LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 8, 2011 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB270 by Uresti (Relating to newborn hearing screenings.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for SB270, Committee Report 1st House, Substituted: a negative impact of ($2,485,010) 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 8, 2011
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB270 by Uresti (Relating to newborn hearing screenings.), Committee Report 1st House, Substituted
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
FROM: John S O'Brien, Director, Legislative Budget Board
IN RE: SB270 by Uresti (Relating to newborn hearing screenings.), Committee Report 1st House, Substituted
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
SB270 by Uresti (Relating to newborn hearing screenings.), Committee Report 1st House, Substituted
SB270 by Uresti (Relating to newborn hearing screenings.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for SB270, Committee Report 1st House, Substituted: a negative impact of ($2,485,010) 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 SB270, Committee Report 1st House, Substituted: a negative impact of ($2,485,010) 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 ($1,262,880) 2013 ($1,222,130) 2014 ($1,222,130) 2015 ($1,222,130) 2016 ($1,222,130)
2012 ($1,262,880)
2013 ($1,222,130)
2014 ($1,222,130)
2015 ($1,222,130)
2016 ($1,222,130)
All Funds, Five-Year Impact: Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 2012 ($1,262,880) 2013 ($1,222,130) 2014 ($1,222,130) 2015 ($1,222,130) 2016 ($1,222,130)
Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 2012 ($1,262,880) 2013 ($1,222,130) 2014 ($1,222,130) 2015 ($1,222,130) 2016 ($1,222,130)
2012 ($1,262,880)
2013 ($1,222,130)
2014 ($1,222,130)
2015 ($1,222,130)
2016 ($1,222,130)
Fiscal Analysis
The bill would amend Chapter 47, Health and Safety Code, to require that newborn hearing screenings be performed at certain birthing facilities unless the parent declines. The bill would require certain reporting of screening results that is currently authorized but not required.In cases of abnormal results from an initial screening, the bill would require the Department of Assistive and Rehabilitative Services (DARS), through the Early Childhood Intervention (ECI) program, to coordinate diagnostic evaluations and any necessary follow-up care. The bill would require that newborn hearing screening programs be supervised by a physician, physician's assistant, audiologist, or registered nurse in order to be certified. The bill would require that the executive commissioner of the Health and Human Services Commission adopt rules that are based on specified guidelines. The bill would take effect September 1, 2012.
The bill would amend Chapter 47, Health and Safety Code, to require that newborn hearing screenings be performed at certain birthing facilities unless the parent declines. The bill would require certain reporting of screening results that is currently authorized but not required.In cases of abnormal results from an initial screening, the bill would require the Department of Assistive and Rehabilitative Services (DARS), through the Early Childhood Intervention (ECI) program, to coordinate diagnostic evaluations and any necessary follow-up care. The bill would require that newborn hearing screening programs be supervised by a physician, physician's assistant, audiologist, or registered nurse in order to be certified. The bill would require that the executive commissioner of the Health and Human Services Commission adopt rules that are based on specified guidelines.
The bill would take effect September 1, 2012.
Methodology
The Department of Assistive and Rehabilitative Services (DARS) estimates that there would not be a significant increase in the number of children served in the ECI program, but there would be a cost starting in fiscal year 2013 related to the reporting responsibilities required by the bill. Calculations by DARS also assume that the adoption of rules based on guidelines from the Joint Task Force on Infant Hearing (American Academy of Pediatrics), as required by the bill, would establish a standard of care not previously articulated and would result in increased training costs for 220 staff; higher staffing costs related to new qualifications for approximately 110 case managers are also assumed. DARS estimates a total cost of $1,210,880 in General Revenue Funds in fiscal year 2012 and $1,222,130 in General Revenue Funds for each year thereafter to implement the provisions of the bill. To implement the provisions of the bill, the Department of State Health Services (DSHS) indicates a one-time cost of $52,000 in fiscal year 2012 related to system modifications for the new program certification requirement.
The Department of Assistive and Rehabilitative Services (DARS) estimates that there would not be a significant increase in the number of children served in the ECI program, but there would be a cost starting in fiscal year 2013 related to the reporting responsibilities required by the bill.
Calculations by DARS also assume that the adoption of rules based on guidelines from the Joint Task Force on Infant Hearing (American Academy of Pediatrics), as required by the bill, would establish a standard of care not previously articulated and would result in increased training costs for 220 staff; higher staffing costs related to new qualifications for approximately 110 case managers are also assumed. DARS estimates a total cost of $1,210,880 in General Revenue Funds in fiscal year 2012 and $1,222,130 in General Revenue Funds for each year thereafter to implement the provisions of the bill.
To implement the provisions of the bill, the Department of State Health Services (DSHS) indicates a one-time cost of $52,000 in fiscal year 2012 related to system modifications for the new program certification requirement.
Technology
DSHS estimates a one-time cost of $52,000 in fiscal year 2012, included above, for system modifications.
DSHS estimates a one-time cost of $52,000 in fiscal year 2012, included above, for system modifications.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.
Source Agencies: 537 State Health Services, Department of, 538 Assistive and Rehabilitative Services, Department of
537 State Health Services, Department of, 538 Assistive and Rehabilitative Services, Department of
LBB Staff: JOB, CL, VJC, MB, NB, KKR
JOB, CL, VJC, MB, NB, KKR