LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                              April 2, 2001
  
  
          TO:  Honorable Mike Moncrief, Chair, Senate Committee On
               Health & Human Services
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  SB1051  by Shapleigh (Relating to the training and
               regulation of promotoras.), As Introduced
  
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*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  SB1051, As Introduced:  negative impact of $(82,474) 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                            $(35,560)  *
          *       2003                             (46,914)  *
          *       2004                             (46,914)  *
          *       2005                             (46,914)  *
          *       2006                             (46,914)  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
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*Fiscal      Probable        Probable        Probable       Change in     *
* Year    Savings/(Cost)  Savings/(Cost)  Savings/(Cost) Number of State  *
*          from General    from Federal   from GR Match   Employees from  *
*          Revenue Fund  Funds - Federal   for Medicaid      FY 2001      *
*              0001            0555            0758                       *
*  2002         $(11,853)       $(11,854)       $(23,707)             0.8 *
*  2003          (15,638)        (15,638)        (31,276)             1.0 *
*  2004          (15,638)        (15,638)        (31,276)             1.0 *
*  2005          (15,638)        (15,638)        (31,276)             1.0 *
*  2006          (15,638)        (15,638)        (31,276)             1.0 *
***************************************************************************
  
Fiscal Analysis
  
The bill would require the Department of Health (TDH) to consider the
report and findings of the Promotora Program Development Committee and
adopt any applicable recommendations of the this committee regarding the
TDH's training and education program for promotoras. The bill would
require the Board of Health, in adopting minimum standards and
guidelines, to consider the report and findings of the Promotora Program
Development Committee and adopt any applicable recommendations of this
committee.

Under the provisions of the bill, participation in TDH's training and
education program for promotoras would be voluntary for a promotora who
provides services without receiving any compensation and mandatory for a
promotora who provides services for compensation. A promotora who does
not receive any compensation would not be required to have a certificate
but receipt of a certificate is required for a person to act as a
promotora for compensation.
  
  
Methodology
  
The Department of Health estimates one additional FTE would be needed to
implement and administer the provisions of the bill. It is assumed a
three month start-up period would be need. It is estimated salary and
benefits would total $35,917 in FY 2002 and $47,889 in FYs 2003-06.  TDH
estimated in FY 2002, costs would include $1,125 for travel; $3,497 for
other operating expenses, including direct mailings and production costs
for 750 certification packages for applicants; and $4,875 for other
costs, primarily promotional materials.  For each year of FY 2003-06,
TDH estimated $1,500 would be needed for travel; $4,663 for other
operating expenses, including direct mailing and production costs for
1,000 certification packages for applicant; and $6,500 for other costs,
primarily promotional materials.
  
  
Local Government Impact
  
No fiscal implication to units of local government is anticipated.
  
  
Source Agencies:   501   Texas Department of Health
LBB Staff:         JK, HD, RM