LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                              April 19, 2001
  
  
          TO:  Honorable Pat Haggerty, Chair, House Committee on
               Corrections
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  SB347  by Brown, J. E. "Buster" (Relating to the
               provision of health care, including prescription drugs,
               for persons confined in institutions operated by the
               Texas Department of Criminal Justice.), As Engrossed
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  SB347, As Engrossed:  positive impact of $9,888,000 through the       *
*  biennium ending August 31, 2003.                                      *
**************************************************************************
  
General Revenue-Related Funds, Five-Year Impact:
  
          ****************************************************
          *  Fiscal Year  Probable Net Positive/(Negative)   *
          *               Impact to General Revenue Related  *
          *                             Funds                *
          *       2002                           $4,915,000  *
          *       2003                            4,973,000  *
          *       2004                            5,069,000  *
          *       2005                            5,191,000  *
          *       2006                            5,295,000  *
          ****************************************************
  
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                        $4,915,000                             0.0 *
*  2003                         4,973,000                             0.0 *
*  2004                         5,069,000                             0.0 *
*  2005                         5,191,000                             0.0 *
*  2006                         5,295,000                             0.0 *
***************************************************************************
  
Fiscal Analysis
  
The bill would require that any contract between the Correctional Managed
Health Care Committee and the University of Texas Medical Branch at
Galveston for managed health care include provisions to ensure that the
university is eligible for and makes reasonable efforts to purchase
prescription drugs under Section 340B of the Public Health Service Act
(U.S.C. Section 256b).  The bill would also authorize the University of
Texas Medical Branch to contract directly with the Texas Tech University
Health Science Center (TTUHSC) for the provision of health care
services, and it would direct TTUHSC to cooperate in efforts to purchase
prescription drugs under Section 340B.  The bill would take effect
September 1, 2001.
  
  
Methodology
  
The cost savings associated with the bill are based on estimates from the
Comptroller of Public Accounts.  During fiscal year 1999, it is
estimated that $27.8 million in prescription drug purchases would have
qualified for purchase under Section 340B of the Public Health Service
Act at a potential cost savings of 17.7 percent.  The resultant $4.9
million in savings were used as the potential cost savings for fiscal
year 2002.  Cost savings are projected to increase at 1.2 percent to 2.4
percent per year.
  
  
Local Government Impact
  
No fiscal implication to units of local government is anticipated.
  
  
Source Agencies:   739   Texas Tech University Health Sciences Center,
                   720   The University of Texas System, 696   Texas
                   Department of Criminal Justice
LBB Staff:         JK, JC, VS