LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                                May 9, 2001
  
  
          TO:  Honorable David Sibley, Chair, Senate Committee on
               Business & Commerce
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  HB2614  by Solis, Jim (Relating to a dental services
               pilot program in border-region counties.), As Engrossed
  
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*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  HB2614, As Engrossed:  negative impact of $(1,130,841) 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                           $(102,860)  *
          *       2003                          (1,027,981)  *
          *       2004                                    0  *
          *       2005                                    0  *
          *       2006                                    0  *
          ****************************************************
  
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                        $(102,860)                             2.0 *
*  2003                       (1,027,981)                             2.0 *
*  2004                                 0                             0.0 *
*  2005                                 0                             0.0 *
*  2006                                 0                             0.0 *
***************************************************************************
  
Fiscal Analysis
  
The bill would require the Department of Health (TDH) to develop and
implement a dental care pilot program to provide dental services for
indigent residents in border-region counties selected by the department.

The bill would require the department to report on the cost-effectiveness
and other outcomes of the program.  The bill would expire September 1,
2003.
  
  
Methodology
  
It is assumed TDH would experience a delay of 12 months for rulemaking
and to start up the program.

TDH would pattern the program after the Dental Public Health Fee for
Service Program and provide services to children ages one through 18 in
families at or below 185% of the Federal Poverty Level and not eligible
for Medicaid or CHIP.  Services would be provided through contractors
based on a Request for Proposal process in border areas, with one
contractor per region.
  
  
Local Government Impact
  
No fiscal implication to units of local government is anticipated.
  
  
Source Agencies:   501   Texas Department of Health
LBB Staff:         JK, JO, HD, KF, PP