LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 76th Regular Session
May 6, 1999
TO: Honorable Paul Sadler, Chair, House Committee on Public
Education
FROM: John Keel, Director, Legislative Budget Board
IN RE: HB2202 by Tillery (relating to health centers on public
school campuses), Committee Report 1st House, Substituted
**************************************************************************
* Estimated Two-year Net Impact to General Revenue Related Funds for *
* HB2202, Committee Report 1st House, Substituted: negative impact *
* of $(2,500,000) 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 $(1,250,000) *
* 2001 (1,250,000) *
* 2002 (1,250,000) *
* 2003 (1,250,000) *
* 2004 (1,250,000) *
****************************************************
All Funds, Five-Year Impact:
*****************************************************
* Fiscal Year Probable Savings/(Cost) from *
* General Revenue Fund *
* 0001 *
* 2000 $(1,250,000) *
* 2001 (1,250,000) *
* 2002 (1,250,000) *
* 2003 (1,250,000) *
* 2004 (1,250,000) *
*****************************************************
Fiscal Analysis
The bill would require the commissioners of education and health, subject
to the availability of state or federal funds, to jointly administer a
grant program to assist districts with the costs of operating
school-based health centers. Grants awarded under the program would
require local matching funds and could not exceed $250,000 per district
per biennium. The bill would require that the grants be awarded on a
competitive basis with preference given to districts that are in rural
areas or that have low property wealth per student.
The Texas Education Agency and the Department of Health would be directed
to enter into a memorandum of understanding concerning the grant
program. The memorandum would have to provide that the commissioner of
health be responsible for administering state and federal funds used to
provide the grants; that the commissioner of health adopt certain rules
related to health care delivery in centers funded under the grants; that
all programs be designed to meet certain specified goals; and that the
commissioner of education would determine which school districts receive
grants.
Methodology
Currently there are about 125 school based health centers. In fiscal
year 1998, the Texas Department of Health, through Title V federal funds,
provided grants to 10 health centers, at $125,000 per center, for a
total cost of $1,250,000.
The note assumes that 5 health centers would be provided competitive
grant funding at a total cost $1,250,000 per year.
Local Government Impact
Cost to school districts would vary depending on whether they chose to
establish a student health center under the provisions of the bill.
Source Agencies: 501 Department of Health, 701 Texas Education
Agency - Administration, 529 Health and Human
Services Commission
LBB Staff: JK, CT, RN