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:  HB2989  by Gutierrez (Relating to establishing an
               acanthosis nigricans screening program in certain public
               and private schools.), As Introduced
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  HB2989, As Introduced:  negative impact of $(2,000,000) 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                         $(1,000,000)  *
          *       2003                          (1,000,000)  *
          *       2004                          (1,000,000)  *
          *       2005                          (1,000,000)  *
          *       2006                          (1,000,000)  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
         *****************************************************
         * Fiscal Year      Probable Savings/(Cost) from      *
         *                      General Revenue Fund          *
         *                              0001                  *
         *      2002                             $(1,000,000) *
         *      2003                              (1,000,000) *
         *      2004                              (1,000,000) *
         *      2005                              (1,000,000) *
         *      2006                              (1,000,000) *
         *****************************************************
  
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
  
An exceptional item request associated with the implementation of these
provisions for the University of Texas-Pan American totals $1 million
per year.
  
  
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, HD, PF, RN, RM