LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 27, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB2247 by Zaffirini (Relating to the use of pro re nata psychoactive medications in certain residential health care facilities.), As Introduced No significant fiscal implication to the State is anticipated. This bill requires the Health and Human Services Commission (HHSC) to adopt rules that:1) prohibit physicians from issuing drug orders for Pro Re Nata (PRN) psychoactive medications by injection to residents of residential health care facilities unless used in a psychiatric emergency or under a court order; 2) require physicians to document the use of the psychoactive medication in a psychiatric emergency in the medical record; and 3) prohibit the emergency administration of psychoactive medication by injection by a nurse who has not attended special training on the criteria that must be met to administer the medication. The bill also requires persons employed by the facility to attend a training program on a residents consent and refusal of consent to treatment, as prescribed by HHSC rule. It is assumed that each agency impacted by this provision (the Department of Aging and Disability Services, the Department of Family and Protective Services, and the Department of State Health Services) will incorporate the training into their current training programs and therefore be able to absorb any costs associated with this provision. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission, 530 Family and Protective Services, Department of, 537 State Health Services, Department of, 539 Aging and Disability Services, Department of LBB Staff: JOB, CL, PP, JF
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION
April 27, 2009
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB2247 by Zaffirini (Relating to the use of pro re nata psychoactive medications in certain residential health care facilities.), As Introduced
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
FROM: John S. O'Brien, Director, Legislative Budget Board
IN RE: SB2247 by Zaffirini (Relating to the use of pro re nata psychoactive medications in certain residential health care facilities.), As Introduced
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
SB2247 by Zaffirini (Relating to the use of pro re nata psychoactive medications in certain residential health care facilities.), As Introduced
SB2247 by Zaffirini (Relating to the use of pro re nata psychoactive medications in certain residential health care facilities.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
This bill requires the Health and Human Services Commission (HHSC) to adopt rules that:1) prohibit physicians from issuing drug orders for Pro Re Nata (PRN) psychoactive medications by injection to residents of residential health care facilities unless used in a psychiatric emergency or under a court order; 2) require physicians to document the use of the psychoactive medication in a psychiatric emergency in the medical record; and 3) prohibit the emergency administration of psychoactive medication by injection by a nurse who has not attended special training on the criteria that must be met to administer the medication. The bill also requires persons employed by the facility to attend a training program on a residents consent and refusal of consent to treatment, as prescribed by HHSC rule. It is assumed that each agency impacted by this provision (the Department of Aging and Disability Services, the Department of Family and Protective Services, and the Department of State Health Services) will incorporate the training into their current training programs and therefore be able to absorb any costs associated with this provision.
This bill requires the Health and Human Services Commission (HHSC) to adopt rules that:1) prohibit physicians from issuing drug orders for Pro Re Nata (PRN) psychoactive medications by injection to residents of residential health care facilities unless used in a psychiatric emergency or under a court order; 2) require physicians to document the use of the psychoactive medication in a psychiatric emergency in the medical record; and 3) prohibit the emergency administration of psychoactive medication by injection by a nurse who has not attended special training on the criteria that must be met to administer the medication. The bill also requires persons employed by the facility to attend a training program on a residents consent and refusal of consent to treatment, as prescribed by HHSC rule. It is assumed that each agency impacted by this provision (the Department of Aging and Disability Services, the Department of Family and Protective Services, and the Department of State Health Services) will incorporate the training into their current training programs and therefore be able to absorb any costs associated with this provision.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 529 Health and Human Services Commission, 530 Family and Protective Services, Department of, 537 State Health Services, Department of, 539 Aging and Disability Services, Department of
529 Health and Human Services Commission, 530 Family and Protective Services, Department of, 537 State Health Services, Department of, 539 Aging and Disability Services, Department of
LBB Staff: JOB, CL, PP, JF
JOB, CL, PP, JF