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