LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 27, 2011 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB2703 by Truitt (Relating to the regulation of orthotists and prosthetists.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend Chapter 605, Occupations Code, relating to the regulation of orthotists and prosthetists, to include advanced practice nurses and physicians assistants in the provisions of the chapter, provided they are acting under the delegation and supervision of a licensed physician as provided in statute and in rules adopted by the Texas Medical Board. The bill would take effect September 1, 2011. Both the Department of State Health Services and the Texas Medical Board indicate that implementation of the provisions of the bill could be accomplished using existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:503 Texas Medical Board, 537 State Health Services, Department of LBB Staff: JOB, CL, MB, VJC, NB LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 27, 2011 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB2703 by Truitt (Relating to the regulation of orthotists and prosthetists.), Committee Report 1st House, Substituted TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE: HB2703 by Truitt (Relating to the regulation of orthotists and prosthetists.), Committee Report 1st House, Substituted Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health John S O'Brien, Director, Legislative Budget Board John S O'Brien, Director, Legislative Budget Board HB2703 by Truitt (Relating to the regulation of orthotists and prosthetists.), Committee Report 1st House, Substituted HB2703 by Truitt (Relating to the regulation of orthotists and prosthetists.), 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 amend Chapter 605, Occupations Code, relating to the regulation of orthotists and prosthetists, to include advanced practice nurses and physicians assistants in the provisions of the chapter, provided they are acting under the delegation and supervision of a licensed physician as provided in statute and in rules adopted by the Texas Medical Board. The bill would take effect September 1, 2011. Both the Department of State Health Services and the Texas Medical Board indicate that implementation of the provisions of the bill could be accomplished using existing resources. The bill would amend Chapter 605, Occupations Code, relating to the regulation of orthotists and prosthetists, to include advanced practice nurses and physicians assistants in the provisions of the chapter, provided they are acting under the delegation and supervision of a licensed physician as provided in statute and in rules adopted by the Texas Medical Board. The bill would take effect September 1, 2011. Both the Department of State Health Services and the Texas Medical Board indicate that implementation of the provisions of the bill could be accomplished using existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 503 Texas Medical Board, 537 State Health Services, Department of 503 Texas Medical Board, 537 State Health Services, Department of LBB Staff: JOB, CL, MB, VJC, NB JOB, CL, MB, VJC, NB