LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                              April 9, 2001
  
  
          TO:  Honorable Patricia Gray, Chair, House Committee on Public
               Health
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  HB2446  by Glaze (Relating to emergency medical
               services.), Committee Report 1st House, Substituted
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  HB2446, Committee Report 1st House, Substituted:  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:
  
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*Fiscal    Probable Savings/(Cost) from     Change in Number of State     *
* Year         General Revenue Fund           Employees from FY 2001      *
*                      0001                                               *
*  2002                        $(176,907)                             1.3 *
*  2003                         (251,065)                             2.0 *
*  2004                         (251,065)                             2.0 *
*  2005                         (251,065)                             2.0 *
*  2006                         (251,065)                             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 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
comment from entities providing or interested in emergency medical
services and training programs.
  
  
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, $2936
for travel expenses, $3,150 for operating expenses, and $175,000 for
contracts with instructors providing emergency care attendant training.
  
  
Local Government Impact
  
No significant fiscal implication to units of local government is
anticipated.
  
  
Source Agencies:   
LBB Staff:         JK, HD, KF, RM