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