LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 77th Regular Session
May 3, 2001
TO: Honorable Mike Moncrief, Chair, Senate Committee on
Health & Human Services
FROM: John Keel, Director, Legislative Budget Board
IN RE: SB1237 by Moncrief (Relating to immunizations and the
immunization registry.), As Introduced
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* SB1237, As Introduced: negative impact of $(450,971) 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 $(222,933) *
* 2003 (228,038) *
* 2004 (167,684) *
* 2005 (153,328) *
* 2006 (153,328) *
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All Funds, Five-Year Impact:
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*Fiscal Probable (Cost) Probable (Cost) Probable (Cost) Change in *
* Year to Federal to Federal to GR Match for Number of TDH *
* Funds - Funds - Medicaid Employees from *
* Medicaid Immunizations 0758 FY 2001 *
* 0555 0555 *
* 2002 $(222,933) $(209,819) $(222,933) 3.0 *
* 2003 (228,038) (214,624) (228,038) 4.0 *
* 2004 (167,684) (157,820) (167,684) 4.0 *
* 2005 (153,328) (144,308) (153,328) 4.0 *
* 2006 (153,328) (144,308) (153,328) 4.0 *
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Technology Impact
The bill would necessitate modifications to the current automated
immunization registry system managed by the Texas Department of Health
(TDH) . Technology-related costs would include first year computer
hardware expenses of $11,000 and software expenses of $1,600. An
additional $40,000 in first year telecommunications consulting contracts
for security, load, and stress testing for the modified automation
system are anticipated.
Fiscal Analysis
The bill would establish the fourteen-member Texas Immunization Advisory
Committee to assist TDH in the development of procedures, guidelines, and
policies related to immunizations in the State.
The bill would require TDH to establish and maintain an immunization
registry, to protect the confidentiality of immunization patients, to
inform parents of each immunization patient about the registry, and to
permit a parent or guardian to choose to have the patient excluded (also
known as "opting out") from the registry.
The bill would require TDH to develop and provide an exemption form to
persons subject to exclusion from a school or program because they have
declined immunizations for reasons of conscience or religious belief.
Methodology
It is assumed the advisory committee would meet in Austin four times per
year, with an estimated average cost of $1,393 per member per full year.
It is further assumed the committee would meet only twice during the
first year (FY 2002 = $9,750; FYs 2003-06 = $19,500/year).
TDH estimates the new "opt out" system would increase participation in
the immunization registry fourfold over current levels. It is assumed
four new staff members would be required to manage and maintain the
modified immunization registry system and that first year staffing would
be at 75% (personnel costs FY 2002 = $82,737; FYs 2003-06 =
$110,316/year, with annual employee benefits at 28.3% of salary). The
estimated technology costs (as detailed in "Technology Impact") would be
$52,600 during FY 2002.
It is estimated printing and postage costs related to parental
notifications, receipt confirmations, and requests for exemption forms
would reach $289,950 annually, with first year costs at 50% and second
year costs at 75%.
It is estimated that the development and printing of a scannable
reporting form for health care providers would cost $50,000 in FY 2002.
It is estimated that education and outreach to parents and health care
providers would result in the following costs: FY 2002 = $292,225; FY
2003 = $292,225; and FY 2004 = $42,225.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 501 Texas Department of Health
LBB Staff: JK, HD, KF, SW