LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 20, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB456 by Villarreal (Relating to the authority of a dental hygienist to provide services in certain facilities.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend Section 262.1515 of the Occupations Code to include a community health center in the list of eligible facilities where a dentist is authorized to delegate to a dental hygienist certain services, tasks and procedures. The bill would authorize a dental hygienist to perform these delegated tasks or procedures for only six months, unless the patient has been examined by a dentist. The Texas State Board of Dental Examiners would be required to adopt rules to implement these provisions. Based on the analysis of the Texas State Board of Dental Examiners, the Department of State Health Services, the Central Education Agency, and the Health and Human Services Commission, duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies:504 Texas State Board of Dental Examiners, 529 Health and Human Services Commission, 537 State Health Services, Department of, 701 Central Education Agency LBB Staff: JOB, CL, ES LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 20, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB456 by Villarreal (Relating to the authority of a dental hygienist to provide services in certain facilities.), 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: HB456 by Villarreal (Relating to the authority of a dental hygienist to provide services in certain facilities.), 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 HB456 by Villarreal (Relating to the authority of a dental hygienist to provide services in certain facilities.), Committee Report 1st House, Substituted HB456 by Villarreal (Relating to the authority of a dental hygienist to provide services in certain facilities.), 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 amend Section 262.1515 of the Occupations Code to include a community health center in the list of eligible facilities where a dentist is authorized to delegate to a dental hygienist certain services, tasks and procedures. The bill would authorize a dental hygienist to perform these delegated tasks or procedures for only six months, unless the patient has been examined by a dentist. The Texas State Board of Dental Examiners would be required to adopt rules to implement these provisions. Based on the analysis of the Texas State Board of Dental Examiners, the Department of State Health Services, the Central Education Agency, and the Health and Human Services Commission, duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. The bill would amend Section 262.1515 of the Occupations Code to include a community health center in the list of eligible facilities where a dentist is authorized to delegate to a dental hygienist certain services, tasks and procedures. The bill would authorize a dental hygienist to perform these delegated tasks or procedures for only six months, unless the patient has been examined by a dentist. The Texas State Board of Dental Examiners would be required to adopt rules to implement these provisions. Based on the analysis of the Texas State Board of Dental Examiners, the Department of State Health Services, the Central Education Agency, and the Health and Human Services Commission, duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: 504 Texas State Board of Dental Examiners, 529 Health and Human Services Commission, 537 State Health Services, Department of, 701 Central Education Agency 504 Texas State Board of Dental Examiners, 529 Health and Human Services Commission, 537 State Health Services, Department of, 701 Central Education Agency LBB Staff: JOB, CL, ES JOB, CL, ES