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: *************************************************************************** *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