LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION May 20, 2011 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB1177 by Nelson (Relating to the adoption by health care facilities of a policy on vaccine preventable diseases; imposing penalties.), Committee Report 2nd House, Substituted No fiscal implication to the State is anticipated. The bill would add a new chapter to the Health and Safety Code that would require health care facilities to develop and implement policies related to immunization requirements for employees of health care facilities and individuals providing direct care under a contract with the facility, in order to protect patients from vaccine-preventable diseases. It would permit exemptions for certain medical conditions and reasons of conscience; facilities would be authorized to prohibit those employees from contact with patients during a public health disaster. The bill would take effect September 1, 2011. The Department of State Health Services indicates that implementation of the provisions of the bill would have no fiscal impact. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:537 State Health Services, Department of LBB Staff: JOB, CL, MB, VJC, NB LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION May 20, 2011 TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB1177 by Nelson (Relating to the adoption by health care facilities of a policy on vaccine preventable diseases; imposing penalties.), Committee Report 2nd House, Substituted TO: Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health FROM: John S O'Brien, Director, Legislative Budget Board IN RE: SB1177 by Nelson (Relating to the adoption by health care facilities of a policy on vaccine preventable diseases; imposing penalties.), Committee Report 2nd 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 SB1177 by Nelson (Relating to the adoption by health care facilities of a policy on vaccine preventable diseases; imposing penalties.), Committee Report 2nd House, Substituted SB1177 by Nelson (Relating to the adoption by health care facilities of a policy on vaccine preventable diseases; imposing penalties.), Committee Report 2nd House, Substituted No fiscal implication to the State is anticipated. No fiscal implication to the State is anticipated. The bill would add a new chapter to the Health and Safety Code that would require health care facilities to develop and implement policies related to immunization requirements for employees of health care facilities and individuals providing direct care under a contract with the facility, in order to protect patients from vaccine-preventable diseases. It would permit exemptions for certain medical conditions and reasons of conscience; facilities would be authorized to prohibit those employees from contact with patients during a public health disaster. The bill would take effect September 1, 2011. The Department of State Health Services indicates that implementation of the provisions of the bill would have no fiscal impact. The bill would add a new chapter to the Health and Safety Code that would require health care facilities to develop and implement policies related to immunization requirements for employees of health care facilities and individuals providing direct care under a contract with the facility, in order to protect patients from vaccine-preventable diseases. It would permit exemptions for certain medical conditions and reasons of conscience; facilities would be authorized to prohibit those employees from contact with patients during a public health disaster. The bill would take effect September 1, 2011. The Department of State Health Services indicates that implementation of the provisions of the bill would have no fiscal impact. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 537 State Health Services, Department of 537 State Health Services, Department of LBB Staff: JOB, CL, MB, VJC, NB JOB, CL, MB, VJC, NB