LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION March 9, 2021 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB727 by Lucio III (Relating to the establishment of a border public health initiative by the Department of State Health Services.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB727, As Introduced : a negative impact of ($1,160,000) through the biennium ending August 31, 2023. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. The Department of State Health Services is required to implement a provision of this Act only if the legislature appropriates money specifically for that purpose. If the legislature does not appropriate money specifically for that purpose, the department may, but is not required to, implement a provision of this Act using other appropriations available for that purpose. General Revenue-Related Funds, Five- Year Impact: Fiscal Year Probable Net Positive/(Negative) Impact toGeneral Revenue Related Funds2022($580,000)2023($580,000)2024($580,000)2025($580,000)2026($580,000)All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund12022($580,000)2023($580,000)2024($580,000)2025($580,000)2026($580,000) Fiscal AnalysisThe bill would amend the Health and Safety Code to add Chapter 65 to require the Department of State Health Services (DSHS) to develop a border public health initiative to reduce the adversarial impacts of diabetes, hypertension, and obesity in border counties. The bill would require DSHS to implement the initiative by conducting bilingual, culturally appropriate outreach campaigns. The bill would require DSHS to submit a report describing health outcomes and savings related to the initiative by January 1, 2025. LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION March 9, 2021 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB727 by Lucio III (Relating to the establishment of a border public health initiative by the Department of State Health Services.), As Introduced TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB727 by Lucio III (Relating to the establishment of a border public health initiative by the Department of State Health Services.), As Introduced Honorable Stephanie Klick, Chair, House Committee on Public Health Honorable Stephanie Klick, Chair, House Committee on Public Health Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB727 by Lucio III (Relating to the establishment of a border public health initiative by the Department of State Health Services.), As Introduced HB727 by Lucio III (Relating to the establishment of a border public health initiative by the Department of State Health Services.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB727, As Introduced : a negative impact of ($1,160,000) through the biennium ending August 31, 2023. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. The Department of State Health Services is required to implement a provision of this Act only if the legislature appropriates money specifically for that purpose. If the legislature does not appropriate money specifically for that purpose, the department may, but is not required to, implement a provision of this Act using other appropriations available for that purpose. Estimated Two-year Net Impact to General Revenue Related Funds for HB727, As Introduced : a negative impact of ($1,160,000) through the biennium ending August 31, 2023. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. The Department of State Health Services is required to implement a provision of this Act only if the legislature appropriates money specifically for that purpose. If the legislature does not appropriate money specifically for that purpose, the department may, but is not required to, implement a provision of this Act using other appropriations available for that purpose. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. The Department of State Health Services is required to implement a provision of this Act only if the legislature appropriates money specifically for that purpose. If the legislature does not appropriate money specifically for that purpose, the department may, but is not required to, implement a provision of this Act using other appropriations available for that purpose. General Revenue-Related Funds, Five- Year Impact: 2022 ($580,000) 2023 ($580,000) 2024 ($580,000) 2025 ($580,000) 2026 ($580,000) All Funds, Five-Year Impact: 2022 ($580,000) 2023 ($580,000) 2024 ($580,000) 2025 ($580,000) 2026 ($580,000) Fiscal Analysis The bill would amend the Health and Safety Code to add Chapter 65 to require the Department of State Health Services (DSHS) to develop a border public health initiative to reduce the adversarial impacts of diabetes, hypertension, and obesity in border counties. The bill would require DSHS to implement the initiative by conducting bilingual, culturally appropriate outreach campaigns. The bill would require DSHS to submit a report describing health outcomes and savings related to the initiative by January 1, 2025. Methodology This analysis assumes that DSHS would contract with the local health department or other organizations in four selected border counties to implement the initiative to reduce the adverse health impacts of diabetes, hypertension, and obesity at a cost of $500,000 each fiscal year. This analysis assumes an additional $80,000 per year would be required to implement outreach campaigns through the contracts with the four counties.This analysis assumes the cost to implement the provisions of the bill would be $580,000 in each fiscal year. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 537 State Health Services 537 State Health Services LBB Staff: b > td > JMc, AKi, JLi, NDa JMc, AKi, JLi, NDa