LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 29, 2011 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB2546 by Zerwas (Relating to the Texas emergency and tauma care education partnership program.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for HB2546, Committee Report 1st House, Substituted: a negative impact of ($3,202,430) through the biennium ending August 31, 2013. 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, 82ND LEGISLATIVE REGULAR SESSION
April 29, 2011
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB2546 by Zerwas (Relating to the Texas emergency and tauma care education partnership program.), Committee Report 1st House, Substituted
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM: John S O'Brien, Director, Legislative Budget Board
IN RE: HB2546 by Zerwas (Relating to the Texas emergency and tauma care education partnership program.), Committee Report 1st House, Substituted
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
HB2546 by Zerwas (Relating to the Texas emergency and tauma care education partnership program.), Committee Report 1st House, Substituted
HB2546 by Zerwas (Relating to the Texas emergency and tauma care education partnership program.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for HB2546, Committee Report 1st House, Substituted: a negative impact of ($3,202,430) through the biennium ending August 31, 2013. 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 HB2546, Committee Report 1st House, Substituted: a negative impact of ($3,202,430) through the biennium ending August 31, 2013.
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 2012 ($60,095) 2013 ($3,142,335) 2014 ($3,142,735) 2015 ($3,142,335) 2016 ($3,142,735)
2012 ($60,095)
2013 ($3,142,335)
2014 ($3,142,735)
2015 ($3,142,335)
2016 ($3,142,735)
All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 2012 ($60,095) 2013 ($3,142,335) 2014 ($3,142,735) 2015 ($3,142,335) 2016 ($3,142,735)
Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 2012 ($60,095) 2013 ($3,142,335) 2014 ($3,142,735) 2015 ($3,142,335) 2016 ($3,142,735)
2012 ($60,095)
2013 ($3,142,335)
2014 ($3,142,735)
2015 ($3,142,335)
2016 ($3,142,735)
Fiscal Year Change in Number of State Employees from FY 2011 2012 0.6 2013 0.6 2014 0.6 2015 0.6 2016 0.6 Fiscal Analysis The provisions of the bill would create the Texas Emergency and Trauma Care Education Partnership Program administered by the Higher Education Coordinating Board (Board). Under provisions of the bill, the Board would make grants to emergency and trauma care education partnerships to assist those partnerships in offering one-year or two-year residency fellowships to students enrolled in a graduate professional nursing or graduate medical education program through the collaboration between hospitals and graduate professional nursing or graduate medical education programs and the use of the existing expertise and facilities of those hospitals and programs. It includes requirements tied to the use of the grants and funding priorities. The Board may use any money appropriated by the legislature, gifts, grants and donations to support the program. Methodology For the purposes of this analysis, partnerships with graduate nursing programs and graduate medical programs are considered. The Board anticipates costs to establish rules for the program, conduct a grants competition as needed and at an interval to be determined, administer and monitor grant awards, and approve partnership programs. These costs are estimated to be $102,430 for the 2012-13 biennium. The Board estimates the following costs based on other partnership programs it administers. They include personnel requirements of 0.35 FTE Program Director and 0.25 FTE Administrative Assistant III (0.6 FTE total) and other costs to administer the program for a total of $99,630 for the 2012-13 biennium. Travel costs for the Program Director to evaluate the grantees on-site assume an average of $400 per site visit, with seven visits starting in 2013 and eight visits in 2014, for a total of 15 site visits over each two-year grant period. The total travel costs for the 2012-13 biennium would total $2,800 since the site visits would not start until the second year of the biennium. It is assumed that all 15 non-military Level 1 Trauma Centers in Texas would participate in the program. It is assumed the Board would not start awarding grants until fiscal year 2013 after it has established the rules and guidelines and for the participating partnerships to be developed. It is anticipated approximately 50 physicians for the fellowship would participate starting in fiscal year 2013. The estimated costs are $60,000 per year per fellow for fiscal year 2013 for a total of $3 million for the 2012-13 biennium. In addition, it is anticipated the Board would provide $10,000 per year per nurse to cover tuition and fees for a post-graduate certificate program. It assumes up to ten nurses could participate in the program starting in fiscal year 2013 for a cost of $100,000 for the 2012-13 biennium. The bill takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If the Bill does not receive the vote necessary for immediate effect, the Bill takes effect September 1, 2011.
Fiscal Year Change in Number of State Employees from FY 2011 2012 0.6 2013 0.6 2014 0.6 2015 0.6 2016 0.6
2012 0.6
2013 0.6
2014 0.6
2015 0.6
2016 0.6
Fiscal Analysis
The provisions of the bill would create the Texas Emergency and Trauma Care Education Partnership Program administered by the Higher Education Coordinating Board (Board). Under provisions of the bill, the Board would make grants to emergency and trauma care education partnerships to assist those partnerships in offering one-year or two-year residency fellowships to students enrolled in a graduate professional nursing or graduate medical education program through the collaboration between hospitals and graduate professional nursing or graduate medical education programs and the use of the existing expertise and facilities of those hospitals and programs. It includes requirements tied to the use of the grants and funding priorities. The Board may use any money appropriated by the legislature, gifts, grants and donations to support the program.
Methodology
For the purposes of this analysis, partnerships with graduate nursing programs and graduate medical programs are considered. The Board anticipates costs to establish rules for the program, conduct a grants competition as needed and at an interval to be determined, administer and monitor grant awards, and approve partnership programs. These costs are estimated to be $102,430 for the 2012-13 biennium. The Board estimates the following costs based on other partnership programs it administers. They include personnel requirements of 0.35 FTE Program Director and 0.25 FTE Administrative Assistant III (0.6 FTE total) and other costs to administer the program for a total of $99,630 for the 2012-13 biennium. Travel costs for the Program Director to evaluate the grantees on-site assume an average of $400 per site visit, with seven visits starting in 2013 and eight visits in 2014, for a total of 15 site visits over each two-year grant period. The total travel costs for the 2012-13 biennium would total $2,800 since the site visits would not start until the second year of the biennium. It is assumed that all 15 non-military Level 1 Trauma Centers in Texas would participate in the program. It is assumed the Board would not start awarding grants until fiscal year 2013 after it has established the rules and guidelines and for the participating partnerships to be developed. It is anticipated approximately 50 physicians for the fellowship would participate starting in fiscal year 2013. The estimated costs are $60,000 per year per fellow for fiscal year 2013 for a total of $3 million for the 2012-13 biennium. In addition, it is anticipated the Board would provide $10,000 per year per nurse to cover tuition and fees for a post-graduate certificate program. It assumes up to ten nurses could participate in the program starting in fiscal year 2013 for a cost of $100,000 for the 2012-13 biennium. The bill takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If the Bill does not receive the vote necessary for immediate effect, the Bill takes effect September 1, 2011.
For the purposes of this analysis, partnerships with graduate nursing programs and graduate medical programs are considered. The Board anticipates costs to establish rules for the program, conduct a grants competition as needed and at an interval to be determined, administer and monitor grant awards, and approve partnership programs. These costs are estimated to be $102,430 for the 2012-13 biennium.
The Board estimates the following costs based on other partnership programs it administers. They include personnel requirements of 0.35 FTE Program Director and 0.25 FTE Administrative Assistant III (0.6 FTE total) and other costs to administer the program for a total of $99,630 for the 2012-13 biennium. Travel costs for the Program Director to evaluate the grantees on-site assume an average of $400 per site visit, with seven visits starting in 2013 and eight visits in 2014, for a total of 15 site visits over each two-year grant period. The total travel costs for the 2012-13 biennium would total $2,800 since the site visits would not start until the second year of the biennium. It is assumed that all 15 non-military Level 1 Trauma Centers in Texas would participate in the program.
It is assumed the Board would not start awarding grants until fiscal year 2013 after it has established the rules and guidelines and for the participating partnerships to be developed. It is anticipated approximately 50 physicians for the fellowship would participate starting in fiscal year 2013. The estimated costs are $60,000 per year per fellow for fiscal year 2013 for a total of $3 million for the 2012-13 biennium. In addition, it is anticipated the Board would provide $10,000 per year per nurse to cover tuition and fees for a post-graduate certificate program. It assumes up to ten nurses could participate in the program starting in fiscal year 2013 for a cost of $100,000 for the 2012-13 biennium.
The bill takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If the Bill does not receive the vote necessary for immediate effect, the Bill takes effect September 1, 2011.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 781 Higher Education Coordinating Board
781 Higher Education Coordinating Board
LBB Staff: JOB, CL, RT, DE, GO
JOB, CL, RT, DE, GO