LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 76th Regular Session April 6, 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.), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB1725, As Introduced: negative impact of $(933,250) 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 bill would add immunization against Hepatitis A disease as a condition for elementary and secondary school entrance and participation in day care for children residing in counties located within 60 miles of the Texas-Mexico border. General Revenue-Related Funds, Five-Year Impact: **************************************************** * Fiscal Year Probable Net Positive/(Negative) * * Impact to General Revenue Related * * Funds * * 2000 $(870,212) * * 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 $(870,212) $(10,007,436) * * 2001 (63,038) (724,932) * * 2002 (64,801) (745,212) * * 2003 (65,738) (755,987) * * 2004 (67,391) (774,998) * *************************************************************************** Fiscal Analysis 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 18 living in border counties. Costs in the first year are higher because children in the 2 to 18 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: LBB Staff: JK, TP, KF