LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 23, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB455 by Shapiro (Relating to the regulation of the practice of dental assistants, including the delegation of certain dental acts.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for SB455, Committee Report 1st House, Substituted: 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 23, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB455 by Shapiro (Relating to the regulation of the practice of dental assistants, including the delegation of certain dental acts.), 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: SB455 by Shapiro (Relating to the regulation of the practice of dental assistants, including the delegation of certain dental acts.), 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 SB455 by Shapiro (Relating to the regulation of the practice of dental assistants, including the delegation of certain dental acts.), Committee Report 1st House, Substituted SB455 by Shapiro (Relating to the regulation of the practice of dental assistants, including the delegation of certain dental acts.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for SB455, Committee Report 1st House, Substituted: 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 SB455, Committee Report 1st House, Substituted: 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/(Loss) fromGeneral Revenue Fund1 Change in Number of State Employees from FY 2009 2010 ($25,913) $25,913 0.5 2011 ($14,466) $14,466 0.5 2012 ($14,466) $14,466 0.5 2013 ($14,466) $14,466 0.5 2014 ($14,466) $14,466 0.5 Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Probable Revenue Gain/(Loss) fromGeneral Revenue Fund1 Change in Number of State Employees from FY 2009 2010 ($25,913) $25,913 0.5 2011 ($14,466) $14,466 0.5 2012 ($14,466) $14,466 0.5 2013 ($14,466) $14,466 0.5 2014 ($14,466) $14,466 0.5 2010 ($25,913) $25,913 0.5 2011 ($14,466) $14,466 0.5 2012 ($14,466) $14,466 0.5 2013 ($14,466) $14,466 0.5 2014 ($14,466) $14,466 0.5 Fiscal Analysis The bill would authorize a licensed dentist to delegate to a qualified and trained dental assistant certain procedures, including coronal polishing and the application of pit and fissure sealant. The bill would require the Texas State Board of Dental Examiners to issue a certification to eligible dental assistants to perform these additional duties. The bill would take effect September 1, 2009. The bill would authorize a licensed dentist to delegate to a qualified and trained dental assistant certain procedures, including coronal polishing and the application of pit and fissure sealant. The bill would require the Texas State Board of Dental Examiners to issue a certification to eligible dental assistants to perform these additional duties. The bill would take effect September 1, 2009. Methodology The Texas State Board of Dental Examiners estimates that 10,000 dental assistants would apply for this certification. Based on information provided by the Texas State Board of Dental Examiners, it is assumed that changes to the license database at a one-time cost of $10,132 would be required to accommodate new certifications in addition to .5 FTEs each fiscal year to process the new certifications. This analysis assumes that any increased costs to the agency, which is statutorily required to generate sufficient revenue to cover its costs of operation, would be offset by an increase in fee generated revenue. The Texas State Board of Dental Examiners estimates that 10,000 dental assistants would apply for this certification. Based on information provided by the Texas State Board of Dental Examiners, it is assumed that changes to the license database at a one-time cost of $10,132 would be required to accommodate new certifications in addition to .5 FTEs each fiscal year to process the new certifications. This analysis assumes that any increased costs to the agency, which is statutorily required to generate sufficient revenue to cover its costs of operation, would be offset by an increase in fee generated revenue. Technology Programming costs are estimated to be 122 hours at $83.05 per hour. These costs include analysis, adding new fields to the database, setting up the application screen, modifying the renewal program for certificate changes, testing and modifying the TexasOnline interfaces. These estimates are provided by the agency's current contractor for the database. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 304 Comptroller of Public Accounts, 504 Texas State Board of Dental Examiners 304 Comptroller of Public Accounts, 504 Texas State Board of Dental Examiners LBB Staff: JOB, ES, CL, MW JOB, ES, CL, MW