LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 30, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1738 by Howard, Donna (Relating to a study of nursing educational programs that require a single clinical competency assessment.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB1738, As Introduced: an impact of $0 through the biennium ending August 31, 2011. This 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 All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Probable Revenue Gain/(Loss) fromGeneral Revenue Fund1 2010 ($300,000) $300,000 2011 $0 $0 2012 $0 $0 2013 $0 $0 2014 $0 $0 Fiscal Analysis The bill would require the Texas Board of Nursing to conduct a study regarding whether graduates of a nusing educational program that requires students to pass only a single clinical competency assesment are able after graduation to practice in a clinical setting at a level substantially equivalent to the graduates of a nursing educational program that requires students to complete a required number of supervised clinical learning experiences involving multiple, ongoing assessments and feedback. The bill requires the Board of Nursing to allow a program participating in the study to modify its program if the findings indicate graduates are not able to practice in a clinical setting at a level substantially equivalent to graduates of nursing programs that require multiple clinical experience assessments. The bill would require the Board of Nursing to begin the study not later than January 1, 2010 and to conclude the study no later than June 30, 2012, with provisions for an extension to June 30, 2014 if necessary. The bill would take effect September 1, 2009. Methodology The Board of Nursing indicates it would outsource the study to a non-biased third party. The Board estimates the study would take up to a minimum of 2 and one half years to complete. The estimate of the cost of the study and the time frame for completion are based on previous studies outsourced by the Board of Nursing. The Board does anticipate a grant from the National Council of State Boards of Nursing could cover the costs of conducting the study, but it has not applied nor received the grant at this time. This analysis assumes that any increased costs to the agency, which is required statutorily to generate sufficient revenue to cover its costs of operation, would be offset by an increase in fee generated revenue.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
March 30, 2009
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1738 by Howard, Donna (Relating to a study of nursing educational programs that require a single clinical competency assessment.), As Introduced
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: HB1738 by Howard, Donna (Relating to a study of nursing educational programs that require a single clinical competency assessment.), 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
HB1738 by Howard, Donna (Relating to a study of nursing educational programs that require a single clinical competency assessment.), As Introduced
HB1738 by Howard, Donna (Relating to a study of nursing educational programs that require a single clinical competency assessment.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for HB1738, As Introduced: an impact of $0 through the biennium ending August 31, 2011.
Estimated Two-year Net Impact to General Revenue Related Funds for HB1738, As Introduced: an impact of $0 through the biennium ending August 31, 2011.
This bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
This 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 Savings/(Cost) fromGeneral Revenue Fund1 Probable Revenue Gain/(Loss) fromGeneral Revenue Fund1 2010 ($300,000) $300,000 2011 $0 $0 2012 $0 $0 2013 $0 $0 2014 $0 $0
Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Probable Revenue Gain/(Loss) fromGeneral Revenue Fund1 2010 ($300,000) $300,000 2011 $0 $0 2012 $0 $0 2013 $0 $0 2014 $0 $0
2010 ($300,000) $300,000
2011 $0 $0
2012 $0 $0
2013 $0 $0
2014 $0 $0
Fiscal Analysis
The bill would require the Texas Board of Nursing to conduct a study regarding whether graduates of a nusing educational program that requires students to pass only a single clinical competency assesment are able after graduation to practice in a clinical setting at a level substantially equivalent to the graduates of a nursing educational program that requires students to complete a required number of supervised clinical learning experiences involving multiple, ongoing assessments and feedback. The bill requires the Board of Nursing to allow a program participating in the study to modify its program if the findings indicate graduates are not able to practice in a clinical setting at a level substantially equivalent to graduates of nursing programs that require multiple clinical experience assessments. The bill would require the Board of Nursing to begin the study not later than January 1, 2010 and to conclude the study no later than June 30, 2012, with provisions for an extension to June 30, 2014 if necessary. The bill would take effect September 1, 2009.
The bill would require the Texas Board of Nursing to conduct a study regarding whether graduates of a nusing educational program that requires students to pass only a single clinical competency assesment are able after graduation to practice in a clinical setting at a level substantially equivalent to the graduates of a nursing educational program that requires students to complete a required number of supervised clinical learning experiences involving multiple, ongoing assessments and feedback.
The bill requires the Board of Nursing to allow a program participating in the study to modify its program if the findings indicate graduates are not able to practice in a clinical setting at a level substantially equivalent to graduates of nursing programs that require multiple clinical experience assessments.
The bill would require the Board of Nursing to begin the study not later than January 1, 2010 and to conclude the study no later than June 30, 2012, with provisions for an extension to June 30, 2014 if necessary.
The bill would take effect September 1, 2009.
Methodology
The Board of Nursing indicates it would outsource the study to a non-biased third party. The Board estimates the study would take up to a minimum of 2 and one half years to complete. The estimate of the cost of the study and the time frame for completion are based on previous studies outsourced by the Board of Nursing. The Board does anticipate a grant from the National Council of State Boards of Nursing could cover the costs of conducting the study, but it has not applied nor received the grant at this time. This analysis assumes that any increased costs to the agency, which is required statutorily to generate sufficient revenue to cover its costs of operation, would be offset by an increase in fee generated revenue.
The Board of Nursing indicates it would outsource the study to a non-biased third party. The Board estimates the study would take up to a minimum of 2 and one half years to complete. The estimate of the cost of the study and the time frame for completion are based on previous studies outsourced by the Board of Nursing. The Board does anticipate a grant from the National Council of State Boards of Nursing could cover the costs of conducting the study, but it has not applied nor received the grant at this time.
This analysis assumes that any increased costs to the agency, which is required statutorily to generate sufficient revenue to cover its costs of operation, would be offset by an increase in fee generated revenue.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 507 Texas Board of Nursing
507 Texas Board of Nursing
LBB Staff: JOB, CL, MW, ES
JOB, CL, MW, ES