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