LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session May 3, 2001 TO: Honorable Mike Moncrief, Chair, Senate Committee on Health & Human Services FROM: John Keel, Director, Legislative Budget Board IN RE: HB2446 by Glaze (Relating to emergency medical services.), As Engrossed ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB2446, As Engrossed: negative impact of $(427,972) 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 $(176,907) * * 2003 (251,065) * * 2004 (251,065) * * 2005 (251,065) * * 2006 (251,065) * **************************************************** All Funds, Five-Year Impact: ************************************************************************** *Fiscal Probable Probable Change in Number of * * Year Savings/(Cost) from Savings/(Cost) from State Employees from * * General Revenue Fund Advisory Commission FY 2001 * * 0001 on Emergency * * Communications * * Account/ * * GR-Dedicated * * 5007 * * 2002 $(176,907) $(99,618) 1.3 * * 2003 (251,065) (90,552) 2.0 * * 2004 (251,065) 0 2.0 * * 2005 (251,065) 0 2.0 * * 2006 (251,065) 0 2.0 * ************************************************************************** Fiscal Analysis At the request of a governmental entity or non-governmental organization sponsoring or wanting to sponsor an emergency medical service provider or first responder organization in a rural or underserved area, the bill would require the Bureau of Emergency Management, the Department of Health (TDH) to provide or facilitate the initial training for emergency care attendants, if the training is not available locally. The bill would also require the bureau ensure the training is provided, provide training without charge, or contract with qualified instructors to provide the training without charge, provide training at times an places that are convenient to the students, and require at least three students are scheduled to take any class offered. The bill would require the students taking the training to agree to perform emergency care attendant services for at least one year with a local emergency medical services provider or fire responder organization. TDH would also be required to consult with and solicit comments from entities providing or interested in emergency medical services and training programs. The bill, as engrossed, would require the TDH to establish a pilot program to evaluate providing pre-arrival emergency medical instructions to lay public 911 callers in underserved areas and public safety answering points are not adequately staffed to provide emergency medical dispatch services. The bill would require TDH to submit a report of the agency's findings to the Legislature by December 1, 2002. The bill would allow funds from the 9-1-1 services fee fund to be appropriated to TDH for the purpose of funding the pilot program. The pilot would expire September 1, 2003. Methodology TDH assumes a four month implementation period. According to TDH, two additional FTEs would be needed. In FY 2002, TDH estimates costs associated with the bill would include: $46,653 for salary and benefits for the additional FTEs; $1,988 for travel expenses; $2,766 for operating expenses; and $115,500 for contracts with instructors providing emergency care attendant training. TDH estimates a one time cost of $10,000 for equipment used in the training program. In FYs 2003-06, TDH estimates costs associated with the bill would include: $69,979 for salary and benefits for the additional FTEs; $2,936 for travel expenses; $3,150 for operating expenses; and $175,000 for contracts with instructors providing emergency care attendant training. TDH assumes a four month start-up period to implement the emergency medical dispatch resource center pilot program. TDH estimates costs associated with the pilot program would total $97,928 in FY 2002, and $88,392 in FY 2003 for contract expenses. These costs would include contracts with an existing entity to act as the pilot state emergency medical dispatch resource center, estimated at per call rates (50 calls/ month @ $114 per call), equipment, and service and lease expenses. TDH estimates other pilot program costs, including travel, telephone and postage, and printing, would total $1,690 in FY 2002 and $2,160 in FY 2003. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: 501 Texas Department of Health LBB Staff: JK, HD, RM