LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session Revision 1 May 22, 2001 TO: Honorable Mike Moncrief, Chair, Senate Committee on Health & Human Services FROM: John Keel, Director, Legislative Budget Board IN RE: HB2989 by Gutierrez (Relating to establishing an acanthosis nigricans screening program in certain public and private schools.), As Engrossed ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB2989, As Engrossed: negative impact of $(700,000) 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. * ************************************************************************** The conference committee for Senate Bill 1 contains $350,000 general revenue funding per year for this program. The institution considers this funding level sufficient to operate the program proposed by this bill. General Revenue-Related Funds, Five-Year Net Impact: **************************************************** * Fiscal Year Probable Net Positive/(Negative) * * Impact to General Revenue Related * * Funds * * 2002 $(350,000) * * 2003 (350,000) * * 2004 (350,000) * * 2005 (350,000) * * 2006 (350,000) * **************************************************** All Funds, Five-Year Impact: ***************************************************** * Fiscal Year Probable Savings/(Cost) from * * General Revenue Fund * * 0001 * * 2002 $(350,000) * * 2003 (350,000) * * 2004 (350,000) * * 2005 (350,000) * * 2006 (350,000) * ***************************************************** Fiscal Analysis The bill would require the University of Texas-Pan American to coordinate an acanthosis nigricans screening program. The program would include public or private schools in regional education service centers 1, 2, 3, 13, 15, 18, 19, and 20. It would mandate screenings for acanthosis nigricans for public and private school children in those areas at the same time hearing and vision screening and spinal screening are conducted. It would requires the University to monitor screening activities. Methodology The conference committee for Senate Bill 1 contains $350,000 general revenue funding per year for this program. The institution considers this funding level sufficient to operate the program proposed by this bill. Local Government Impact According to the Department of Health (TDH), local school districts would incur costs associated with the extra time required for screening, oversight, and record-keeping in meeting the provisions of the bill. The Texas Education Agency (TEA) estimated 1,358,026 students would be screened for Acanthosis nigricans under the provisions of the bill. TEA assumed the cost of screening and data/reporting requirements would be $1 per student. Therefore, the annual statewide local cost associated with this bill could be approximately $1,358,026. Source Agencies: 701 Texas Education Agency, 501 Texas Department of Health LBB Staff: JK, CT, HD, PF, RN, RM