LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 81ST LEGISLATIVE REGULAR SESSION April 9, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB911 by Williams (Relating to the certification and regulation of pain management clinics.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for SB911, 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 9, 2009 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S. O'Brien, Director, Legislative Budget Board IN RE:SB911 by Williams (Relating to the certification and regulation of pain management clinics.), 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: SB911 by Williams (Relating to the certification and regulation of pain management clinics.), 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 SB911 by Williams (Relating to the certification and regulation of pain management clinics.), Committee Report 1st House, Substituted SB911 by Williams (Relating to the certification and regulation of pain management clinics.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for SB911, 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 SB911, 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 fromGeneral Revenue Fund1 Change in Number of State Employees from FY 2009 2010 ($54,372) $54,372 1.0 2011 ($37,473) $37,473 1.0 2012 ($37,473) $37,473 1.0 2013 ($37,473) $37,473 1.0 2014 ($37,473) $37,473 1.0 Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Probable Revenue Gain fromGeneral Revenue Fund1 Change in Number of State Employees from FY 2009 2010 ($54,372) $54,372 1.0 2011 ($37,473) $37,473 1.0 2012 ($37,473) $37,473 1.0 2013 ($37,473) $37,473 1.0 2014 ($37,473) $37,473 1.0 2010 ($54,372) $54,372 1.0 2011 ($37,473) $37,473 1.0 2012 ($37,473) $37,473 1.0 2013 ($37,473) $37,473 1.0 2014 ($37,473) $37,473 1.0 Fiscal Analysis The bill would amend the Occupations Code relating to the certification and regulation of pain management clinics. Based on the analysis of the agency, it is assumed that the Board would adjust license fees to cover any additional costs associated with the implementation of the bill. The bill would take effect September 1, 2009. The bill would amend the Occupations Code relating to the certification and regulation of pain management clinics. Based on the analysis of the agency, it is assumed that the Board would adjust license fees to cover any additional costs associated with the implementation of the bill. The bill would take effect September 1, 2009. Methodology According to the analysis provided by the Texas Medical Board, 1 Licensure Analyst I ($29,146 each year) will be required to perform licensing application and renewal procedures on approximately 200 new certificates. There will be employee benefit costs of $8,327 per year. TMB estimates initial equipment and setup costs for the FTE will be $16,899 in the first year. Implementation cost will total $54,372 for the first year and $37,473 in each succeeding year. According to the analysis provided by the Texas Medical Board, 1 Licensure Analyst I ($29,146 each year) will be required to perform licensing application and renewal procedures on approximately 200 new certificates. There will be employee benefit costs of $8,327 per year. TMB estimates initial equipment and setup costs for the FTE will be $16,899 in the first year. Implementation cost will total $54,372 for the first year and $37,473 in each succeeding year. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 503 Texas Medical Board, 304 Comptroller of Public Accounts 503 Texas Medical Board, 304 Comptroller of Public Accounts LBB Staff: JOB, NV, CL, MW JOB, NV, CL, MW