LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION May 20, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services 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 2nd House, Substituted No significant fiscal implication to the State is anticipated. The bill would authorize a nurse, pharmacy technician, 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 authorize the Texas State Board of Pharmacy to establish the record requirements to be made at the time the nurse, pharmacy technician or practitioner withdraws a drug or device, to adopt rules specifying the duties that may be verified by another pharmacy technician, and to adopt training requirements for pharmacy technicians regarding these provisions. 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. 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:405 Department of Public Safety, 515 Board of Pharmacy LBB Staff: JOB, ES, CL LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION May 20, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services 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 2nd House, Substituted TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services 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 2nd House, Substituted Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services 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 2nd House, Substituted HB1924 by Heflin (Relating to the performance of pharmacy services in certain rural areas.), Committee Report 2nd 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, pharmacy technician, 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 authorize the Texas State Board of Pharmacy to establish the record requirements to be made at the time the nurse, pharmacy technician or practitioner withdraws a drug or device, to adopt rules specifying the duties that may be verified by another pharmacy technician, and to adopt training requirements for pharmacy technicians regarding these provisions. 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. 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, pharmacy technician, 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 authorize the Texas State Board of Pharmacy to establish the record requirements to be made at the time the nurse, pharmacy technician or practitioner withdraws a drug or device, to adopt rules specifying the duties that may be verified by another pharmacy technician, and to adopt training requirements for pharmacy technicians regarding these provisions. 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. 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: 405 Department of Public Safety, 515 Board of Pharmacy 405 Department of Public Safety, 515 Board of Pharmacy LBB Staff: JOB, ES, CL JOB, ES, CL