LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 19, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB381 by Van de Putte (Relating to the authority of physicians to delegate to certain pharmacists the implementation and modification of a patient's drug therapy.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would allow a delegation of authority to a pharmacist to include implementation or modification of prescription drug therapy, including the authority to sign a prescription drug order. The bill would require the Texas State Board of Pharmacy to post on its website the names of pharmacists authorized to sign prescription drug orders and their delegating physician. The Texas State Board of Pharmacy anticipates implementing the provisions of the bill would require changes to its database system at minimal costs. Based on information provided by the Pharmacy Board, it is assumed that all costs associated with the implementation of the bill could be absorbed within existing resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies:515 Board of Pharmacy, 503 Texas Medical Board LBB Staff: JOB, CL, MW, ES LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION March 19, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB381 by Van de Putte (Relating to the authority of physicians to delegate to certain pharmacists the implementation and modification of a patient's drug therapy.), 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: SB381 by Van de Putte (Relating to the authority of physicians to delegate to certain pharmacists the implementation and modification of a patient's drug therapy.), 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 SB381 by Van de Putte (Relating to the authority of physicians to delegate to certain pharmacists the implementation and modification of a patient's drug therapy.), Committee Report 1st House, Substituted SB381 by Van de Putte (Relating to the authority of physicians to delegate to certain pharmacists the implementation and modification of a patient's drug therapy.), 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 allow a delegation of authority to a pharmacist to include implementation or modification of prescription drug therapy, including the authority to sign a prescription drug order. The bill would require the Texas State Board of Pharmacy to post on its website the names of pharmacists authorized to sign prescription drug orders and their delegating physician. The Texas State Board of Pharmacy anticipates implementing the provisions of the bill would require changes to its database system at minimal costs. Based on information provided by the Pharmacy Board, it is assumed that all costs associated with the implementation of the bill could be absorbed within existing resources. The bill would allow a delegation of authority to a pharmacist to include implementation or modification of prescription drug therapy, including the authority to sign a prescription drug order. The bill would require the Texas State Board of Pharmacy to post on its website the names of pharmacists authorized to sign prescription drug orders and their delegating physician. The Texas State Board of Pharmacy anticipates implementing the provisions of the bill would require changes to its database system at minimal costs. Based on information provided by the Pharmacy Board, it is assumed that all costs associated with the implementation of the bill could be absorbed within existing resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: 515 Board of Pharmacy, 503 Texas Medical Board 515 Board of Pharmacy, 503 Texas Medical Board LBB Staff: JOB, CL, MW, ES JOB, CL, MW, ES