LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 77th Regular Session
April 4, 2001
TO: Honorable Patricia Gray, Chair, House Committee on Public
Health
FROM: John Keel, Director, Legislative Budget Board
IN RE: HB2945 by Capelo (Relating to acanthosis nigricans
screening in public and private schools.), As Introduced
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* HB2945, As Introduced: negative impact of $(578,753) for an *
* immediate effective date, and $(516,552) for a September 1, 2001, *
* effective date, 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. *
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All Funds, Six-Year Impact:
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*Fiscal Probable Probable Change in Number of *
* Year Savings/(Cost) from Savings/(Cost) from State Employees from *
* General Revenue Fund Federal Funds - FY 2001 *
* 0001 Federal *
* 0555 *
* 2001 $0 $0 0.0 *
* 2002 (328,064) (369,945) 9.0 *
* 2003 (250,689) (282,691) 9.0 *
* 2004 (250,689) (282,691) 9.0 *
* 2005 (250,689) (282,691) 9.0 *
* 2006 (250,689) (282,691) 9.0 *
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The table above is for an immediate effective date. A three month
start-up period is assumed.
All Funds, Five-Year Impact:
The table below is for a September 1, 2001, effective date. A three
month start-up period is assumed.
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*Fiscal Probable Probable Change in Number of *
* Year Savings/(Cost) from Savings/(Cost) from State Employees from *
* General Revenue Fund Federal Funds - FY 2001 *
* 0001 Federal *
* 0555 *
* 2002 $(265,863) $(299,802) 6.7 *
* 2003 (250,689) (282,691) 9.0 *
* 2004 (250,689) (282,691) 9.0 *
* 2005 (250,689) (282,691) 9.0 *
* 2006 (250,689) (282,689) 9.0 *
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Technology Impact
$50,000 for a contract to develop a training curriculum; $40,500 for
equipment, including nine computers and nine printers; and $10,000 for
programming a database.
Fiscal Analysis
The bill would mandate screenings for acanthosis nigricans at the same
time hearing and vision screenings are performed for public and private
school students.
The bill would require the chief administrator of each school to ensure
each individual admitted to the school complies with the screening
requirements. The bill would also require the chief administrator to
maintain screening records each student and to allow the records to be
open for inspection by the TDH or the local health department. If an
individual is found to have acanthosis nigricans, the bill would require
a report of the findings.
The bill would take effect immediately if it receives a two-thirds vote
in both chambers, otherwise, the bill would become effective September
1, 2001.
Methodology
A three month implementation period is assumed. According to the
Department of Health, nine FTEs would be needed to handle increased
workload associated with implementation of the bill. Costs are
associated with the FTEs, general operating expenses, and development of
a training curriculum.
Local Government Impact
According to TDH, school districts may incur additional costs to comply
with the screening and reporting requirements of the bill. The Texas
Education Agency (TEA) states 4,071,433 students enrolled in public
schools would be screened annually for acanthosis nigricans. TEA
estimates the cost of screening and data reporting requirements would be
$1 per student.
Source Agencies: 701 Texas Education Agency, 501 Texas Department
of Health
LBB Staff: JK, HD, RM, RN