LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 77th Regular Session
April 4, 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 and community health workers.),
Committee Report 1st House, Substituted
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* SB1051, Committee Report 1st House, Substituted: negative impact *
* of $(130,989) 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. *
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General Revenue-Related Funds, Five-Year Impact:
****************************************************
* Fiscal Year Probable Net Positive/(Negative) *
* Impact to General Revenue Related *
* Funds *
* 2002 $(61,005) *
* 2003 (69,984) *
* 2004 (67,984) *
* 2005 (67,984) *
* 2006 (67,984) *
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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 GR Match from Federal from General Employees from *
* for Medicaid Funds - Federal Revenue Fund FY 2001 *
* 0758 0555 0001 *
* 2002 $(20,335) $(20,335) $(40,670) 0.8 *
* 2003 (23,328) (23,328) (46,656) 1.0 *
* 2004 (23,328) (23,328) (44,656) 1.0 *
* 2005 (23,328) (23,328) (44,656) 1.0 *
* 2006 (23,328) (23,328) (44,656) 1.0 *
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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 and community health
workers. 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.
The provisions of the bill, as substituted, would include community
health workers. Under the provisions of the bill, participation in TDH's
training and education program for promotoras and community health
workers would be voluntary for a promotora or a community health worker
who provides services without receiving any compensation and mandatory
for a promotora or a community health worker who provides services for
compensation. Under the provisions of the bill a promotora or community
health worker 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 or community health worker for
compensation.
Methodology
It is assumed a three month start-up period would be need. The
Department of Health estimates one additional FTE would be needed to
implement and administer the provisions of the bill. It is assumed
salary and benefits would total $35,917 in FY 2002, and $47,889 in FYs
2003-06. For each year of FYs 2002-06, TDH estimates costs would include
$10,860 for travel of staff and members of the Promotora and Community
Health Worker Training and Certification Advisory Committee; $4,663 for
other operating expenses, including direct mailings and production costs
for 750 certification packages for applicants; and $11,200 for other
costs, primarily promotional materials. TDH also estimates $7,500 for a
Leadership Workshop; and $9,200 for marketing support for each year. A
one time equipment cost of $2,000 is assumed for the purchase of one
personal computer for the additional FTE.
Although TDH has included travel reimbursement for the members of the
Promotora and Community Health Worker Training and Certification
Advisory Committee in the estimates above, the 77th Legislature would
have to authorize reimbursement for travel and related expenses for
members of the committee in the General Appropriations Act.
Source Agencies: 501 Texas Department of Health
LBB Staff: JK, HD, RM