LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                              April 10, 2001
  
  
          TO:  Honorable Patricia Gray, Chair, House Committee on Public
               Health
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  HB2355  by Tillery (Relating to eligibility of a newborn
               child for the state child health plan.), As Introduced
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  HB2355, As Introduced:  negative impact of $(1,019,714) through       *
*  the biennium ending August 31, 2003.                                  *
*                                                                        *
*  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                *
          *       2002                           $(595,466)  *
          *       2003                            (424,248)  *
          *       2004                            (431,717)  *
          *       2005                            (430,846)  *
          *       2006                            (433,758)  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
***************************************************************************
*Fiscal  Probable Savings/(Cost) from GR   Probable Savings/(Cost) from   *
* Year      Match for Title XXI (CHIP)       Federal Funds - Federal      *
*                      8010                            0555               *
*  2002                        $(595,466)                    $(1,540,351) *
*  2003                         (424,248)                     (1,093,634) *
*  2004                         (431,717)                     (1,112,888) *
*  2005                         (430,846)                     (1,110,643) *
*  2006                         (433,758)                     (1,118,148) *
***************************************************************************
  
Fiscal Analysis
  
The bill would require the Health and Human Services Commission to
provide retroactive coverage to the time of a child's birth for a child
whose family applies for coverage in the Children's Health Insurance
Program for that child no later than the 30th day after the birth of the
child.
  
  
Methodology
  
The Health and Human Services Commission assumes that implementing the
provisions of this bill would result in coverage of 207 infants in 2002,
152 infants in 2003, 155 infants in 2004 and 2005, and 156 in 2006, for
three months each.  Three months are assumed to cover the one month
retroactive from date of application and two months it takes to become
enrolled in the Children's Health Insurance Program.
  
  
Local Government Impact
  
No fiscal implication to units of local government is anticipated.
  
  
Source Agencies:   501   Texas Department of Health, 529   Health and
                   Human Services Commission, 324   Texas Department of
                   Human Services
LBB Staff:         JK, HD, KF, PP