LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 18, 2011 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB669 by White (Relating to informing a patient concerning reconstructive breast surgery before performing certain surgical procedures.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code to require a hospital that provides mastectomy surgery, lymph node dissection, or lumpectomy to inform patients of reconstructive surgery options, including available insurance coverage, in writing and before obtaining consent for surgical procedures. The bill would require the Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services, to adopt rules prescribing the form and contents of the information. It is assumed that any costs associated with rule-making could be absorbed within existing resources. Local Government Impact The fiscal impact to a hospital associated with the provisions of the bill would vary depending on the notification procedures currently in place; however, no significant fiscal impact is anticipated. Source Agencies: LBB Staff: JOB, CL, TP LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION April 18, 2011 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:HB669 by White (Relating to informing a patient concerning reconstructive breast surgery before performing certain surgical procedures.), As Introduced TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE: HB669 by White (Relating to informing a patient concerning reconstructive breast surgery before performing certain surgical procedures.), As Introduced 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 HB669 by White (Relating to informing a patient concerning reconstructive breast surgery before performing certain surgical procedures.), As Introduced HB669 by White (Relating to informing a patient concerning reconstructive breast surgery before performing certain surgical procedures.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code to require a hospital that provides mastectomy surgery, lymph node dissection, or lumpectomy to inform patients of reconstructive surgery options, including available insurance coverage, in writing and before obtaining consent for surgical procedures. The bill would require the Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services, to adopt rules prescribing the form and contents of the information. It is assumed that any costs associated with rule-making could be absorbed within existing resources. The bill would amend the Health and Safety Code to require a hospital that provides mastectomy surgery, lymph node dissection, or lumpectomy to inform patients of reconstructive surgery options, including available insurance coverage, in writing and before obtaining consent for surgical procedures. The bill would require the Health and Human Services Commission (HHSC), on behalf of the Department of State Health Services, to adopt rules prescribing the form and contents of the information. It is assumed that any costs associated with rule-making could be absorbed within existing resources. Local Government Impact The fiscal impact to a hospital associated with the provisions of the bill would vary depending on the notification procedures currently in place; however, no significant fiscal impact is anticipated. Source Agencies: LBB Staff: JOB, CL, TP JOB, CL, TP