LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 76th Regular Session April 19, 1999 TO: Honorable Patricia Gray, Chair, House Committee on Public Health FROM: John Keel, Director, Legislative Budget Board IN RE: HB3036 by Smithee (relating to immunizations of children), Committee Report 1st House, Substituted ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB3036, Committee Report 1st House, Substituted: negative impact * * of $(2,769,228) 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 $(1,384,614) * * 2001 (1,384,614) * * 2002 (1,384,614) * * 2003 (1,384,614) * * 2004 (1,384,614) * **************************************************** All Funds, Five-Year Impact: *************************************************************************** *Fiscal Probable Savings/(Cost) from Probable Savings/(Cost) from * * Year General Revenue Fund Federal Funds * * 0001 0555 * * 2000 $(1,384,614) $(13,999,986) * * 2001 (1,384,614) (13,999,986) * * 2002 (1,384,614) (13,999,986) * * 2003 (1,384,614) (13,999,986) * * 2004 (1,384,614) (13,999,986) * *************************************************************************** Fiscal Analysis The bill would require the Board of Health to recommend an immunization schedule that complies with the guidelines for immunization schedules developed by the Advisory Committee on Immunization Practices, the American Academy of Pediatrics, and the American Academy of Family Practice. In addition, rotavirus would be added to the list of immunizations that health benefits plans would be required to cover. Methodology According to the Texas Department of Health (TDH), the immunization schedule described above would add immunization against rotavirus illness to the other immunizations in the current schedules. TDH states that the department currently supplies vaccine to immunize 70 percent of the children in Texas. The department assumes 74 percent of infants would receive the complete three-dose series. Estimates in the table above are based on the assumption that 330,000 children will be born in each year, that the cost of the vaccine would be $30.00 per dose, and that the ratio of state-federal participation would remain constant. Numbers in the table above are for vaccine cost alone. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: 501 Department of Health LBB Staff: JK, SD, BB, TP, KF