LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 30, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1948 by Rios Ybarra (Relating to a public health extension service pilot program.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB1948, As Introduced: a negative impact of ($2,373,743) through the biennium ending August 31, 2011. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 30, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1948 by Rios Ybarra (Relating to a public health extension service pilot program.), As Introduced TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE: HB1948 by Rios Ybarra (Relating to a public health extension service pilot program.), As Introduced Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health John S. O'Brien, Director, Legislative Budget Board John S. O'Brien, Director, Legislative Budget Board HB1948 by Rios Ybarra (Relating to a public health extension service pilot program.), As Introduced HB1948 by Rios Ybarra (Relating to a public health extension service pilot program.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB1948, As Introduced: a negative impact of ($2,373,743) through the biennium ending August 31, 2011. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. Estimated Two-year Net Impact to General Revenue Related Funds for HB1948, As Introduced: a negative impact of ($2,373,743) through the biennium ending August 31, 2011. 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 2010 ($1,472,073) 2011 ($901,670) 2012 $0 2013 $0 2014 $0 2010 ($1,472,073) 2011 ($901,670) 2012 $0 2013 $0 2014 $0 All Funds, Five-Year Impact: Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 Change in Number of State Employees from FY 2009 2010 ($1,472,073) 2.3 2011 ($901,670) 3.0 2012 $0 0.0 2013 $0 0.0 2014 $0 0.0 Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 Change in Number of State Employees from FY 2009 2010 ($1,472,073) 2.3 2011 ($901,670) 3.0 2012 $0 0.0 2013 $0 0.0 2014 $0 0.0 2010 ($1,472,073) 2.3 2011 ($901,670) 3.0 2012 $0 0.0 2013 $0 0.0 2014 $0 0.0 Fiscal Analysis The bill would require the Department of State Health Services (DSHS) to establish a public health extension service pilot program in Health Service Region 11 in the Rio Grande Valley. The bill authorizes DSHS to implement projects and systems to accomplish the purpose of the program, including: providing support for regional disaster medical assistance and tactical medical operations incident management teams; establishing a disaster training and exercise program; establishing and equipping caches of medical supplies and equipment; establishing a regionally based system of emergency medical logistics management; and establishing a regionally based system to provide technical assistance for disaster mitigation and recovery. The bill requires DSHS to report to the governor, the lieutenant governor, and the speaker of the House of Representatives on the program. The bill abolishes the program September 2, 2011. The bill would require the Department of State Health Services (DSHS) to establish a public health extension service pilot program in Health Service Region 11 in the Rio Grande Valley. The bill authorizes DSHS to implement projects and systems to accomplish the purpose of the program, including: providing support for regional disaster medical assistance and tactical medical operations incident management teams; establishing a disaster training and exercise program; establishing and equipping caches of medical supplies and equipment; establishing a regionally based system of emergency medical logistics management; and establishing a regionally based system to provide technical assistance for disaster mitigation and recovery. The bill requires DSHS to report to the governor, the lieutenant governor, and the speaker of the House of Representatives on the program. The bill abolishes the program September 2, 2011. Methodology DSHS estimates the bill would require three additional full-time-equivalent positions for the establishment and administration of the pilot program, including contract administration; staff would be phased in during fiscal year 2010. The agency assumes that contracts would be developed with Texas A&M University and/or the University of Texas for: the development of a training and exercise program at an annual cost of $400,000; management of a supply and equipment cache at a cost of $800,000 in fiscal year 2010, and $100,000 in fiscal year 2011; and for the support and travel costs of identified team members for two trainings per year at an estimated annual cost of $130,000. DSHS assumes additional contract costs for the evaluation of the program, as required by the bill, at a one-time cost of $100,000 in fiscal year 2011. It is estimated that the total cost of the bill would be $2,373,743 in General Revenue Funds for the 2010-11 biennium. DSHS estimates the bill would require three additional full-time-equivalent positions for the establishment and administration of the pilot program, including contract administration; staff would be phased in during fiscal year 2010. The agency assumes that contracts would be developed with Texas A&M University and/or the University of Texas for: the development of a training and exercise program at an annual cost of $400,000; management of a supply and equipment cache at a cost of $800,000 in fiscal year 2010, and $100,000 in fiscal year 2011; and for the support and travel costs of identified team members for two trainings per year at an estimated annual cost of $130,000. DSHS assumes additional contract costs for the evaluation of the program, as required by the bill, at a one-time cost of $100,000 in fiscal year 2011. It is estimated that the total cost of the bill would be $2,373,743 in General Revenue Funds for the 2010-11 biennium. Technology Technology costs of the bill would total a one-time cost of $3,000 in General Revenue Funds in fiscal year 2010. 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, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration 537 State Health Services, Department of, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: JOB, CL, LR, JJ JOB, CL, LR, JJ