LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION February 14, 2011 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB41 by Zaffirini (Relating to the use of restraints in state supported living centers.), As Introduced No significant fiscal implication to the State is anticipated. The bill would require the Executive Commissioner of the Health and Human Services Commission (HHSC) to adopt rules limiting use of restraints in state supported living centers (SSLCs) and prohibit use of prone and supine holds except as transitional holds. The bill would prohibit issuance of a standing order to administer on an as-needed basis, a mechanical or physical restraint or injection of a psychoactive medication for a resident of a SSLC. The bill would prohibit use of a straightjacket to restrain a SSLC resident. The bill would require a SSLC to report to the Executive Commissioner each incident in which a physical or mechanical restraint is administered. This analysis assumes the rulemaking at HHSC can be accomplished within existing resources. The Department of Aging and Disability Services indicates data collection, analysis, and reporting required by the bill could be accomplished within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:539 Aging and Disability Services, Department of LBB Staff: JOB, CL, JI, LL
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION
February 14, 2011
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB41 by Zaffirini (Relating to the use of restraints in state supported living centers.), As Introduced
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
FROM: John S O'Brien, Director, Legislative Budget Board
IN RE: SB41 by Zaffirini (Relating to the use of restraints in state supported living centers.), As Introduced
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
SB41 by Zaffirini (Relating to the use of restraints in state supported living centers.), As Introduced
SB41 by Zaffirini (Relating to the use of restraints in state supported living centers.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would require the Executive Commissioner of the Health and Human Services Commission (HHSC) to adopt rules limiting use of restraints in state supported living centers (SSLCs) and prohibit use of prone and supine holds except as transitional holds. The bill would prohibit issuance of a standing order to administer on an as-needed basis, a mechanical or physical restraint or injection of a psychoactive medication for a resident of a SSLC. The bill would prohibit use of a straightjacket to restrain a SSLC resident. The bill would require a SSLC to report to the Executive Commissioner each incident in which a physical or mechanical restraint is administered. This analysis assumes the rulemaking at HHSC can be accomplished within existing resources. The Department of Aging and Disability Services indicates data collection, analysis, and reporting required by the bill could be accomplished within existing resources.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 539 Aging and Disability Services, Department of
539 Aging and Disability Services, Department of
LBB Staff: JOB, CL, JI, LL
JOB, CL, JI, LL