LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 26, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB168 by Crownover (Relating to the regulation of the practice of dental hygiene.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB168, As Introduced: an impact of $0 through the biennium ending August 31, 2011. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 26, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB168 by Crownover (Relating to the regulation of the practice of dental hygiene.), As Introduced TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE: HB168 by Crownover (Relating to the regulation of the practice of dental hygiene.), As Introduced Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health John S. O'Brien, Director, Legislative Budget Board John S. O'Brien, Director, Legislative Budget Board HB168 by Crownover (Relating to the regulation of the practice of dental hygiene.), As Introduced HB168 by Crownover (Relating to the regulation of the practice of dental hygiene.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB168, As Introduced: an impact of $0 through the biennium ending August 31, 2011. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. Estimated Two-year Net Impact to General Revenue Related Funds for HB168, As Introduced: an impact of $0 through the biennium ending August 31, 2011. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. General Revenue-Related Funds, Five-Year Impact: Fiscal Year Probable Net Positive/(Negative) Impact to General Revenue Related Funds 2010 $0 2011 $0 2012 $0 2013 $0 2014 $0 2010 $0 2011 $0 2012 $0 2013 $0 2014 $0 All Funds, Five-Year Impact: Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 Probable Revenue Gain fromGeneral Revenue Fund1 Change in Number of State Employees from FY 2009 2010 ($38,746) $38,746 1.0 2011 ($33,660) $33,660 1.0 2012 ($33,660) $33,660 1.0 2013 ($33,660) $33,660 1.0 2014 ($33,660) $33,660 1.0 Fiscal Year Probable (Cost) fromGeneral Revenue Fund1 Probable Revenue Gain fromGeneral Revenue Fund1 Change in Number of State Employees from FY 2009 2010 ($38,746) $38,746 1.0 2011 ($33,660) $33,660 1.0 2012 ($33,660) $33,660 1.0 2013 ($33,660) $33,660 1.0 2014 ($33,660) $33,660 1.0 2010 ($38,746) $38,746 1.0 2011 ($33,660) $33,660 1.0 2012 ($33,660) $33,660 1.0 2013 ($33,660) $33,660 1.0 2014 ($33,660) $33,660 1.0 Fiscal Analysis The bill would amend the Occupations Code relating to the regulation and practice of dental hygiene. The bill would provide legal authority for dental hygienists to administer local anethesia under direct delegation authority of the dentist. The bill would require the Board of Dental Examiners to establish a rule for dental hygienists to take a Commission On Dental Accreditation (CODA)-approved local anesthesia course and pass a board approved exam in order to apply for the permit to administer local anethesia. The bill would amend the Occupations Code relating to the regulation and practice of dental hygiene. The bill would provide legal authority for dental hygienists to administer local anethesia under direct delegation authority of the dentist. The bill would require the Board of Dental Examiners to establish a rule for dental hygienists to take a Commission On Dental Accreditation (CODA)-approved local anesthesia course and pass a board approved exam in order to apply for the permit to administer local anethesia. Methodology The Texas State Board of Dental Examiners estimates that 900 licensed dental hygienists would apply for the local anesthesia certificate and that programming changes to its licensing database and Texas Online interface would be required to capture the new certificate in the database. The agency estimates one additional FTE would be required to issue the certification due to the number of hygienists who would apply for the certification. Based on information provided by the agency, it is assumed that initial programming costs of $3,156 and equipment costs of $1,930 occuring in fiscal year 2010 would be necessary to implement the provisions of the bill in addition to salary costs of $26,180 and benefits costs of $7,480 each fiscal year. Since the agency is statutorily required to generate revenues sufficient to cover its costs of operation, this analysis assumes that the agency would adjust license fees as necessary to cover any additional costs associated with the implementation of this bill. The Texas State Board of Dental Examiners estimates that 900 licensed dental hygienists would apply for the local anesthesia certificate and that programming changes to its licensing database and Texas Online interface would be required to capture the new certificate in the database. The agency estimates one additional FTE would be required to issue the certification due to the number of hygienists who would apply for the certification. Based on information provided by the agency, it is assumed that initial programming costs of $3,156 and equipment costs of $1,930 occuring in fiscal year 2010 would be necessary to implement the provisions of the bill in addition to salary costs of $26,180 and benefits costs of $7,480 each fiscal year. Since the agency is statutorily required to generate revenues sufficient to cover its costs of operation, this analysis assumes that the agency would adjust license fees as necessary to cover any additional costs associated with the implementation of this bill. Technology The agency anticipates that programming changes would be required to implement the provisions of the bill. These changes would require 4 hours of analysis, adding a new field to dataset and screens, modifying initial application programs to allow new endorsements, modifying renewal programs, printing changes for the certificates, test screens, renewals and Web interface, and modifying the TexasOnline interface. These changes would be contracted with the agency's database administrator. The total technology costs are anticipated to be $3,156. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 304 Comptroller of Public Accounts, 504 Texas State Board of Dental Examiners 304 Comptroller of Public Accounts, 504 Texas State Board of Dental Examiners LBB Staff: JOB, CL, MW, ES JOB, CL, MW, ES