LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION March 3, 2015 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB538 by Schwertner (Relating to the control of infectious diseases.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Government Code and the Health and Safety Code relating to the control of infectious disease. The bill would authorize the governor to declare a state of infectious disease emergency, and once declared authorize the commissioner of the Department of State Health Services (DSHS) to make all decisions to contain the emergency. The bill would expand control orders for the detention of persons in a state of infectious disease emergency. The bill would require the establishment of stockpiles of protective equipment to support responses to infectious disease emergencies, and for the development of procedures for the evaluation and transport of treatment options for medical waste. The bill would establish the Task Force on Infectious Disease Preparedness and Response as an advisory panel to the governor. It is anticipated that the provisions of the bill could be absorbed by the affected agencies within current resources. Local Government Impact According to Travis County, fiscal impact is anticipated to be insignificant to moderate, depending on the scale of an event. Fiscal impact would be based on the duration, number of affected individuals and monitored locations. According to Dallas County, the cost associated with the 2014 Ebola cases totaled $271,866.53 for operating expenses, including decontamination services, and $120,509 for payroll expenses. Source Agencies:301 Office of the Governor, 513 Funeral Service Commission, 529 Health and Human Services Commission, 537 State Health Services, Department of, 554 Animal Health Commission, 557 Texas A&M Veterinary Medical Diagnostic Laboratory, 582 Commission on Environmental Quality, 601 Department of Transportation LBB Staff: UP, NB, WP, VJC, SS, KVe, MWl, LBe, JSm LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION March 3, 2015 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB538 by Schwertner (Relating to the control of infectious diseases.), As Introduced TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE: SB538 by Schwertner (Relating to the control of infectious diseases.), As Introduced Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board SB538 by Schwertner (Relating to the control of infectious diseases.), As Introduced SB538 by Schwertner (Relating to the control of infectious diseases.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend the Government Code and the Health and Safety Code relating to the control of infectious disease. The bill would authorize the governor to declare a state of infectious disease emergency, and once declared authorize the commissioner of the Department of State Health Services (DSHS) to make all decisions to contain the emergency. The bill would expand control orders for the detention of persons in a state of infectious disease emergency. The bill would require the establishment of stockpiles of protective equipment to support responses to infectious disease emergencies, and for the development of procedures for the evaluation and transport of treatment options for medical waste. The bill would establish the Task Force on Infectious Disease Preparedness and Response as an advisory panel to the governor. It is anticipated that the provisions of the bill could be absorbed by the affected agencies within current resources. Local Government Impact According to Travis County, fiscal impact is anticipated to be insignificant to moderate, depending on the scale of an event. Fiscal impact would be based on the duration, number of affected individuals and monitored locations. According to Dallas County, the cost associated with the 2014 Ebola cases totaled $271,866.53 for operating expenses, including decontamination services, and $120,509 for payroll expenses. Source Agencies: 301 Office of the Governor, 513 Funeral Service Commission, 529 Health and Human Services Commission, 537 State Health Services, Department of, 554 Animal Health Commission, 557 Texas A&M Veterinary Medical Diagnostic Laboratory, 582 Commission on Environmental Quality, 601 Department of Transportation 301 Office of the Governor, 513 Funeral Service Commission, 529 Health and Human Services Commission, 537 State Health Services, Department of, 554 Animal Health Commission, 557 Texas A&M Veterinary Medical Diagnostic Laboratory, 582 Commission on Environmental Quality, 601 Department of Transportation LBB Staff: UP, NB, WP, VJC, SS, KVe, MWl, LBe, JSm UP, NB, WP, VJC, SS, KVe, MWl, LBe, JSm