LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 76th Regular Session
April 7, 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.), As Introduced
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* HB3036, As Introduced: 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. *
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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) *
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All Funds, Five-Year Impact:
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*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) *
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Fiscal Analysis
The bill would require the Board of Health to adopt 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 Department of Health, adoption of the immunization
schedule described above would add immunization against rotavirus illness
to the other immunizations in the current schedules.
The Department of Health 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 these two
assumptions, 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:
LBB Staff: JK, TP, KF