LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                               May 24, 2001
  
  
          TO:  Honorable Bill Ratliff, Lieutenant Governor,  Senate
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  SB1100  by Moncrief (Relating to the establishment and
               operation of pilot centers for the advancement of quality
               in long-term care.), As Passed 2nd House
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  SB1100, As Passed 2nd House:  negative impact of $(789,760)           *
*  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                           $(394,880)  *
          *       2003                            (394,880)  *
          *       2004                            (394,880)  *
          *       2005                            (394,880)  *
          *       2006                            (394,880)  *
          ****************************************************
  
All Funds, Five-Year Impact:
  
         *****************************************************
         * Fiscal Year      Probable Savings/(Cost) from      *
         *                      General Revenue Fund          *
         *                              0001                  *
         *      2002                               $(394,880) *
         *      2003                                (394,880) *
         *      2004                                (394,880) *
         *      2005                                (394,880) *
         *      2006                                (394,880) *
         *****************************************************
  
Fiscal Analysis
  
The bill as amended allows the governing board of the University of North
Texas Health Science Center and the governing board of the Texas Tech
University Health Sciences Center to each establish a pilot center for
the advancement of quality in long-term care.  The pilot centers would
identify, implement, and evaluate research, education, and outreach
programs designed to improve the quality of long-term care; serve as
training sites for physicians, nurses, therapists, social workers, and
long-term care facility administrators, surveyors, and investigators; and
develop best practices that could be taught and replicated in long-term
care facilities.

The two governing boards would need to submit a joint report to the
legislature by December 1, 2002, on the activities of the pilot centers.

  
  
Methodology
  
Based on analysis provided by the Texas Higher Education Coordinating
Board, each pilot center would require funding in the amount of $197,440
per year.  This cost is equal to the amount awarded to each Family
Practice Residency Program Pilot Project administered by the
Coordinating Board.
  
  
Local Government Impact
  
No significant fiscal implication to units of local government is
anticipated.
  
  
Source Agencies:   781   Texas Higher Education Coordinating Board
LBB Staff:         JK, CT, MG