LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 2, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB526 by Nelson (Relating to grants for federally qualified health centers.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for SB526, As Introduced: a negative impact of ($10,000,000) 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 2, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB526 by Nelson (Relating to grants for federally qualified health centers.), As Introduced TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE: SB526 by Nelson (Relating to grants for federally qualified health centers.), As Introduced Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services John S. O'Brien, Director, Legislative Budget Board John S. O'Brien, Director, Legislative Budget Board SB526 by Nelson (Relating to grants for federally qualified health centers.), As Introduced SB526 by Nelson (Relating to grants for federally qualified health centers.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for SB526, As Introduced: a negative impact of ($10,000,000) 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 SB526, As Introduced: a negative impact of ($10,000,000) 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 ($5,000,000) 2011 ($5,000,000) 2012 ($5,000,000) 2013 ($5,000,000) 2014 ($5,000,000) 2010 ($5,000,000) 2011 ($5,000,000) 2012 ($5,000,000) 2013 ($5,000,000) 2014 ($5,000,000) All Funds, Five-Year Impact: Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 2010 ($5,000,000) 2011 ($5,000,000) 2012 ($5,000,000) 2013 ($5,000,000) 2014 ($5,000,000) Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 2010 ($5,000,000) 2011 ($5,000,000) 2012 ($5,000,000) 2013 ($5,000,000) 2014 ($5,000,000) 2010 ($5,000,000) 2011 ($5,000,000) 2012 ($5,000,000) 2013 ($5,000,000) 2014 ($5,000,000) Fiscal Analysis Section 1 of the bill would amend Section 31.017 of the Health and Safety Code by making permanent the current authority of the Department of State Health Services (DSHS) to make grants to establish federally qualified health centers (FQHCs) or to expand existing FQHCs. This authority would otherwise expire on September 1, 2009. The bill would take effect August 31, 2009. Section 1 of the bill would amend Section 31.017 of the Health and Safety Code by making permanent the current authority of the Department of State Health Services (DSHS) to make grants to establish federally qualified health centers (FQHCs) or to expand existing FQHCs. This authority would otherwise expire on September 1, 2009. The bill would take effect August 31, 2009. Methodology This analysis assumes yearly grant amounts currently included in Senate Bill 1, Eighty-first Legislature, Regular Session ($5.0 million per fiscal year). These funds are included in the Department of State Health Services (DSHS) bill pattern, strategy B.3.2, Federally Qualified Health Center (FQHC) Infrastructure Grants. According to DSHS, the administrative costs for the FQHC grant program was $148,895 in fiscal year 2008. The budgeted fiscal year 2009 amount is approximately $169,000. It is assumed that these administrative costs would continue in fiscal years 2010 through 2014 but are not included in the table above. This analysis assumes yearly grant amounts currently included in Senate Bill 1, Eighty-first Legislature, Regular Session ($5.0 million per fiscal year). These funds are included in the Department of State Health Services (DSHS) bill pattern, strategy B.3.2, Federally Qualified Health Center (FQHC) Infrastructure Grants. According to DSHS, the administrative costs for the FQHC grant program was $148,895 in fiscal year 2008. The budgeted fiscal year 2009 amount is approximately $169,000. It is assumed that these administrative costs would continue in fiscal years 2010 through 2014 but are not included in the table above. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 537 State Health Services, Department of 537 State Health Services, Department of LBB Staff: JOB, CL, VJC, MB JOB, CL, VJC, MB