11

Reaction to Oral Health Capacity and Reaction to Oral Health Capacity and Infrastructure in the StatesInfrastructure in the States

F. Scott McCownF. Scott McCownExecutive DirectorExecutive Director

Center for Public Policy PrioritiesCenter for Public Policy PrioritiesAustin, TexasAustin, Texas

Texas Oral Health Summit: Advocacy, Equity & AccessTexas Oral Health Summit: Advocacy, Equity & AccessAustin, TexasAustin, Texas

September 9-10, 2004September 9-10, 2004

Oral Health CareOral Health Care

September 2004September 2004

F. Scott McCown, Executive Director F. Scott McCown, Executive Director mccown@cppp.orgmccown@cppp.org

900 Lydia Street - Austin, Texas 78702Phone (512) 320-0222 – fax (512) 320-0227 - www.cppp.org

33

The Benedictine Sisters of St. Scholastica MonasteryBoerne, Texas

Founders of the Center for Public Policy Priorities, 1985

44

Child Population GrowthChild Population Growth

Fastest growing child population in U.S. Fastest growing child population in U.S. between 2000-2003between 2000-2003 350,000 additional children350,000 additional children 183,000 more than California183,000 more than California 75,000 more than Florida75,000 more than Florida

Second largest child population in U.S.Second largest child population in U.S. By 2040, school enrollment projected to By 2040, school enrollment projected to

double double

55

Indicators of Need

TexasTexasUS US

AverageAverageTexas Texas

rankrank

% of Population under 18, 2002% of Population under 18, 2002 28.0%28.0% 25.3%25.3% 33rdrd

Child Poverty Rate, 2002Child Poverty Rate, 2002 22.0%22.0% 16.7%16.7% 66thth

Under-65 Population with No Under-65 Population with No Health Insurance, 2002Health Insurance, 2002

28.4%28.4% 17.2%17.2% 11stst

Source: Congressional Quarterly’s State Fact Finder 2004.

66

Texas State General Revenue Spending

$-

$5

$10

$15

$20

$25

$30

$35

1990 1992 1994 1996 1998 2000 2002 2004

Billi

on $

0.0%

1.5%

3.0%

4.5%

As % of Gross State Product (right axis) Nominal GR Spending

Adjusted for Population and Inflation

77

State Spending and the Economy State Government Spending

as a Percent of Gross State Product

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

1991 1993 1995 1997 1999 2001 2003 2005

Per

cent

of G

SP

All-Funds Spending

General Revenue Only

Sources: Legislative Budget Board; Comptroller of Public Accounts; US Bureau of Economic Analysis

88

State & Local Taxes Are Declining as a Percentage of Personal Income

7.5%

8.0%

8.5%

9.0%

9.5%

10.0%

Perc

enta

ge o

f pers

onal

inco

me

Sources: Tax data from Comptroller's Office; Personal income data from Bureau of Economic Analysis

99

Taxable Sales as a Percentage of Total Sales

21%

22%

23%

24%

25%

26%

1990 1992 1994 1996 1998 2000

Source: Unpublished data from Comptroller of Public Accounts.

1010

State Biennial Tax Collections as a Percent of Total State Personal Income

4.1%

4.4%

3.7%

4.4%4.6%

4.7%4.7%4.7%

3.0%

3.5%

4.0%

4.5%

5.0%

1990

-91

1992

-93

1994

-95

1996

-97

1998

-99

2000

-01

2002

-03

2004

-05

2004-05 biennium: If state tax collections were 4.7% of personal income, legislators would have had another $13 billion

in tax revenue to spend

1111

Indicators of Ability to Pay

TexasTexasUS US

AverageAverageTexas Texas

rankrank

Per Capita Personal Income, Per Capita Personal Income, 20022002

$28,401$28,401 $30,832$30,832 3030thth

State and Local Taxes as a State and Local Taxes as a Percent of Personal Income, Percent of Personal Income, 20002000

9.7%9.7% 11.2%11.2% 4646thth

Percent Change in State/Local Percent Change in State/Local Taxes as % of Personal Income, Taxes as % of Personal Income, 1995-20001995-2000

-9.1%-9.1% -4.2%-4.2% 66thth largest largest dropdrop

Source: Congressional Quarterly’s State Fact Finder 2004.

1212

12

Texas State and Local Taxes Hit the Poor the Hardest

11.9%

5.8%4.6% 4.1%

3.3%

0%

2%

4%

6%

8%

10%

12%

14%

<$26,816 $26,816-52,844

$52,844-81,990

$81,990-126,345

>$126,345

Household Income

1313

13

Cigarettes, AlcoholCigarettes, Alcohol Increase cigarette tax by $1.00 per Increase cigarette tax by $1.00 per

pack, from current 41 cents per packpack, from current 41 cents per pack Would raise $850 million per yearWould raise $850 million per year Would discourage teen-age smokingWould discourage teen-age smoking Beer is now taxed at 19.4 cents per Beer is now taxed at 19.4 cents per

gallon; an increase to $1.00 per gallon gallon; an increase to $1.00 per gallon would raise $374 million a yearwould raise $374 million a year