LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 76th Regular Session April 12, 1999 TO: Honorable Jane Nelson, Chair, Senate Committee on Health Services FROM: John Keel, Director, Legislative Budget Board IN RE: SB806 by Ellis, Rodney (Relating to the provision of medical care services to inmates confined by the Texas Department of Criminal Justice and to certain administrative matters pertaining to the provision of those services.), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * SB806, As Introduced: positive impact of $0 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 $0 * * 2001 0 * * 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 $0 * * 2001 0 * * 2002 1,000,000 * * 2003 1,000,000 * * 2004 1,000,000 * ***************************************************** Fiscal Analysis The bill would implement recommendations by the Comptroller's Texas Performance Review (TPR) related to the provision of medical services to inmates confined by the Texas Department of Criminal Justice (TDCJ). The TPR estimates a reduction in inmate transportation costs as a result of expanding the use of telemedicine. Regarding provisions of the bill which address any revenue received in excess of medical costs, the TPR concludes it is difficult to forecast any gain to the General Revenue Fund due to the wide fluctuations in earnings in recent years experienced by the medical services providers. Methodology * The TDCJ identifies fiscal year 1998 inmate transportation costs as $10,134,227. * The TPR estimates a 10 percent reduction in inmate transportation costs beginning in fiscal year 2002 as a result of expanding the use of telemedicine. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 696 Department of Criminal Justice, 723 The University of Texas Medical Branch at Galveston, 720 The University of Texas System Administration, 739 Texas Tech University Health Sciences Center, 304 Comptroller of Public Accounts LBB Staff: JK, TP, MD, JN