LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 76th Regular Session May 11, 1999 TO: Honorable Jane Nelson, Chair, Senate Committee on Health Services FROM: John Keel, Director, Legislative Budget Board IN RE: HB1504 by Goolsby (Relating to the establishment of a consortium of Alzheimer's disease centers.), As Engrossed ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB1504, As Engrossed: negative impact of $(1,490,000) 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 Impact: **************************************************** * Fiscal Year Probable Net Positive/(Negative) * * Impact to General Revenue Related * * Funds * * 2000 $(745,000) * * 2001 (745,000) * * 2002 (745,000) * * 2003 (745,000) * * 2004 (745,000) * **************************************************** All Funds, Five-Year Impact: *************************************************************************** *Fiscal Probable (Cost) from General Change in Number of State * * Year Revenue Fund Employees from FY 1999 * * 0001 * * 2000 $(745,000) 7.0 * * 2001 (745,000) 7.0 * * 2002 (745,000) 7.0 * * 2003 (745,000) 7.0 * * 2004 (745,000) 7.0 * *************************************************************************** Technology Impact The bill would require the establishment of a database, maintenance of computer equipment and software, and the management of confidential data. Fiscal Analysis The bill would establish a consortium of Alzheimer's disease centers to be initially composed of the centers at the Baylor College of Medicine(BCM), the Texas Tech University Health Sciences Center (TTUHSC), the University of Texas Southwestern Medical Center at Dallas (UTSWMC) and the University of North Texas Health Science Center (UNTHSC). TTUHSC would direct the consortium. Each center would provide clinical care, education and research, and collect standardized patient data. Data collection would be centralized at one site. The bill would increase costs at each center for personnel, computer equipment and operating expenses associated with gathering and reporting data to the consortium. Methodology Total personnel and operating expenses for gathering and reporting data would be similar at each center. TTUHSC, UTSWMC, and UNTHSC estimate each center's annual cost would be approximately $130,000. TTUHSC estimates the need for an additional 3 FTEs with salaries totaling $90,000. UTSWMC and UNTHSC each estimate the need for an additional 2 FTEs with salaries totaling $74,500. Data collection expenses and associated personnel would be higher at BCM, where the data would be stored and maintained. BCM estimates an annual cost of $225,000 for additional personnel, computer equipment, software and programming support. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 720 The University of Texas System Administration, 729 The University of Texas Southwestern Medical Center at Dallas, 739 Texas Tech University Health Sciences Center, 763 University of North Texas Health Science Center at Fort Worth, 781 Higher Education Coordinating Board LBB Staff: JK, TP