LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 79TH LEGISLATIVE REGULAR SESSION
 
April 29, 2005

TO:
Honorable Dianne White Delisi, Chair, House Committee on Public Health
 
FROM:
John S. O'Brien, Deputy Director, Legislative Budget Board
 
IN RE:
HB3099 by McReynolds (Relating to a risk assessment program for Type 2 diabetes and the creation of the Type 2 Diabetes Risk Assessment Program Advisory Committee. ), Committee Report 1st House, Substituted



Estimated Two-year Net Impact to General Revenue Related Funds for HB3099, Committee Report 1st House, Substituted: a negative impact of ($581,876) through the biennium ending August 31, 2007.

The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.



Fiscal Year Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2006 ($290,938)
2007 ($290,938)
2008 ($290,938)
2009 ($290,938)
2010 ($290,938)




Fiscal Year Probable Savings/(Cost) from
GENERAL REVENUE FUND
1
Change in Number of State Employees from FY 2005
2006 ($290,938) 4.0
2007 ($290,938) 4.0
2008 ($290,938) 4.0
2009 ($290,938) 4.0
2010 ($290,938) 4.0

Fiscal Analysis

The bill relates to a risk assessment program for Type 2 diabetes and the creation of the Type 2 Diabetes Risk Assessment Program Advisory Committee. The bill would amend certain sections of and add new sections to Chapter 95 of the Health and Safety Code. Section 95.002 would require the Department of State Health Services (DSHS): 1) to administer and coordinate a risk assessment for Type 2 diabetes program, 2) to provide educational and other materials to assist local risk assessment activities and 3) to monitor the quality of the risk assessment activities. 

DSHS may 1) contract with one or more institutions of higher education and assign any duty required by the bill's provisions to the institution(s) under contract, 2) coordinate the risk assessment with various entities, as specified in the bill, and 3) provide technical assistance in developing risk assessment programs.

The bill would also add a new section to Chapter 103 of the Health and Safety Code. Section 103.0125 would direct the Texas Diabetes Council to establish an advisory committee to advise DSHS on the Type 2 diabetes risk assessment program.

The bill would repeal portions of Chapter 95 of the Health and Safety Code, as specified in the bill. Upon enactment, the bill would take effect September 1, 2005.


Methodology

DSHS assumes that the agency would need four additional FTEs to implement the bill's provisions, including two central office staff and two regional office staff. The estimated costs in FY 2006 assume 9 months only due to phase in. In FY 2006, the estimated costs would include $133,724 for salaries and benefits, $3,059 for rent and utilities, $13,500 for in-state travel expenses, and $3,612 leased desktop personal computers. Other operating expenses would total $23,881 for office furnishings, telephone service, supplies and postage. The estimated cost for printing would total $17,262. The estimated costs mentioned above for FY 2006 would total $195,038. 

In FY 2007-2010, the estimated costs (each year) would include $178,299 for salaries and benefits, $4,078 for rent and utilities, $18,000 for in-state travel expenses, and $2,600 for leased computers. Other operating expenses would total $4,388 for telephone service, supplies and postage each year.  The estimated cost for printing would total $20,000 in FY 2007 and $33,573 in FY 2008-2010. The estimated costs for FY 2007 would total $227,365. The estimated costs mentioned above for each year of FY 2008-2010 would total $240,938.

DSHS assumes that the agency would contract with one or more institutions of higher education. The estimated costs for the contract(s) would total $65,300 in FY 2006, $63,573 in FY 2007 and $50,000 in each subsequent year for the development, on-going support and enhancement of a data tracking system.

DSHS assumes that the agency would amend current contracts with 11of the Educational Services Centers to provide training support and technical assistance at the local level in FY 2006 for start-up efforts. The amended contracts would total $30,600 and would include personnel time, facility space for training, print materials, and postage.

DSHS assumes the agency would develop, reproduce and distribute brochures, manuals and videos to inform schools about the Type 2 diabetes screening program. The estimated costs for the educational materials would total $17,262 in FY 2006, $20,000 in FY 2007 and $33,573 in subsequent years.   

The estimated costs to implement the provisions of the bill would total $290,938 in each year of FY 2006-2010.

The bill would create the Type 2 Diabetes Risk Assessment Program Advisory Committee. It is assumed that any costs associated with the advisory committee would be absorbed within DSHS' existing resources.


Technology

Four leased Desktop PCs: $3,612, in FY 2006 and $2,600 in FY 2007-2010, each year.


Local Government Impact

According to DSHS, public and private schools in 11 educational service center regions would be responsible for providing the "risk assessment" information at designated times, document information, handle exemption forms, report findings to parents in writing, report information about students identified as at risk, and submit an annual report electronically or on a prescribed form. These 11 currently participate in a similar program.


Source Agencies:
507 Board of Nurse Examiners, 537 Department of State Health Services, 701 Central Education Agency, 720 The University of Texas System Administration, 739 Texas Tech University Health Sciences Center
LBB Staff:
JOB, CL, PP, RM, KF