LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                              March 26, 2001
  
  
          TO:  Honorable Mike Moncrief, Chair, Senate Committee on
               Health & Human Services
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  SB498  by Truan (Relating to the training requirements
               for certain employees of nursing homes.), As Introduced
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  SB498, As Introduced:  negative impact of $(2,436,043) 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                         $(1,216,494)  *
          *       2003                          (1,219,549)  *
          *       2004                          (1,219,549)  *
          *       2005                          (1,219,549)  *
          *       2006                          (1,219,549)  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
***************************************************************************
*Fiscal    Probable Savings/(Cost) from    Probable Savings/(Cost) from   *
* Year         General Revenue Fund          Federal Funds - Federal      *
*                      0001                            0555               *
*  2002                      $(1,216,494)                    $(1,837,723) *
*  2003                       (1,219,549)                     (1,834,668) *
*  2004                       (1,219,549)                     (1,834,668) *
*  2005                       (1,219,549)                     (1,834,668) *
*  2006                       (1,219,549)                     (1,834,668) *
***************************************************************************
  
Fiscal Analysis
  
The bill would require the Department of Human Services (DHS) to adopt
rules that would require nursing home employees who do not hold a
license, certificate, registration, permit, or some other form of
authorization under Title 3, Occupations Code, to have basic first aid
and cardiopulmonary resuscitation training.
  
  
Methodology
  
The DHS estimated approximately 80 percent of nursing facility employees
would be eligible for training. Based on the current number of 1,060
nursing facilities and the average number of employees per nursing
facility equal to 30, of which 80 percent would require such training,
DHS indicated the number of potential attendees of such a training
program was estimated to be 25,440 individuals. For fiscal years 2003
through 2006, the subsequent number of potential attendees of training
was based upon the high turnover that now exists at nursing facilities.

The additional cost of replacement pay for attendees of such First Aid &
Safety and CPR training was considered by DHS in the estimate, since
nursing facility employees who attend would be required to obtain a
certificate for further performance of their employment.
  
  
Local Government Impact
  
No fiscal implication to units of local government is anticipated.
  
  
Source Agencies:   324   Texas Department of Human Services
LBB Staff:         JK, HD, ML