LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 86TH LEGISLATIVE REGULAR SESSION
 
April 9, 2019

TO:
Honorable Senfronia Thompson, Chair, House Committee on Public Health
 
FROM:
John McGeady, Assistant Director     Sarah Keyton, Assistant Director
Legislative Budget Board
 
IN RE:
HB4068 by Beckley (Relating to the vaccination against bacterial meningitis of public school students.), As Introduced



Estimated Two-year Net Impact to General Revenue Related Funds for HB4068, As Introduced: a negative impact of ($354,512) through the biennium ending August 31, 2021.

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
2020 ($177,256)
2021 ($177,256)
2022 ($177,256)
2023 ($177,256)
2024 ($177,256)




Fiscal Year Probable Savings/(Cost) from
General Revenue Fund
1
2020 ($177,256)
2021 ($177,256)
2022 ($177,256)
2023 ($177,256)
2024 ($177,256)

Fiscal Analysis

The bill would amend the Education Code to require each student to be fully immunized against bacterial meningitis, except as allowed under current law, and to show proof in accordance with the recommended immunization schedule adopted by the Department of State Health Services (DSHS).

Methodology

Under the bill, DSHS assumes that it would adopt the 12th grade meningococcal vaccine dose requirement for students to receive a quadrivalent meningococcal conjugate vaccine dose and booster dose to ensure all school-aged adolescents are fully vaccinated against bacterial meningitis.

DSHS further assumes it would purchase the vaccine for immunization of an estimated 2,040 underinsured 12th graders seen by private health care providers enrolled in the Texas Vaccines for Children (TVFC) program. Based on information provided by DSHS, and based on the federal contract price of $86.89 per dose for the publicly funded meningococcal vaccine in fiscal year 2019, the LBB estimates an annual cost of $177,256 to General Revenue.

Local Government Impact

No significant fiscal implication to units of local government is anticipated.


Source Agencies:
327 Employees Retirement System, 529 Health and Human Services Commission, 537 State Health Services, Department of, 701 Texas Education Agency, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration
LBB Staff:
WP, AKi, AM, ASa