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