LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION May 17, 2011 TO: Honorable Royce West, Chair, Senate Committee on Intergovernmental Relations FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB1568 by Coleman (Relating to authority of the Harris County Hospital District and certain local governmental entities to appoint, contract for, or employ physicians.), As Engrossed No fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code to authorize the Harris County Hospital District to appoint, contract for or employ physicians as necessary to fulfill the districts statutory mandate to provide medical care for the indigent and needy residents of the district. The bill would amend the Local Government Code to authorize the commissioners court of a county to appoint, contract for, or employ physicians to provide health care services to inmates in the custody of the sheriff. Local Government Impact There could be a fiscal impact to a county authorized to appoint, contract for, or employ physicians to provide health care services, but the amounts would vary depending on procedures currently established in a county. It is assumed that a county would employ physicians to provide health care services only if sufficient funds were available or it would not result in a negative fiscal impact. Source Agencies: LBB Staff: JOB, KKR, TP LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION May 17, 2011 TO: Honorable Royce West, Chair, Senate Committee on Intergovernmental Relations FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB1568 by Coleman (Relating to authority of the Harris County Hospital District and certain local governmental entities to appoint, contract for, or employ physicians.), As Engrossed TO: Honorable Royce West, Chair, Senate Committee on Intergovernmental Relations FROM: John S O'Brien, Director, Legislative Budget Board IN RE: HB1568 by Coleman (Relating to authority of the Harris County Hospital District and certain local governmental entities to appoint, contract for, or employ physicians.), As Engrossed Honorable Royce West, Chair, Senate Committee on Intergovernmental Relations Honorable Royce West, Chair, Senate Committee on Intergovernmental Relations John S O'Brien, Director, Legislative Budget Board John S O'Brien, Director, Legislative Budget Board HB1568 by Coleman (Relating to authority of the Harris County Hospital District and certain local governmental entities to appoint, contract for, or employ physicians.), As Engrossed HB1568 by Coleman (Relating to authority of the Harris County Hospital District and certain local governmental entities to appoint, contract for, or employ physicians.), As Engrossed No fiscal implication to the State is anticipated. No fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code to authorize the Harris County Hospital District to appoint, contract for or employ physicians as necessary to fulfill the districts statutory mandate to provide medical care for the indigent and needy residents of the district. The bill would amend the Local Government Code to authorize the commissioners court of a county to appoint, contract for, or employ physicians to provide health care services to inmates in the custody of the sheriff. Local Government Impact There could be a fiscal impact to a county authorized to appoint, contract for, or employ physicians to provide health care services, but the amounts would vary depending on procedures currently established in a county. It is assumed that a county would employ physicians to provide health care services only if sufficient funds were available or it would not result in a negative fiscal impact. Source Agencies: LBB Staff: JOB, KKR, TP JOB, KKR, TP