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