LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 76th Regular Session April 12, 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 student health centers on public school campuses), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB2202, As Introduced: negative impact of $(3,000,000) 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 (1,750,000) * * 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 (1,750,000) * * 2002 (1,250,000) * * 2003 (1,250,000) * * 2004 (1,250,000) * ***************************************************** Fiscal Analysis The bill would require the Texas Education Agency to provide competitive grants to school based student health centers, subject to available appropriations, up to $250,000 per center. 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 centers, at $125,000 per center, for a total cost of $1,250,000. The bill would also require the Texas Education Agency to conduct a study that would evaluate the impact of these centers on student health and readiness to learn. The study would be reported to the legislature no later than January 15, 2001 Methodology It is projected that 5 student health centers would be provided competitive grant funding, at a total cost of $1,250,000 per year. The Texas Education Agency anticipates that the evaluation study of student health centers would cost $500,000 in fiscal year 2001. Local Government Impact Costs to local school districts will vary depending on whether or not they establish centers, and the number of centers established. Because the bill is permissive, districts will only incur costs if a center is established. The bill allows districts to seek assistance in establishing centers from public health agencies and to operate centers jointly with public health agencies. If a center is established, the bill requires the district to seek funding from all available state, federal and private sources. To the extent the district receives funds from outside sources, costs to the district will be minimized. Source Agencies: 529 Health and Human Services Commission, 701 Texas Education Agency - Administration LBB Staff: JK, CT, RN