LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION May 16, 2023 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2478 by Klick (Relating to newborn and infant screening tests.), As Engrossed No significant fiscal implication to the State is anticipated. It is assumed that any costs associated with the bill could be absorbed using existing resources.The bill authorizes, but does not require, the Department of State Health Services (DSHS) to use appropriated funds to ensure that a DSHS laboratory or one approved by DSHS is available seven days a week to perform newborn screening tests. The agency estimates a biennial cost of $9,811,824 and an additional 33.0 FTEs each fiscal year if newborn screenings tests are transitioned to a seven days a week schedule. Local Government ImpactNo significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: b > td > JMc, NPe, ER, APA LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION May 16, 2023 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2478 by Klick (Relating to newborn and infant screening tests.), As Engrossed TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2478 by Klick (Relating to newborn and infant screening tests.), As Engrossed Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB2478 by Klick (Relating to newborn and infant screening tests.), As Engrossed HB2478 by Klick (Relating to newborn and infant screening tests.), As Engrossed No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. It is assumed that any costs associated with the bill could be absorbed using existing resources.The bill authorizes, but does not require, the Department of State Health Services (DSHS) to use appropriated funds to ensure that a DSHS laboratory or one approved by DSHS is available seven days a week to perform newborn screening tests. The agency estimates a biennial cost of $9,811,824 and an additional 33.0 FTEs each fiscal year if newborn screenings tests are transitioned to a seven days a week schedule. It is assumed that any costs associated with the bill could be absorbed using existing resources. The bill authorizes, but does not require, the Department of State Health Services (DSHS) to use appropriated funds to ensure that a DSHS laboratory or one approved by DSHS is available seven days a week to perform newborn screening tests. The agency estimates a biennial cost of $9,811,824 and an additional 33.0 FTEs each fiscal year if newborn screenings tests are transitioned to a seven days a week schedule. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Health and Human Services Commission, 537 State Health Services, Department of 529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: b > td > JMc, NPe, ER, APA JMc, NPe, ER, APA