LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 76th Regular Session
  
                               May 12, 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), Committee
               Report 2nd House, Substituted
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  HB1504, Committee Report 2nd House, Substituted:  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).  Each
center would provide clinical care, education and research, and collect
standardized patient data.  Data collection would be centralized at
TTUHSC.

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.  BCM, 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
TTUHSC, where the data would be stored and maintained.  TTUHSC 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