LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session March 26, 2001 TO: Honorable Pat Haggerty, Chair, House Committee on Corrections FROM: John Keel, Director, Legislative Budget Board IN RE: HB2583 by Chavez (Relating to AIDS, HIV, and hepatitis education and testing for inmates and employees of the Texas Department of Criminal Justice.), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB2583, As Introduced: negative impact of $(2,005,000) 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 $(2,005,000) * * 2003 0 * * 2004 0 * * 2005 0 * * 2006 0 * **************************************************** All Funds, Five-Year Impact: ***************************************************** * Fiscal Year Probable Savings/(Cost) from * * General Revenue Fund * * 0001 * * 2002 $(2,005,000) * * 2003 0 * * 2004 0 * * 2005 0 * * 2006 0 * ***************************************************** Fiscal Analysis The bill would include hepatitis with AIDS and HIV as illnesses for which the Texas Department of Criminal Justice must provide educational programs for inmates and employees. The Department would also be responsible for developing a policy for handling persons with these illnesses and for maintaining the confidentiality of test results. The bill would require the Department to test all inmates 22 years of age or older and who are sentenced to a term of confinement of more than two years for AIDS, hepatitis or HIV infection. The bill would take effect September 1, 2001. Methodology Under current policy, the Texas Department of Criminal Justice provides HIV screening to inmates in high risk categories. Hepatitis testing is provided upon request or as clinically indicated. During fiscal year 2000, the Department conducted approximately 57,000 HIV screenings and 30,000 hepatitis screenings. The Department estimates the average cost for an HIV screening at $10.00. The average cost for hepatitis testing is $25.00. It is estimated that there are currently 130,000 inmates 22 years of age or older with sentences of two years or more. Each year, the Department receives approximately 30,000 new inmates meeting these criteria. Assuming half the current inmates have not yet had screenings (65,000), gives an estimate of 95,000 inmates requiring screenings the first year and 30,000 screenings in subsequent years to screen all inmates 22 years of age or older with sentences of two-years or more. Subtracting the current levels of testing indicates a need for 38,000 additional HIV screenings and 65,000 additional hepatitis screenings in the first year at an estimated cost of $2,005,000. It is assumed that current levels of testing would meet the ongoing requirements of the bill. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: 696 Texas Department of Criminal Justice, 501 Texas Department of Health LBB Staff: JK, JC, JN, VS