LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 80TH LEGISLATIVE REGULAR SESSION

April 3, 2007

TO:	Honorable Dianne White Delisi, Chair, House Committee on Public Health
FROM:	John S. O'Brien, Director, Legislative Budget Board
IN RE:	HB2132 by Straus (Relating to the creation of a diabetes mellitus registry pilot program.), As Introduced

Estimated Two-year Net Impact to General Revenue Related Funds for HB2132, As Introduced: a negative impact of ($836,250) through the biennium ending August 31, 2009.

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
2008	($557,500)
2009	($278,750)
2010	($278,750)
2011	$0
2012	$0

All Funds, Five-Year Impact:

Fiscal Year	Probable (Cost) from GENERAL REVENUE FUND 1
2008	($557,500)
2009	($278,750)
2010	($278,750)
2011	$0
2012	$0

Fiscal Analysis

The bill would require the Department of State Health Services (DSHS) with a public health district to develop and implement a pilot program to create and maintain a diabetes mellitus registry. The bill would require clinical laboratories in the participating health district to submit certain test results to the district and DSHS. The bill would specify requirements for DSHS and the district related to the test results, including notification and tracking. The bill would require DSHS to issue a report on the pilot program, which would expire September 1, 2010.

The bill would require the Health and Human Services Commission (HHSC) to adopt rules to implement provisions of the bill. It is assumed rules could be adopted using existing resources of HHSC.

Methodology

DSHS indicates a total cost of $557,500 in General Revenue in fiscal year 2008 and $278,750 in General Revenue in fiscal years 2009-2010 to implement a diabetes mellitus registry pilot program. This includes $500,000 in fiscal year 2008 to contract for the initial set-up and development of the registry and $250,000 in fiscal years 2009-2010 to contract for ongoing use and maintenance of the registry. DSHS also estimates costs of $57,500 in fiscal year 2008 and $28,750 in fiscal years 2009-2010 for indirect administration.

Local Government Impact

Because the bill would not have statewide impact on units of local government of the same type or class, no comment from this office is required by the rules of the House/Senate as to its probable fiscal implication on units of local government.

Source Agencies:

537 State Health Services, Department of

LBB Staff:

JOB, CL, PP, SSt, KJG