| TO: | Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services |
| FROM: | John Keel, Director, Legislative Budget Board |
| IN RE: | SB1949 by Harris (Relating to the cancer registry.), As Introduced |
| Fiscal Year | Probable Net Positive/(Negative) Impact to General Revenue Related Funds |
|---|---|
| 2004 | ($1,173,870) |
| 2005 | ($1,157,489) |
| 2006 | ($1,148,989) |
| 2007 | ($1,163,489) |
| 2008 | ($1,168,989) |
| Fiscal Year | Probable Savings/(Cost) from GENERAL REVENUE FUND 1 |
Probable Revenue Gain/(Loss) from PUB HEALTH SVC FEE ACCT 524 |
Change in Number of State Employees from FY 2003 |
|---|---|---|---|
| 2004 | ($1,173,870) | $30,500 | 4.0 |
| 2005 | ($1,157,489) | $61,000 | 4.0 |
| 2006 | ($1,148,989) | $86,500 | 4.0 |
| 2007 | ($1,163,489) | $111,000 | 4.0 |
| 2008 | ($1,168,989) | $112,000 | 4.0 |
The bill would amend the Health and Safety Code to require the Texas Board of Health to ensure that the Cancer Registry receives gold standard certification from the North American Association of Central Cancer Registry (NAACCR) in terms of the completeness, timeliness and quality of its data. The bill would require the Texas Department of Health (TDH) to report to the Legislature when the Cancer Registry receives NAACCR’s “gold standard” national certification. The Act would take effect September 1, 2003.
The “gold standard” is recognized by the U.S. Centers for Disease Control and Prevention (CDC), and attaining this standard would enable the state and Texas research institutions to qualify for additional federal funds.
The estimated fiscal impact is based on the following assumptions made by the Texas Department of Health (TDH):
1. Current funding level for the cancer registry program will be maintained.
2. The TDH Cancer Registry would implement the necessary components to achieve The NAACCR gold standard rating.
3. The department would phase in the efforts to achieve certification by hiring four new FTEs effective December 1, 2003, requiring only 75 percent of yearly salaries and benefits for fiscal year 2004, a total cost of $111,325. Total cost for salaries and benefits are estimated to be $148,433 fiscal years 2005-2008.
4. The department would use contract staff to supplement the data collection, record coding and processing, data quality audits and reporter training, but contract services would not be used to support these complete registry functions. Estimated costs are $950,000 fiscal year 2004, $810,000 fiscal year 2005, $886,500 fiscal year 2006, $901,000 fiscal year 2007, and $906, 500 fiscal year 2008.
5. Estimated costs for other operating expenses are $83,927 fiscal year 2004, $182,056 fiscal year 2005, $108,056 fiscal year 2006, and $107,056 for fiscal years 2007-2008.
6. Under current federal regulations, when gold certification is reached (fiscal year 2006), the TDH Cancer Registry, cancer researchers and universities would be eligible for additional federal funding using this certified data.
7. Beginning January 1, 2004 (after approved rule changes), fees would be charged for data requests requiring more than one hour of staff and/or computer time and for data linkage studies. The estimated fees are:
a. average fee for standard data request, $40 (estimated requests: 125 in 2004, 250 in 2005);
b. average fee for special data request, $700 (estimated requests: 15 in 2004, 30 in 2005);
c. average fee for standard data linkage request (<10,000 records), $2,500 (estimated requests: 2 in 2004, 4 in 2005); and
d. average fee for special data linkage request (10,000+ records), $10,000 (estimated requests: 1 in 2004, 2 in 2005).
| Source Agencies: | 501 Department of Health
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| LBB Staff: | JK, JO, KF, EB
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