LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 77th Regular Session
April 4, 2001
TO: Honorable Mike Moncrief, Chair, Senate Committee on
Health & Human Services
FROM: John Keel, Director, Legislative Budget Board
IN RE: SB281 by Nelson (Relating to requiring the Texas
Department of Health to allow health care providers to
use certain vaccines in the vaccines for children
program.), As Introduced
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* SB281, As Introduced: negative impact of $(1,001,246) 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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General Revenue-Related Funds, Five-Year Impact:
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* Fiscal Year Probable Net Positive/(Negative) *
* Impact to General Revenue Related *
* Funds *
* 2002 $(500,623) *
* 2003 (500,623) *
* 2004 (500,623) *
* 2005 (500,623) *
* 2006 (500,623) *
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All Funds, Five-Year Impact:
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*Fiscal Probable Savings/(Cost) from Probable Savings/(Cost) from *
* Year General Revenue Fund Federal Funds - Federal CFDA # *
* 0001 93.268 - Childhood Immunization *
* Grants *
* 0555 *
* 2002 $(500,623) $(1,814,758) *
* 2003 (500,623) (1,814,758) *
* 2004 (500,623) (1,814,758) *
* 2005 (500,623) (1,814,758) *
* 2006 (500,623) (1,814,758) *
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Fiscal Analysis
The bill would require the Department of Health to allow health care
providers participating in the Vaccine for Children Program to select
vaccines from the list of all vaccines (choice) recommended and approved
by the Federal Advisory Committee on Immunization Practices and under
contract with the Centers for Disease Control, United States Public
Health Services. The bill would also require the Department of Health to
allow health care provider participating in the Vaccine for Children
Program to use combination vaccines.
Methodology
It is assumed that if physicians are given the choice of vaccine,
physicians will choose the most expensive option available no more than
40% of the time. The Department of Health projects that physicians would
choose the most expensive vaccine in 100% of cases.
The difference between the total cost of selected vaccine, if physicians
choose the most expensive vaccine 40% of the time, and the current cost
of the vaccine would be $6,257,787. Eight percent or $500,623 of the
additional cost would be General Revenue, 29% or $1,814,758 would be
federal funds, and 63% would be in federal vaccine assistance. The
value of federal direct assistance under the Vaccines for Children
Program is received by the State in vaccine and not in funds deposited
into the treasury and therefore is not shown in the table above.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 501 Texas Department of Health
LBB Staff: JK, HD, KF, RM