LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 76th Regular Session
  
                              March 24, 1999
  
  
          TO:  Honorable Jane Nelson, Chair, Senate Committee on Health
               Services
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  SB632  by Madla (Relating to the long-range plan for the
               Texas Center for Infectious Disease and the provision of
               tuberculosis and communicable infectious disease health
               care and laboratory services), Committee Report 1st
               House, Substituted
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  SB632, Committee Report 1st House, Substituted:  negative impact      *
*  of $(27,400,000) 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                        $(26,400,000)  *
          *       2001                          (1,000,000)  *
          *       2002                          (1,000,000)  *
          *       2003                          (1,000,000)  *
          *       2004                          (1,000,000)  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
         *****************************************************
         * Fiscal Year      Probable Savings/(Cost) from      *
         *                      General Revenue Fund          *
         *                              0001                  *
         *      2000                            $(26,400,000) *
         *      2001                              (1,000,000) *
         *      2002                              (1,000,000) *
         *      2003                              (1,000,000) *
         *      2004                              (1,000,000) *
         *****************************************************
  
Fiscal Analysis
  
The bill would require the Board of Health to contract for either the
renovation of or contract for the construction of new physical
facilities for the Texas Center for Infectious Disease.   The Board of
Health would be allowed to contract with the board of Regents of the
University of Texas System or any other public or private health care
entity to provide tuberculosis health care services and communicable
infectious disease health care services.  The board of regents of the
University of Texas System would be required to contract for the
construction of physical facilities for a mycobacterial-mycology
research laboratory at the University of Texas Health Science Center at
San Antonio (UTHSCSA).  The bill would authorize persons whose positions
are eliminated due to program transfers and contracts required by
provisions in the bill certain enhanced retirement benefits, under
certain circumstances.
  
  
Methodology
  
The Department of Health assumes that construction of new physical
facilities would be the option pursued at a cost of $20.9 million in
General Revenue.  Continuing additional increased operating costs are
assumed to total $1,000,000 in General Revenue in fiscal year 2000 and in
subsequent fiscal years.

Costs to construct a new research lab are assumed by the University of
Texas System to be $4.5 million in General Revenue in 2000.

It is assumed that the transfer of mycobacterial-mycology research to the
University of Texas Health Science Center at San Antonio would result in
no new net costs or Full-Time Equivalent positions to the state.  The
resources to be transferred from the Department of Health to UTHSCSA are
assumed to be $239,214 per fiscal year in General Revenue and $1,024,585
in Federal Funds and 18 Full-Time Equivalent positions.

According to the Employees Retirement System (ERS), the bill would allow
ERS to remain actuarially sound based on the current contribution rates
for the next biennium.  Therefore, no additional state contributions for
retirement would be necessary.
  
  
Local Government Impact
  
No fiscal implication to units of local government is anticipated.
  
  
Source Agencies:   
LBB Staff:         JK, TP, KF