LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 10, 2009 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB800 by Orr (Relating to a physician's delegation of prescriptive authority to physician assistants or advanced practice nurses.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for HB800, 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
April 10, 2009
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:HB800 by Orr (Relating to a physician's delegation of prescriptive authority to physician assistants or advanced practice nurses.), As Introduced
TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: HB800 by Orr (Relating to a physician's delegation of prescriptive authority to physician assistants or advanced practice nurses.), 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
HB800 by Orr (Relating to a physician's delegation of prescriptive authority to physician assistants or advanced practice nurses.), As Introduced
HB800 by Orr (Relating to a physician's delegation of prescriptive authority to physician assistants or advanced practice nurses.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for HB800, 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 HB800, 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 Savings/(Cost) fromGeneral Revenue Fund1 Probable Revenue Gain fromGeneral Revenue Fund1 2010 ($80,000) $80,000 2011 $0 $0 2012 $0 $0 2013 $0 $0 2014 $0 $0
Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Probable Revenue Gain fromGeneral Revenue Fund1 2010 ($80,000) $80,000 2011 $0 $0 2012 $0 $0 2013 $0 $0 2014 $0 $0
2010 ($80,000) $80,000
2011 $0 $0
2012 $0 $0
2013 $0 $0
2014 $0 $0
Fiscal Analysis
The bill would amend the Occupations Code relating to a physician's delegation of prescriptive authority to physician assistants or advanced practice nurses. The bill would require physicians to register with the Texas Medical Board (TMB), the name and license number of a physician assistant or advanced practice nurse to whom a delegation is made. The bill states that the agency may develop and use an electronic online delegation registration process for registration. This bill would take effect September 1, 2009.
The bill would amend the Occupations Code relating to a physician's delegation of prescriptive authority to physician assistants or advanced practice nurses. The bill would require physicians to register with the Texas Medical Board (TMB), the name and license number of a physician assistant or advanced practice nurse to whom a delegation is made. The bill states that the agency may develop and use an electronic online delegation registration process for registration.
This bill would take effect September 1, 2009.
Methodology
According to the analysis by the TMB, there would be approximately 4,000 delegation registrations per year. The agency anticipates charging a fee for a population of 8,000 physician assistants.The agency would require revisions to its database and development of an online application for registration. The agency estimates a total one-time cost of $80,000 for fiscal year 2010. This includes costs of $20,000 for a server and $60,000 for software and programming costs associated with the development of the online application. Based on the analysis of the TMB, it is assumed that the Board would adjust license fees to cover any additional costs associated with the implementation of the bill. Based on the analysis of the Texas Board of Nursing, all other duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources.
According to the analysis by the TMB, there would be approximately 4,000 delegation registrations per year. The agency anticipates charging a fee for a population of 8,000 physician assistants.The agency would require revisions to its database and development of an online application for registration. The agency estimates a total one-time cost of $80,000 for fiscal year 2010. This includes costs of $20,000 for a server and $60,000 for software and programming costs associated with the development of the online application. Based on the analysis of the TMB, it is assumed that the Board would adjust license fees to cover any additional costs associated with the implementation of the bill.
Based on the analysis of the Texas Board of Nursing, all other duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources.
Technology
The TMB estimates $20,000 for a server and $60,000 for software and programming costs associated with the development of the application.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 507 Texas Board of Nursing, 503 Texas Medical Board
507 Texas Board of Nursing, 503 Texas Medical Board
LBB Staff: JOB, NV, CL, MW
JOB, NV, CL, MW