome (SIDS).  The reimbursement is subject to the availability
of funds.

Costs noted in the table above are associated with the requirement that
the state pay for an autopsy of a deceased child under twelve months, if
the cause of death of the child is determined to be sudden infant death
syndrome (SIDS).
  
  
Methodology
  
The annual number of deaths in the state from sudden infant death
syndrome is approximately 250 per year.  The Department of Health would
require one-fourth (rounded to 0.3 above) of a full-time equivalent
position in order to process the requests for reimbursements of
autopsies.
  
  
Local Government Impact
  
No significant fiscal implication to units of local government is
anticipated.
  
  
Source Agencies:   501   Department of Health, 503   Board of Medical
                   Examiners, 530   Department of Protective and
                   Regulatory Services
LBB Staff:         JK, TP, MD, KF