LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 2, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1924 by Heflin (Relating to the performance of pharmacy services in certain rural areas.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would authorize a nurse or practitioner working in a rural hospital to withdraw a drug or device order prescribed by a practitioner when the hospital's pharmacist is not on duty or when the institutional pharmacy is closed. The bill would establish the records that should be made at the time the nurse or practitioner withdraws a drug or device. The bill would require the hospital pharmacist to verify the withdrawal and perform a drug regimen review not later than the seventh day after the date of the withdrawal. The bill would not restrict or prohibit the Texas State Board of Pharmacy from adopting a rule governing the withdrawal of a drug or device by a nurse or practitioner from an institutional pharmacy not located in a rural hospital. The bill would require the Texas State Board of Pharmacy to adopt rules to conform existing rules to the provisions of the bill. Based on the analysis of the Texas State Board of Pharmacy, duties and responsibilities associated with implementing the provisions of the bill could be absorbed within current resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies:515 Board of Pharmacy LBB Staff: JOB, ES, CL
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
April 2, 2009
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB1924 by Heflin (Relating to the performance of pharmacy services in certain rural areas.), Committee Report 1st House, Substituted
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: HB1924 by Heflin (Relating to the performance of pharmacy services in certain rural areas.), Committee Report 1st House, Substituted
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
HB1924 by Heflin (Relating to the performance of pharmacy services in certain rural areas.), Committee Report 1st House, Substituted
HB1924 by Heflin (Relating to the performance of pharmacy services in certain rural areas.), Committee Report 1st House, Substituted
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would authorize a nurse or practitioner working in a rural hospital to withdraw a drug or device order prescribed by a practitioner when the hospital's pharmacist is not on duty or when the institutional pharmacy is closed. The bill would establish the records that should be made at the time the nurse or practitioner withdraws a drug or device. The bill would require the hospital pharmacist to verify the withdrawal and perform a drug regimen review not later than the seventh day after the date of the withdrawal. The bill would not restrict or prohibit the Texas State Board of Pharmacy from adopting a rule governing the withdrawal of a drug or device by a nurse or practitioner from an institutional pharmacy not located in a rural hospital. The bill would require the Texas State Board of Pharmacy to adopt rules to conform existing rules to the provisions of the bill. Based on the analysis of the Texas State Board of Pharmacy, duties and responsibilities associated with implementing the provisions of the bill could be absorbed within current resources.
The bill would authorize a nurse or practitioner working in a rural hospital to withdraw a drug or device order prescribed by a practitioner when the hospital's pharmacist is not on duty or when the institutional pharmacy is closed. The bill would establish the records that should be made at the time the nurse or practitioner withdraws a drug or device. The bill would require the hospital pharmacist to verify the withdrawal and perform a drug regimen review not later than the seventh day after the date of the withdrawal. The bill would not restrict or prohibit the Texas State Board of Pharmacy from adopting a rule governing the withdrawal of a drug or device by a nurse or practitioner from an institutional pharmacy not located in a rural hospital. The bill would require the Texas State Board of Pharmacy to adopt rules to conform existing rules to the provisions of the bill.
Based on the analysis of the Texas State Board of Pharmacy, duties and responsibilities associated with implementing the provisions of the bill could be absorbed within current resources.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.
Source Agencies: 515 Board of Pharmacy
515 Board of Pharmacy
LBB Staff: JOB, ES, CL
JOB, ES, CL