LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 76th Regular Session April 11, 1999 TO: Honorable Patricia Gray, Chair, House Committee on Public Health FROM: John Keel, Director, Legislative Budget Board IN RE: HB1725 by Salinas (Relating to immunization requirements for children living near the border with the United Mexican States), Committee Report 1st House, Substituted ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB1725, Committee Report 1st House, Substituted: negative impact * * of $(361,196) 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 Committee Substitute for House Bill 1 contains $800,000 in General Revenue Funds for the purpose of immunization of children against Hepatitis A in areas of high incidence. General Revenue-Related Funds, Five-Year Impact: **************************************************** * Fiscal Year Probable Net Positive/(Negative) * * Impact to General Revenue Related * * Funds * * 2000 $(298,158) * * 2001 (63,038) * * 2002 (64,801) * * 2003 (65,738) * * 2004 (67,391) * **************************************************** All Funds, Five-Year Impact: *************************************************************************** *Fiscal Probable Savings/(Cost) from Probable Savings/(Cost) from * * Year General Revenue Fund Federal Funds * * 0001 0555 * * 2000 $(298,158) $(3,428,820) * * 2001 (63,038) (724,932) * * 2002 (64,801) (745,212) * * 2003 (65,738) (755,987) * * 2004 (67,391) (774,998) * *************************************************************************** Fiscal Analysis The bill would add immunization against hepatitis A disease as a requirement for admission to elementary and secondary schools and for participation in day care for children younger than seven years of age residing in counties within 60 miles of the Texas-Mexico border. The estimates included in the table above are based on analysis by the Department of Health and include only vaccine costs. Methodology The Department of Health currently provides vaccine used to immunize seventy percent of all children in Texas. The estimates are based upon the assumption that the Department would supply seventy percent of the vaccine used to immunize children ages 2 to 6 living in counties within 60 miles of the Texas-Mexico. Costs in the first year are higher because children in the 2 to 6 age bracket would be immunized but in subsequent years it is assumed that only the new age cohort would require immunization. Local Government Impact No significant fiscal implication to units of local government is anticipated. School districts along the border might incur some costs associated with reviewing student immunization records for the new requirement but this impact is not expected to be significant. Source Agencies: 501 Department of Health LBB Staff: JK, TP, KF