Soaring Drug Costs Squeeze Public Programs
population and rising medical costs. (see Drugs, page 2)
U.S. health-care expenditures grewby 5 percent a year. Consequently,drug spending accounts for a growingshare of overall health-care spending. State Leaders Use Statutory Powers To Raise Prison Guards’ Salaries
Maryland School of Pharmacy, U.S. prescription drug expenditures willincrease by 15-18 percent per year
other employees of the TexasDepartment of Criminal Justice
employees like correctional officers.
year of the biennium to the first year.
Justice, Alfred M. “Mac” Stringfellow,
authorized TDCJ to adjust salaries toimplement the new position and to
(see Guards, page 10) page 2 Interim News (Drugs, from page 1)
pharmaceutical response to a medical condition and isprotected by a patent from being copied by other
inadequate access to needed drugs through state benefit
manufacturers. A patent gives the company exclusive
programs end up in emergency rooms and hospitals.
rights to the drug for 20 years from the date of filing,usually when the drug is discovered. However, the
The House Public Health Committee met on May 23
amount of time a drug is protected by its patent once it
to hear an overview of issues involving the pharmaceutical
hits the market depends on how long it took the drug to
and biotechnology industries, drug distribution and
reach the market, a period that includes not only the
pricing, Medicaid and other public health-benefit
manufacturing process but also research and development
programs, and a new law enacted by Maine to limit
(R&D) and obtaining approval from the federal Food
Pharmaceutical expenditures, the committee learned,
Generic drugs, the chemical and therapeutic
are a function of drug pricing and drug usage. Within
equivalent of name-brand drugs, enter the market once
those two parameters, however, lawmakers must consider
patents expire. These drugs can be much less expensive
many factors in trying to establish control over public
because the manufacturer incurred no R&D and
marketing costs to bring the product to market, butgeneric drugs are not always cheap. Witnesses told theHouse Public Health Committee that the first generic
Drug pricing
drug to replace a name-brand drug in the marketplacemay be priced only a few pennies lower initially and
In the United States, drug prices are set by a
may lower its price significantly only as more generics
marketplace that comprises multiple purchasers,
or similarly effective name-brand drugs appear.
distributors, and pricing and purchasing methodologies. Drug manufacturers establish a drug’s wholesale price,
Drug prices include relatively large R&D costs. The
but the actual cost to consumers largely depends on
industry estimates that it costs about $500 million on
whether the consumer is covered by a health-benefit plan
average and takes about 10 to 15 years to move a new
and on the plan’s purchasing and negotiating power.
drug from the laboratory to the drugstore. According to
Health-benefit plans or their contracted prescription
Robin Strongin of the National Health Policy Forum at
benefit management companies (PBMs) can negotiate
George Washington University, U.S. pharmaceutical
discounted rates from drug manufacturers on the basis of
companies are expected to spend about $26.4 billion in
anticipated purchase volumes. Consumers without drug-
2000 to discover and develop new medicines.
benefit coverage, however, must pay the full retail pricefor prescription drugs.
Drug prices also include marketing and advertising
costs, which rose dramatically in the 1990s. After
Drug prices for citizens in many other developed
enactment of the federal Food, Drug and Cosmetic Act
countries are established either directly, by price controls,
in 1938 and subsequent federal actions, pharmaceutical
or indirectly, through insurance and other systems that
companies primarily promoted their products to doctors
limit drug reimbursement or drug companies’ profits.
and pharmacists through personal sales contacts and
For example, Canadian drug prices are based on
journal advertising. Since the 1980s, however,
calculations of the median prices of drugs in six
pharmaceutical companies increasingly have used
European countries and the United States.
“direct-to-consumer” or DTC advertising, causingmarketing expenditures to soar.
Competition among similar drugs treating a particular
medical condition also affects pricing. However, the
Experts say DTC advertising has grown because of
effect of competition in lowering prices is reduced when
factors that include competition in the pharmaceutical
one drug is outstandingly effective or is the sole
industry, growing consumer interest in health-care
HOUSE RESEARCH ORGANIZATION June 23, 2000 page 3
information, and business-friendly regulatory and
Some critics suggest that price controls are needed
political environments. Drug-company expenditures on
because the market for prescription drugs is not as
DTC advertising may have exceeded $2 billion in 1999,
competitive as the market for other manufactured goods.
about a fivefold increase over 1994 spending, according
Drug purchases are usually a medical necessity, if not a
to estimates cited in a recent article in Health Affairs, a
life-saving measure, so the consumer often cannot
postpone or choose against a drug purchase. Suchconsumers are not very price-sensitive — that is, theyfeel compelled to buy the drug at any price or face dire
Cost-control proposals Price controls. Critics of the pharmaceutical
Critics also say that free-market principles do not
industry say drug companies have acted too greedily in
apply to pharmaceuticals because consumers do not have
setting prices and that U.S. consumers are paying too
direct access to drugs as they do, for example, to
much for drugs compared to the rest of the world. They
wheelbarrows. They must rely on doctors to prescribe
say exorbitant prices are driving the increases in drug
the drug, and their health-benefit plans often limit where
private buyers. Officials at thefederal Health Care Financing
inflated wholesale prices set by drug manufacturers.
are not “reasonably comparable” to the average lowestcost for the same drugs sold in the state to other
Critics also say the pharmaceutical industry is among
purchasers. An earlier version of the bill, which passed
the most profitable in the nation and that the industry
the Maine legislature but did not receive the governor’s
exaggerates the cost of recouping R&D expenses. As
approval, would have required Maine drug prices to be
reported by Robin Strongin, Stephen Schondelmeyer of
comparable to Canadian drug prices by October 2001.
the University of Minnesota School of Pharmacy
Maine’s Sen. Pingree presented data to the Texas House
estimated that for every $100 spent on a drug, roughly
committee showing that, on average, consumers in
$10 to $15 goes toward paying manufacturing costs, $20
Maine paid 72 percent higher prices for drugs than did
toward R&D costs, $15 toward taxes and administrative
their Canadian neighbors and more than twice as much
costs, and $30 toward advertising and marketing, leaving
The Maine legislation establishes a 12-member
State Sen. Chellie Pingree of Maine told the Texas
advisory commission to review drug pricing and access
House committee that public taxes support more than
issues that affect all state residents. It authorizes the
half the cost of R&D, so there is no basis to drug
state attorney general to seek civil remedies, injunctive
manufacturers’ claims that they must recoup all R&D
relief, and civil penalties of up to $100,000 per act of
costs through pricing. Most critics say that part of the
any manufacturer or distributor that demands an
reason why U.S. drug costs are so high is that other
“unconscionable price” or “unreasonable profit” or that
countries are paying only for the manufacturing and
intentionally prevents or limits the sale or distribution of
production costs related to their own consumption,
drugs in Maine because of drug price-control laws. As
leaving U.S. consumers to pay for all R&D costs.
its rationale for limiting profiteering, the new law alsorecognizes the vulnerability of most citizens when
HOUSE RESEARCH ORGANIZATION page 4 Interim News
purchasing drugs, stating: “Prescription drugs are a
Industry representatives told the House committee
that price controls, by reducing the industry’s recoveryof R&D costs, would reduce growth in the Texas economy
Purchasing pools. Others suggest that Texas
related to the burgeoning biotechnology industry. Retail
should optimize its purchasing power in the same way
drug chains told the committee they are making only
that large health plans and other purchasers do in
about 2 percent net profits because of fierce competition
negotiating prices with drug companies. Maine’s new
and that price controls would hurt drug retailers more
purchasing program, Maine Rx, will negotiate lower
drug prices for its members, including people who areuninsured, elderly, on Medicaid, or whose benefit plans do
Strongin of the National Health Policy Forum told
not cover drug costs. The program seeks to achieve lower
the committee that the United States leads the world in
prices through manufacturer rebates and pharmacy
developing new medicines and that U.S. companies
discounts. The rebates will be deposited to a dedicated
developed nearly half of the 152 major medicines
fund that will be used to reimburse pharmacies for passing
launched worldwide over the past 20 years. Industry
on discounted prices to Maine Rx beneficiaries and to
representatives emphasize that R&D expenditures are
cover program and other administrative costs.
not only large but also risky because there is no
Program, the Uniform Group Insurance Plan for state
products to finance ongoing R&D.
employees, and the Teacher Retirement System’s health-benefit plan, TRS-Care. Rep. Patricia Gray, chair of the
Industry backers also say that most studies comparing
House Public Health Committee, said she had heard that
U.S. drug prices with those of other countries overstate
the State of Texas has more purchasing power than all of
price differences because they do not account for
Canada. Researchers from Boston University presented
important factors such as greater use of generic drugs
that information to the U.S. House Prescription Drug
and the product-liability environment in the United States.
They also say that because foreign governments often act astheir country’s sole purchaser of drugs, manufacturershave little leverage to resist these governments’ demands
Opposition to pricing changes
to pay only the manufacturing and production costsrelated to their own consumption.
Representatives and supporters of the pharmaceutical
industry say competition is working efficiently in the
Industry economists also say that price differentials
marketplace and that price controls would undermine
between the United States and other countries and
essential R&D efforts and the high quality of care
between different purchasing groups within the United
received and expected in the United States. They say
States actually create a public benefit. They say that
that even though prescription drugs are playing a larger
charging different customers different prices according
role in treating health problems, drug costs still
to what each is able to pay, called differential pricing,
constitute a relatively small proportion of all health-care
maximizes revenue for the seller by charging a lower
price to price-sensitive (relatively less wealthy) customersand a higher price to price-insensitive (relatively wealthier)
HOUSE RESEARCH ORGANIZATION June 23, 2000 page 5
customers. If prices were set uniformly and covered all
contribute to lower expenditures over the long term in
costs, these economists say, price-sensitive customers
other health-care areas, such as doctor visits and
either could not afford the drugs or would have to pay
hospitalizations, and to lower societal costs, such as lost
prices that, in effect, subsidized wealthier customers.
wages or lost productivity due to health-related absences.
Therefore, they say, under differential pricing, more
However, there is little data to support this belief.
people gain access to the drugs they need and allconsumers benefit, especially if the lower price includes
Prescription drug usage also is increasing because of
at least some contribution to R&D expenses. They say
the emergence of “lifestyle” drugs such as Viagra, which
that such differential pricing not only would allow more
treats male sexual impotence, and Propecia, which treats
poor people in places such as Mexico and African
male hair loss. Some new drugs, often called “me-too”
countries to buy drugs but also would help make the same
drugs, are produced to compete with existing drugs to
which they are pharmacologically similar but notidentical.
Finally, some industry experts say that drug prices
may drop soon without government intervention because
“Dosage creep” associated with the introduction of
patents will expire for many new drugs around 2004. This
new drugs also tends to increase drug usage. Marissa
should increase competition by allowing a large number
Schlaifer, a pharmacist representing the Texas Health
of generic drugs to be produced and substituted for name-
Plan Association, told the House committee that the
brand drugs that now command high prices.
average prescription strength of a new drug often increasesthe more the drug is used. For example, Augmentin, anoral antibiotic, was introduced first in 1995 in two
Factors that increase drug usage
strengths, 250 milligrams and 500 milligrams, whichthen were prescribed equally. Three years later, the most
Most experts agree that drug usage is increasing as
prescribed dosages were either 875 or 500 milligrams,
new drugs and medical breakthroughs hit the market.
with minimal use of the 250-milligram dose. Dosage
One study funded by the National Pharmaceutical Council
creep, increasing average prescription strength, increases
and published in Health Affairs found that most of the
the drugs’ prices and therefore overall drug spending.
increase in drug expenditures is due to the greater volumeof drugs purchased rather than to drug prices.
Finally, many observers say that DTC advertising
plays a large role in increasing patients’ demand for drugs.
One major factor in increased drug usage is the aging
of the population. In Texas and the rest of the country,
Managed-care plans and public health-benefit
the elderly account for a growing percentage of the overall
programs already use various methods to control drug
population. They use more prescription drugs because of
usage and costs. The questions at hand are whether and
diseases and medical conditions associated with aging
to what extent these controls may help achieve cost
and a lifetime of lifestyle choices and environmental
savings without sacrificing appropriate pharmaceutical
factors. Robin Strongin told the House committee that
treatment, whether controls used in the private sector
the elderly account for about 12 percent of the overall
may be applied to public-sector programs, and whether
population but for 34 percent of all drug expenditures.
new controls are needed to meet contemporary trends,such as the introduction of “lifestyle” drugs and the
Another major factor in increased usage is the
emergence of new drugs that can treat medical conditionsthat formerly were untreatable without surgery or otherexpensive treatments. New drugs also are emerging to
Proposed controls on usage
replace older drugs that are less expensive but alsoconsidered less effective. While these new drugs are
Increase copayments. A common form of
increasing drug expenditures, they also are thought to
controlling drug expenditures is to require the consumer
HOUSE RESEARCH ORGANIZATION page 6 Interim News
to shoulder some costs, usually in the form of copayments,
profitable name-brand drugs were behind a nationwide
which are set fees that a consumer must pay out-of-pocket
legislative push to make generic substitution more
for each service or purchase without reimbursement by a
difficult so they could retain their market share once
health-benefit plan. According to Schlaifer, before 1973,
health-benefit plan coverage for drug purchases wasinsignificant, but today it is considered a standard
Use formularies. Health-benefit plans and PBMs
also control usage through formularies, which are lists ofpreferred prescription drugs. A closed formulary restricts
Copayments are applied widely to drug benefits on
coverage to the selected drugs and requires beneficiaries
the assumption that they will make consumers cost-
to pay the full cost of drugs not on the list. An open
copayment levels to control drug expenditures and plan
manufacturers in exchange for the inclusion of their
costs. Starting in September 2000, ERS will keep
generic drug copayments at $5 but will raise andrestructure name-brand copayments to $20 for drugs on
Set caps on prescriptions. Some health-benefit
a list of ERS-preferred drugs and $35 for those not on
plans contain their drug-related expenditures by setting a
maximum dollar amount or number of prescriptions foreach beneficiary covered by the plan. For example, the
Substitute generic drugs. Another way to control
Texas Medicaid program pays for a maximum of three
usage is to encourage the purchase of lower-cost generic
prescriptions per month per recipient.
drugs instead of their name-brand equivalents. Many planscreate incentives to do this by structuring copayments, as
Control DTC advertising. The FDA requires all
in the example above, and by encouraging physicians to
advertisements to be accurate and not misleading.
substitute, when possible, a generic drug for a name-brand
Advertisements must include a summary of information
about a drug’s side effects and effectiveness and a fairbalance of the benefits and risks of using the drug.
Last session, the Texas Legislature heard consumers’
However, drug manufacturers meet these broad
concerns about switching from name-brand drugs to
requirements in many ways, and critics say the FDA
generics. Federal officials say that consumers need not
does not have enough oversight and enforcement authority
worry about switching among name-brand drugs and
to make sure that consumers are receiving accurate,
their generic equivalents because of the extensive tests
unbiased, and beneficial information.
that generic drugs undergo for approved labeling andbecause of the FDA’s routine evaluations of the quality
Critics say DTC advertising should be monitored
of drugs in the marketplace and investigations of reported
closely because consumers lack the technical knowledge
problems. The FDA has uncovered no documented
to evaluate the message and can be manipulated easily.
examples of a generic product manufactured to meet its
They say such advertising can inspire false hopes, cause
approved specifications that could not be used
confusion or misperceptions about a drug’s effectiveness
interchangeably with its name-brand equivalent. Critics
or safety, and increase demand for new, costlier drugs
of the industry say that some drug companies with
when less costly drugs would be equally effective. DTC
HOUSE RESEARCH ORGANIZATION June 23, 2000 page 7
advertising, critics contend, can push more expensive
plan. Usage controls, they say, most likely will not solve
“me-too” drugs that offer few advantages over older
the problem of improving access to needed pharmaceuticals
drugs and have safety profiles that are less well
for those without the resources to pay for them. Opponents
understood. Also, they say, such advertising can promote
also say that health-benefit plans and PBMs have little
the idea of “a pill for every ill,” even when an alternative,
incentive to strive for community or statewide health
such as a dietary change, can be equally beneficial. Even
improvements over the long term, because they are
though patients must obtain prescriptions from their
focused on profits and containing costs.
doctors, most doctors find it disagreeable to spend timecountering patients’ demands for a certain drug and
Raising copayment requirements generally is viewed
recommending alternative courses of action. Instead,
as reducing a beneficiary’s health-benefit coverage and
critics say, doctors often end up prescribing the demanded
is particularly onerous on people with fixed incomes,
name-brand drug if the patient’s health-benefit plan pays
such as the elderly, or those with meager income growth.
for it and if using the drug would cause no harm.
If a copayment becomes too large, such people most likelywill postpone or avoid making even necessary drug
Review drug usage. Drug utilization review (DUR)
purchases, or they may buy the drugs instead of paying
programs use computer data bases to analyze patterns of
another essential living expense. Opponents say that high
a patient’s drug usage to guard against inappropriate use
copayments defeat the purpose of a drug benefit, which
of medications due to the patient’s medical condition,
is to encourage the purchase of medically necessary
age, and use of other medications and to profile physicians’
drugs that, in the long run, will prevent future medical
prescribing practices and pharmacies’ dispensing practices.
conditions that are more expensive to treat.
DUR may be conducted prospectively, retrospectively,or at the time the pharmacist fills the prescription. Such
Some consumers fear that not all generic drugs are
reviews, proponents say, can improve quality of care,
alike in their replication of a name-brand drug’s effects.
prevent unnecessary health costs, reduce drug interactions,
Other critics of widespread use of generics say that
and encourage physicians to prescribe less costly
switching from a name-brand to a generic drug may
increase a patient’s visits to the doctor to make sure thegeneric drug is working as effectively. Some also are
Other methods of controlling drug usage and costs
concerned that the differences in a generic drug’s color,
include prior authorization — requiring a doctor to obtain
size, or shape when compared to the name-brand drug can
the incidence of hospitalization or complications in some
slowing the adoption of new, more effective drugs and
diseases, such as asthma and diabetes.
therapies. According to the Pharmaceutical Manufacturersand Research Association, a survey of Tennessee doctorsfound that two-thirds of the physicians who were forced
Opposition to usage controls
to switch their patients’ medications because the drugswere not on a formulary said the switch caused problems
Opponents say the benefits of usage controls are
for patients. Also, opponents say, the private determination
limited because they primarily affect consumers with
of formularies by health-benefit plans and PBMs excludes
some form of drug coverage through a health-benefit
competing drugs and may not be acceptable for a publicly-
HOUSE RESEARCH ORGANIZATION page 8 Interim News
funded health-benefit program in which an open and fair
off-formulary drug prescriptions increases physicians’
decision-making process is expected. In addition, drug
administrative costs and burdens and often limits
manufacturers and others could charge that the decision
physicians’ choice and freedom in treating patients in
to include a specific drug on a public plan’s formulary
the manner they deem most effective and appropriate.
was based more on political pressures than on the drug’s
Usage controls may be focused more on profit than on
meeting the needs of sick patients, they say.
Critics say the most significant problem with caps
on prescriptions or prescription coverage is that these
Issues ahead
caps may be set arbitrarily and result in penalizingbeneficiaries who have medical needs that exceed the set
Witnesses told the House Public Health Committee
limit. They say that beneficiaries who exceed the set cap
that conditions in the prescription drug market most likely
usually end up paying higher prices on drugs, and elderly
will change significantly if Congress enacts a drug benefit
and low-income individuals often forgo the needed
for Medicare beneficiaries. For example, because Medicare
beneficiaries numbered more than 38.8 million in fiscal1998, the federal government would have tremendous
Proponents of DTC advertising say it better educates
power to negotiate lower prices with drug companies,
patients about treatment options and that, because
which could have either an upward or downward ripple
physicians must prescribe the drugs, controls are in
effect on the prices that state programs and private plans
place to curb excessive or inappropriate usage. They say
pay. Some say that if Congress does not enact a drug
DTC advertising and consequent increased drug usage
benefit, the difference between prices in the United States
actually can decrease drug expenditures in some cases
and those in Canada and Mexico will become a significant
— for example, by informing untreated patients of the
political issue, especially in border states such as Texas,
existence of a helpful drug, thus preventing a disease or
as the population ages and drug demands increase.
further medical complications. DTC advertising proponentsinsist that consumers today understand that advertisements
The House committee also was told that ongoing
are not the “last word” on any product, including drugs,
studies conducted by private labs and the U.S. government
and that consumers usually investigate more fully before
to map the entire human genome or set of genes could
taking medications, whether by researching on the Internet
lead to new ways to address medical conditions and
or by talking to their friends and doctors.
could cause radical changes in U.S. health-care practices,including reliance on prescription medications. For
Opponents of DUR and similar controls say that the
example, future gene-related therapies may prevent or
reviews and subsequent mandates or incentives to
reduce the medical problems associated with chronic or
physicians to change prescribing patterns reduce
congenital illnesses and disabilities, thereby reducing the
physicians’authority and control over patient care. They
need for some prescription medications.
say that the requirement to obtain prior authorization for
—by Kristie Zamrazil HOUSE RESEARCH ORGANIZATION June 23, 2000 page 9 Court Fees Will Pay for Trigger-Lock Program
Funding for Gov. George W. Bush’s plan to distribute
juvenile-justice programs. Beyond that restriction, the CJD
free child-safety locks for firearms will come from state
has wide discretion in how it spends the funds.
funds appropriated to the Governor’s Criminal JusticeDivision (CJD) and distributed at the division’s discretion.
The remaining 80 percent of the division’s funds
The money, part of the criminal justice planning fund,
come from the federal government. Most of this money
comes from court fees paid by people convicted of breaking
is earmarked for specific types of projects or programs
state laws. The CJD will receive about $46.4 million
such as juvenile justice and delinquency prevention, safe
and drug-free schools, or prevention of underage drinking. Texas is one of about 20 states that use a statewide
The governor’s program, announced in May 2000,
agency to administer state criminal-justice funds and a
will be set up as a multi-year grant to provide $1 million
large block of federal criminal-justice grant funds,
per year for five years for the locks, primarily for gun
according to the CJD. Other states divide the responsibility
owners whose firearms could be accessible to children.
The CJD is accepting applications from organizations todistribute the locks to local law enforcement agenciesand could award the grant by mid-July. Although the
CJD projects
program is designed to last five years, funding beyondfiscal 2000-01 depends on future appropriations.
In fiscal 1998-99, the CJD distributed about $200
million in state and federal funds for local, regional, andstatewide projects. The division estimates that it will
Funding sources
distribute more than that in the current biennium.
Government Code, sec. 772.006 establishes the CJD
About 90 percent of the grants are awarded to local
and lists 10 duties of the division, which include
and regional projects and the rest are used for statewide
administering the criminal justice planning fund, also
projects, such as the new trigger-lock program. Other
called Fund 421. Money in Fund 421, a general-revenue
statewide projects include Project Spotlight, in which
dedicated account, comes from court fees paid by people
law-enforcement officers and probation officers work
convicted of criminal offenses. For example, in general,
together to supervise youths on probation in the state’s
a person convicted of a felony pays a special court cost
seven largest counties, and the Texas Exile program,
of $80, a person convicted of a Class A or B misdemeanor
which funds state prosecutors who work with federal
pays $40, and a person convicted of an offense punishable
officials to prosecute felons caught with illegal guns.
only by a fine pays $17, in addition to any fine assessedas a penalty for the offense. The CJD receives about 29
In general, funds for local projects are awarded
percent of the fund, and the rest is divided among various
through a grant process that includes community planning
law-enforcement and criminal-justice programs specified
teams formed by local councils of government (COGs).
in Code of Criminal Procedure, art. 102.075.
These teams can include law enforcement, juvenile justice,and mental health professionals. Each team ranks grant
About 20 percent of the CJD’s funding comes from
applications from its area, and the CJD distributes funds
Fund 421. Code of Criminal Procedure, art. 102.056
by considering the rankings from the COGs. For statewide
requires the Legislature to determine and appropriate the
projects, the CJD directly considers and awards the funds,
necessary amount from this fund to the CJD for spending
some through a competitive grant process.
on state and local criminal-justice projects. The CJD mustallocate at least 20 percent of the Fund 421 money for
—by Kellie Dworaczyk HOUSE RESEARCH ORGANIZATION page 10 Interim News (Guards, from page 1)
who previously received merit raises already were earningmore than the top salary for Group 11, Step 6 employees. In
TDCJ estimates that on July 1, 2000, about 15,000
effect, this will allow all employees at the same pay grade
correctional officers and 2,900 other employees with at
to receive about the same percentage pay increase.
least 36 months of service will receive the raise. Another3,000 employees will become eligible for the highersalaries by August 31, 2001. These increases will raise
Statutory authority
the amount paid for TDCJ salaries by nearly $36 millionover the amount budgeted in HB 1.
The governor’s authority to create new state-
employee positions comes from Government Code, sec.
The governor’s order creating the Correctional
654.012(8)(A), which excludes from the state position
Officer IV position expires August 31, 2001. This means
classification plan employment by executive order of the
that the position — and the pay increases that go with it
governor. The classification plan groups most state-
— will not be permanent unless the 77th Legislature
employee positions into three job schedules for which
salaries are set by the appropriations act.
This gubernatorial authority most often is used to
Why an executive order?
create high-level or management positions in stateagencies. For example, in January 1999, Gov. Bush
In his executive order, Gov. Bush said he was
created eight senior manager positions for the General
creating the position of Correctional Officer IV to
Land Office at a maximum annual salary of $101,328. In
provide for the retention of experienced correctional
October 1998, he authorized three deputy directors for
officers and to benefit public safety. Rather than grant
the Texas Workers’ Compensation Commission at annual
merit raises to approximately 18,000 employees, the
governor and legislative leaders instead agreed to createa new position at a higher salary.
In SB 174 by Ratliff, the 76th Legislature codified
provisions about exempt positions created by the governor
Article 9 of HB 1 placed correctional officers with
that previously were in the general appropriations act.
higher seniority (Correctional Officer III) in Schedule A,
Government Code, sec. 654.0125 prohibits the use of
Group 11 of the state classification salary schedule.
appropriated funds to pay the salary of a person in an
Rider 11 for the TDCJ budget caps correctional officers
exempt position created by the governor unless it is a
at Step 6 of this salary group, so that after 20 months on
bona-fide new position that was established to accomplish
the job, a guard’s annual salary tops out at $26,724. The
duties that were not anticipated and therefore not funded
governor’s order creates another step in the career ladder
under the appropriations act. The statute also prohibits
for correctional officers with at least 36 months of service
the creation of new positions solely to adjust the salary
and, in general, sets their maximum salary at $28,380, an
In a statement released with the executive order,
The governor’s order also allows the salaries of some
Gov. Bush said, “I am pleased to sign the executive
correctional officers in the new position to exceed $28,380
order creating a new guard position. I believe this
by authorizing salaries up to 6.1 percent higher than the
immediate pay increase is justified and will improve the
employee was earning on the date of promotion to the
recruitment and retention of guards.” The governor also
new position. This will apply to about 432 Correctional
certified that the position created was a bona-fide new
Officer IIIs who previously had received merit raises
position. The letter from the governor, lieutenant
from TDCJ. Under Rider 11, only correctional officers
governor, and House speaker to the chairman of the
and sergeants who are receiving the highest salary allowed
Texas Board of Criminal Justice calls the new position
by the career ladder are eligible for merit raises. Those
“an additional career ladder opportunity.”
HOUSE RESEARCH ORGANIZATION June 23, 2000 page 11 Raises for sergeants and other employees
other emergencies occur, including expendituresnecessitated by public safety.
As authorized by the governor and legislative leaders,
TDCJ also will increase the salaries of sergeants and of
These fund transfers must receive the prior approval
some food-service and laundry managers.
of the governor and Legislative Budget Board (LBB). Because the salary increases do not take effect until July
Under TDCJ policy, sergeants, who fall in the B5
1, TDCJ has not yet requested formal approval. The
salary group under the appropriations act, now earn a
agency says it expects to make the formal request later.
salary of $28,380. State leaders authorized TDCJ to give
During fiscal 2000-01, the agency also will seek additional
sergeants a one-step increase of $965, about 3 percent,
funds to address a larger-than-anticipated need for prison
bringing their salary to $29,345. TDCJ says the increase
for sergeants is necessary to maintain a difference in thesalaries of sergeants and the newly created Correctional
To cover the additional salary costs for fiscal 2001,
TDCJ anticipates requesting an emergency appropriationwhen the 77th Legislature convenes in 2001. TDCJ often
As authorized by the governor, lieutenant governor,
receives emergency appropriations when prison populations
and House speaker, food-service and laundry managers
are greater than projected, including one of $26.7 million in
with at least 36 months of service will receive a two-step
March 1999 for additional prison capacity and contracts
increase from their current salaries, which are limited to
with counties to provide temporary capacity.
specific steps in the Schedule A classification. Currently,Food Service Manager IIs (Group A13) average $26,724
So far, the governor and LBB have not used their
annually; Food Service Manager IIIs (Group A16),
budget execution authority to authorize a spending shift
$31,068; Laundry Manager IIs (Group A11), $25,176;
to pay for the raises because TDCJ already has authority
and Laundry Manager IIIs (Group A14), $27,540.
under its Rider 55 to “spend forward” and plans to make
Increases for these positions will range from $1,548 to
up any shortfall with an emergency appropriation next
$1,920 annually. TDCJ says these workers will receive
year. Budget execution authority allows the governor
raises because, like correctional officers, they are
and LBB, acting together, to make certain changes in
uniformed, trained personnel who supervise and guard
state agency appropriations when the Legislature is not
inmates working in prison kitchens and laundries.
in session. (For more details, see Writing the StateBudget, House Research Organization State FinanceReport No. 76-1, February 19, 1999.) A budget execution
Paying for the raises
order may prohibit an agency from spending funds, changethe purpose for an appropriation, change the time that an
With the salary increases, TDCJ’s spending on
appropriation is distributed to an agency, or transfer an
salaries for fiscal 2000-01 will be about $35.7 million
appropriation from one agency to another.
higher than the amount appropriated by the 76thLegislature. The executive order, which takes effect July
Other agencies, such as the Texas Department of
1, 2000, will result in additional spending of about $5.1
Mental Health and Mental Retardation and the Texas
million in fiscal 2000 and $30.6 million in fiscal 2001.
Commission on Alcohol and Drug Abuse, are anticipatingbudget shortfalls in certain areas or programs. So far, these
For fiscal 2000, TDCJ plans to make up the needed
agencies have handled the shortfalls by shifting money
amount by spending money appropriated for fiscal 2001.
within their budgets or from other health and human
Rider 55 of TDCJ’s section of the appropriations act
services agencies as authorized by HB 1.
authorizes the agency to transfer appropriations of up to$150 million from fiscal 2001 to 2000 if correctionalpopulations exceed the department’s capacity, the amount
—by Kellie Dworaczyk
of certain federal funds is not as large as expected, or
HOUSE RESEARCH ORGANIZATION page 12 Interim News HOUSE RESEARCH ORGANIZATION Steering Committee:
Tom Whatley, Director; Greg Martin, Editor;
Rita Barr, Office Manager; Kellie Dworaczyk,
Patrick K. Graves, Hope E. Wells, Kristie Zamrazil,Research Analysts
Inventos y descubrimientos en el Siglo XX INVENTOS Y DESCUBRIMIENTOS EN EL SIGLO XX Nota: Algunas fechas pueden ser diferentes a otras fuentes de información. Las fechas de inventos y descubrimientos pueden cambiar por razones de darlas a conocer a la gente (pero que antes ya se sabía), o que comienza a comercializarse, etc. 1900 Clip para papel Sismógrafo Zeppelin 1901 Má
Eradication of Environmental Clostridium difficile : Results of a Four Year Decontamination Nottingham Programme using Dry Mist Hydrogen Peroxide University Hospitals BACKGROUND Nottingham University Hospitals (NUH) is a large teaching hospital split over two separate Environmental Sampling Results: Health Care of the Older Person Environment Percentage of