LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 76th Regular Session
  
                              April 15, 1999
  
  
          TO:  Honorable Florence Shapiro, Chair, Senate Committee on
               State Affairs
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  SB1351  by Barrientos (Relating to health benefits plan
               coverage for children of certain employees paid by state
               appropriated money.), As Introduced
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  SB1351, As Introduced:  negative impact of $(25,305,161) 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.                                                             *
*                                                                        *
*  Senate Bill 2 as marked up includes $13.2 million in General          *
*  Revenue to fund 80% of the premium costs for covering dependent       *
*  children.                                                             *
**************************************************************************
  
General Revenue-Related Funds, Five-Year Impact:
  
          ****************************************************
          *  Fiscal Year  Probable Net Positive/(Negative)   *
          *               Impact to General Revenue Related  *
          *                             Funds                *
          *       2000                           $(314,000)  *
          *       2001                         (24,991,161)  *
          *       2002                         (26,990,454)  *
          *       2003                         (29,149,690)  *
          *       2004                         (31,481,666)  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
***************************************************************************
*Fiscal      Probable        Probable        Probable        Probable     *
* Year    Savings/(Cost)  Savings/(Cost)  Savings/(Cost)  Savings/(Cost)  *
*          from General      from All      from Federal     from Other    *
*          Revenue Fund    GR-Dedicated       Funds           Funds       *
*              0001          Accounts          0555            8042       *
*                              8021                                       *
*  2000        $(314,000)              $0              $0              $0 *
*  2001      (24,991,161)     (1,393,541)     (6,929,436)     (5,631,562) *
*  2002      (26,990,454)     (1,505,024)     (7,483,791)     (6,082,087) *
*  2003      (29,149,690)     (1,625,426)     (8,082,494)     (6,568,654) *
*  2004      (31,481,666)     (1,755,460)     (8,729,094)     (7,094,146) *
***************************************************************************
  
         *****************************************************
         * Fiscal Year      Probable Savings/(Cost) from      *
         *                Higher Education Funds - Outside    *
         *                            Treasury                *
         *      2000                                       $0 *
         *      2001                              (1,663,200) *
         *      2002                              (1,796,256) *
         *      2003                              (1,939,956) *
         *      2004                              (2,095,153) *
         *****************************************************
  
Fiscal Analysis
  
The bill would increase the state's contribution to 100% of the cost of
dependent coverage for employees with family incomes of less than 200%
of the federal poverty who do not qualify for Medicaid.  The bill would
increase the state's contribution for the cost of dependent child
coverage for certain state employees.  Currently, the state pays 50% of
the costs of coverage of dependent children participating in the Uniform
Group Insurance Program, and 80% of the cost of coverage of dependent
children participating in the health insurance programs administered by
the University of Texas System and the Texas A&M System.  The Department
of Human Services would be responsible for screening for eligibility.
  
  
Methodology
  
The Employees Retirement System (ERS) estimates that approximately 20,600
of the 209,000 state employees covered by ERS' health insurance program
would have dependent children and have family incomes low enough to be
covered by this bill.  The annual cost per employee for covering
dependent children is estimated at $2,064 in FY2001, increasing by 8.0%
per year to $2,600 in FY2004.  The number of state employees is estimated
to remain constant.  It is also assumed that 50% of the employees
covered by this bill have already enrolled their dependent children, and
therefore the state is already paying part of the cost.  For the other
50% of affected employees, the increased cost to the state would be for
the full 100% of the cost of coverage.

The University of Texas System estimates that approximately 7,500
employees covered by UT's health insurance program would have dependent
children and have family incomes low enough to be covered by this bill.
The annual cost per employee for covering dependent children is estimated
at $2,203 in FY2001, increasing by 8.0% per year to $2,775 in FY2004.
The number of employees is estimated to remain constant.  It is also
assumed that 80% of the employees covered by this bill have already
enrolled their dependent children, and therefore the state is already
paying part of the cost.  For the other 20% of affected employees, the
increased cost to the state would be for the full 100% of the cost of
coverage.

The Texas A&M System estimates that approximately 4,400 employees covered
by A&M's health insurance program would have dependent children and have
family incomes low enough to be covered by this bill.  The annual cost
per employee for covering dependent children is estimated at $1,750 in
FY2001, increasing by 8.0% per year to $2,204 in FY2004.  The number of
employees is estimated to remain constant.  It is also assumed that 80%
of the employees covered by this bill have already enrolled their
dependent children, and therefore the state is already paying part of the
cost.  For the other 20% of affected employees, the increased cost to
the state would be for the full 100% of the cost of coverage.

This analysis assumes that eligibility screening would occur during
FY2000, with the increase in the state's contribution beginning in
FY2001.  The Department of Human Services projects that the agency will
incur $314,000 in one-time costs in FY2000 for making programming
changes in order to screen the state employees for eligibility.
  
  
Local Government Impact
  
No fiscal implication to units of local government is anticipated.
  
  
Source Agencies:   529   Health and Human Services Commission, 324
                   Department of Human Services, 327   Employees
                   Retirement System, 720   The University of Texas
                   System Administration, 323   Teacher Retirement
                   System, 710   A&M University System Texas
LBB Staff:         JK, SD, SC