LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 13, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB345 by Nelson (Relating to screening health care personnel of home and community support services agencies for tuberculosis.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. Section 1 of the bill would add language to Section 142.012(b) of the Health and Safety Code to require the setting of minimum standards relating to the implementation of a tuberculosis surveillance program for home and community support service agency personnel for those agencies licensed under Chapter 142 of the Health and Safety Code. Section 2 of the bill would require the executive commissioner of the Health and Human Services Commission to adopt rules required by the section that would be amended. It is assumed any direct cost to implement provisions of the bill would be minimal and could be absorbed within available resources. It is possible that to the extent that home and community support service agencies are Medicaid providers, the state could incur costs related to the screening of personnel. However, this would be an indirect cost of the bill. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:507 Texas Board of Nursing, 537 State Health Services, Department of LBB Staff: JOB, CL, PP, VJC, MB LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 13, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB345 by Nelson (Relating to screening health care personnel of home and community support services agencies for tuberculosis.), 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: SB345 by Nelson (Relating to screening health care personnel of home and community support services agencies for tuberculosis.), 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 SB345 by Nelson (Relating to screening health care personnel of home and community support services agencies for tuberculosis.), Committee Report 1st House, Substituted SB345 by Nelson (Relating to screening health care personnel of home and community support services agencies for tuberculosis.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. Section 1 of the bill would add language to Section 142.012(b) of the Health and Safety Code to require the setting of minimum standards relating to the implementation of a tuberculosis surveillance program for home and community support service agency personnel for those agencies licensed under Chapter 142 of the Health and Safety Code. Section 2 of the bill would require the executive commissioner of the Health and Human Services Commission to adopt rules required by the section that would be amended. It is assumed any direct cost to implement provisions of the bill would be minimal and could be absorbed within available resources. It is possible that to the extent that home and community support service agencies are Medicaid providers, the state could incur costs related to the screening of personnel. However, this would be an indirect cost of the bill. Section 1 of the bill would add language to Section 142.012(b) of the Health and Safety Code to require the setting of minimum standards relating to the implementation of a tuberculosis surveillance program for home and community support service agency personnel for those agencies licensed under Chapter 142 of the Health and Safety Code. Section 2 of the bill would require the executive commissioner of the Health and Human Services Commission to adopt rules required by the section that would be amended. It is assumed any direct cost to implement provisions of the bill would be minimal and could be absorbed within available resources. It is possible that to the extent that home and community support service agencies are Medicaid providers, the state could incur costs related to the screening of personnel. However, this would be an indirect cost of the bill. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 507 Texas Board of Nursing, 537 State Health Services, Department of 507 Texas Board of Nursing, 537 State Health Services, Department of LBB Staff: JOB, CL, PP, VJC, MB JOB, CL, PP, VJC, MB