LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session February 16, 2001 TO: Honorable Kenneth Armbrister, Chair, Senate Committee on Criminal Justice 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.), Committee Report 1st House, Substituted ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * SB347, Committee Report 1st House, Substituted: 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: *************************************************************************** *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