LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 22, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB2389 by Nichols (Relating to physician staffing requirements for hospitals.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend Chapter 241, Health and Safety Code, related to a hospital's physician staffing requirements for emergency medical care. The bill would prohibit the Department of State Health Services (DSHS) from establishing requirements for a hospital that would be more restrictive than required by federal law. DSHS indicates that costs related to implementation of the provisions of the bill could be absorbed within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:537 State Health Services, Department of LBB Staff: JOB, CL, VJC, MB LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 22, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB2389 by Nichols (Relating to physician staffing requirements for hospitals.), Committee Report 1st House, Substituted TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE: SB2389 by Nichols (Relating to physician staffing requirements for hospitals.), Committee Report 1st 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 SB2389 by Nichols (Relating to physician staffing requirements for hospitals.), Committee Report 1st House, Substituted SB2389 by Nichols (Relating to physician staffing requirements for hospitals.), 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 Chapter 241, Health and Safety Code, related to a hospital's physician staffing requirements for emergency medical care. The bill would prohibit the Department of State Health Services (DSHS) from establishing requirements for a hospital that would be more restrictive than required by federal law. DSHS indicates that costs related to implementation of the provisions of the bill could be absorbed within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 537 State Health Services, Department of 537 State Health Services, Department of LBB Staff: JOB, CL, VJC, MB JOB, CL, VJC, MB