Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
FROM:
John McGeady, Assistant Director Sarah Keyton, Assistant Director Legislative Budget Board
IN RE:
SB1313 by Lucio (Relating to demonstration programs for childhood obesity and chronic disease prevention in certain border counties.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for SB1313, Committee Report 1st House, Substituted: a negative impact of ($990,492) 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. The Department of State Health Services is required to implement a provision of this Act only if the legislature appropriates money specifically for that purpose. If the legislature does not appropriate money specifically for that purpose, the department may, but is not required to, implement a provision of this Act using other appropriations available for that purpose.
Fiscal Year
Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2020
($486,699)
2021
($503,793)
2022
($503,793)
2023
($503,793)
2024
($503,793)
Fiscal Year
Probable Savings/(Cost) from General Revenue Fund 1
Change in Number of State Employees from FY 2019
2020
($486,699)
1.0
2021
($503,793)
1.0
2022
($503,793)
1.0
2023
($503,793)
1.0
2024
($503,793)
1.0
Fiscal Analysis
The bill would amend the Health and Safety Code to require the Department of State Health Services (DSHS) to establish the childhood obesity prevention demonstration program and the chronic disease prevention demonstration program in counties that are adjacent to an international border and have a population between 400,000 and 800,000.
The bill would require DSHS, to the extent that funding is available, 1) to develop and implement a school-based demonstration program to address childhood obesity and related chronic diseases; 2) establish a chronic disease prevention demonstration program for adults; and 3) share the strategies, best practices, and recommendation DSHS determined to be successful in addressing childhood obesity and chronic disease prevention with public schools and other appropriate entities.
The bill would require DSHS to evaluate the effectiveness of the demonstration programs by September 1, 2029.
The bill would also require DSHS to submit a report on the demonstration programs to the lieutenant governor, the speaker, and each member of the legislature before November 1, 2029.
The bill would require the executive commissioner of the Health and Human Services Commission to adopt rules and necessary to implement the demonstration programs.
The bill would take effect September 1, 2019.
Methodology
Currently, only Cameron County meets the population parameters under the provisions of the bill.
Under the provisions of the bill, the Department of State Health Services (DSHS) would develop and implement a school-based demonstration program to address childhood obesity and related chronic diseases in Cameron County. DSHS assumes an additional 1.0 full-time equivalent (FTE) and $25,000 each fiscal year for development training materials to implement this program. The cost for 1.0 FTE would be $60,185 in fiscal year 2020 and $80,247 in each subsequent fiscal year. An additional $97,391 in other operating expenses, including rent, travel, and supplies that would be needed in fiscal year 2020 and $94,428 in each subsequent fiscal year for this purpose.
Under the provisions of the bill, DSHS would establish a chronic disease prevention demonstration program for adults. DSHS assumes they would contract with the local health department or other health organization in Cameron County at a cost of $250,000 each fiscal year to implement the program.
Under the provisions of the bill, DSHS would share the strategies, best practices, and recommendation DSHS determined to be successful in addressing childhood obesity and chronic disease prevention with public schools and other appropriate entities. DSHS assumes they would contract with a university or other organization in Cameron County at a cost of $50,000 each fiscal year to evaluate the effectiveness of the demonstration programs.
The estimated cost to implement the provisions of the bill would be $486,699 in fiscal year 2020 and $503,793 in each subsequent fiscal year.
Technology
Technology costs are estimated to be $4,123 in the first year for Data Center Services (DCS), hardware, and software and $4,118 in each subsequent fiscal year for the same purposes.
Local Government Impact
According to the Texas Association of Counties, no fiscal implication to counties is anticipated.
Source Agencies:
529 Health and Human Services Commission, 537 State Health Services, Department of