LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                            February 21, 2001
  
  
          TO:  Honorable Mike Moncrief, Chair, Senate Committee on
               Health & Human Services
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  SB572  by Moncrief (Relating to the reduction of the
               shortage of registered nurses by establishing a program
               to increase enrollments in nursing education programs,
               increasing nursing faculty, and creating a nursing
               workforce data center.), As Introduced
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  SB572, As Introduced:  negative impact of $(5,013,000) 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                         $(2,389,000)  *
          *       2003                          (2,624,000)  *
          *       2004                         (10,456,200)  *
          *       2005                         (10,735,300)  *
          *       2006                         (11,039,810)  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
***************************************************************************
*Fiscal    Probable Savings/(Cost) from    Probable Revenue Gain/(Loss)   *
* Year         General Revenue Fund            from Estimated Other       *
*                      0001               Educational and General Income  *
*                                             Account/ GR-Dedicated       *
*                                                      0770               *
*  2002                      $(2,389,000)                      $(639,000) *
*  2003                       (2,624,000)                       (639,000) *
*  2004                      (10,456,200)                       (639,000) *
*  2005                      (10,735,300)                       (639,000) *
*  2006                      (11,039,810)                       (639,000) *
***************************************************************************
  
Fiscal Analysis
  
The provisions of the bill would establish a program to increase
enrollments in nursing education programs, increase nurse faculty, and
create a nursing workforce data center to address issues of supply and
demand for nursing in Texas.

The bill would establish a program administered by the Texas Higher
Education Coordinating Board (CB) to make grants to professional nursing
education programs.  The bill would also permit higher education
institutions to offer in-state tuition and fees (non-resident tuition
waivers) to licensed nurses seeking master's or doctoral level nursing
degrees who intend to teach in a Texas professional nursing education
program.  The teaching commitment and repayment of tuition waivers if a
recipient fails to teach for the required time would be set by the each
institution.

The bill would allow the CB to establish multiple categories of persons
to receive awards from scholarships, the matching fund program, or loan
repayment program, and could authorize faculty with master's or
doctorates in nursing to receive loan repayments.

Not more than ten percent of any funds appropriated by the legislature to
fund these programs could be used by the CB to pay administrative costs
of operating the programs.

The Nursing Workforce Data Center would be established by the Board of
Nurse Examiners (BNE).  BNE may contract with public or private entities
to perform the responsibilities of the center.  The provisions of the
bill would require the BNE to appoint an executive committee to be the
policy making body for the data center.

The provisions of the bill provides that administering the Nursing
workforce data center not exceed five percent.

The bill would take effect September 1, 2001.
  
  
Methodology
  
The CB assumes that in fiscal year 2002, $750,000 would be awarded to
institutions to develop programs to improve nursing recruitment and
retention, based on 25 awards at an average of $30,000 each.  A ten
percent increase in award funding per year is anticipated.

There is currently a loan repayment program and scholarship program with
an annual combined budget of $400,000.  Based on current rules, repayment
awards can be made in the amount of $2,000 each.  This analysis assumes
that 50 repayment awards would be made to practicing nurses/nurse faculty
in the first year, with a ten percent increase in the number of awards
each year.  It is estimated that 500 scholarships would be awarded in the
first year at an average of $2,500 per scholarship, and that scholarship
awards would increase ten percent per year.  The total cost for
repayments and scholarships in the first year would be $950,000, net of
the $400,000 current budget.

The estimate for providing matching funds assumes ten students would
receive $5,000 per year to be matched by the sponsor, and that five
additional students per year would participate in the matching program.
The first year's cost of the matching program would be $50,000.

The option available to institutions to waive non-resident tuition would
result in a reduction in tuition revenue of $639,000 per year, based on
the difference between resident and non-resident tuition for 30 semester
credit hours and assuming 100 students would seek waivers.  An equivalent
amount of general revenue funds would be needed to reimburse
institutions for the loss of tuition revenue.  This analysis assumes that
the institutions would not use the option to collect repayment of the
tuition waiver if the student does not choose to teach in a Texas nursing
program.

According to the CB, the Texas Nursing Association estimates that these
programs could result in an additional 1,403 students entering
professional nursing programs annually.  The CB assumes that half of
these students would transfer  into nursing from other fields of study
and that the other half would be students not currently enrolled in
higher education.  Additional costs are estimated at $3,600 per student
transferring from another field of study and $7,200 per student entering
the nursing program from outside higher education.  Based on these
assumptions, the additional cost for 1,403 new nursing students would be
$5,626,800 per year beginning in fiscal year 2004.  No additional costs
are estimated for fiscal years 2002-03 because funding for these years
is provided based on current enrollment.
  
  
Local Government Impact
  
No significant fiscal implication to units of local government is
anticipated.
  
  
Source Agencies:   507   Board of Nurse Examiners, 781   Texas Higher
                   Education Coordinating Board
LBB Staff:         JK, HD, MG, DE