LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 76th Regular Session
  
                              April 28, 1999
  
  
          TO:  Honorable Patricia Gray, Chair, House Committee on Public
               Health
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  HB3302  by Coleman (Relating to certain private
               facilities that provide behavioral or mental health care
               services; imposing civil, criminal, and administrative
               penalties.), As Introduced
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  HB3302, As Introduced:  positive impact of $5,416 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.                                                             *
*                                                                        *
*  This bill would amend the Health and Safety Code by adding Chapter    *
*  253, Behavioral Health Care Centers, to create a licensure            *
*  requirement for private behavioral or mental health care centers.     *
*  The bill's provisions would be administered by the Department of      *
*  Health.  The Board of Health would be required to adopt necessary     *
*  rules to regulate the facilities and set fees for licensure to        *
*  defray the costs of administering 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                               $2,579  *
          *       2001                                2,837  *
          *       2002                               19,345  *
          *       2003                               37,198  *
          *       2004                               58,099  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
**************************************************************************
*Fiscal        Probable         Probable Revenue    Change in Number of  *
* Year    Savings/(Cost) from   Gain/(Loss) from   State Employees from  *
*        General Revenue Fund General Revenue Fund        FY 1999        *
*                0001                 0001                               *
*  2000             $(184,421)             $187,000                  2.7 *
*  2001              (164,363)              167,200                  2.7 *
*  2002              (164,405)              183,750                  2.7 *
*  2003              (164,452)              201,650                  2.7 *
*  2004              (164,501)              222,600                  2.7 *
**************************************************************************
  
Fiscal Analysis
  
The Department of Health estimates the costs of implementing this bill at
$184,421 for fiscal year 2000 and $164,363 for fiscal year 2001.  The
department also estimates revenue from the collection of licensure fees
at $187,000 in fiscal year 2000 and $167,200 in fiscal year 2001.  This
bill does not appropriate the licensing fee revenue to the department.
  
  
Methodology
  
The costs related to this bill assume that 110 centers would be licensed
in fiscal year 2000, with a 10% annual growth rate in each of the
following years.  Additional costs are assumed related to conducting
initial, routine, and follow-up inspections of the centers, and
investigating complaints.  The number of enforcement cases would also
increase.  An additional 2.7 FTEs would be needed to manage the issuance
and renewal of licenses, conduct facility inspections and manage the
additional enforcement activity.

In order to cover the costs of the program, it is estimated that the
initial licensing fee would need to be set at approximately $1,700 per
center and $1,350 per annual license renewal.
  
  
Local Government Impact
  
No significant fiscal implication to units of local government is
anticipated.
  
  
Source Agencies:   324   Department of Human Services, 501   Department
                   of Health, 212   Office of Court Administration, 655
                   Texas Department of Mental Health and Mental
                   Retardation, 304   Comptroller of Public Accounts
LBB Staff:         JK, TP, MG