LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION March 29, 2011 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB620 by Nelson (Relating to the reporting of health care-associated infections and preventable adverse events.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would enable the executive commissioner of the Health and Human Services Commission (HHSC) to designate the federal Centers for Disease Control (CDC) and Preventions National Healthcare Safety Network (NHSN), or its successor, to receive reports of health care-associated infections from health care facilities on behalf of the Department of State Health Services (DSHS) and require facilities to provide DSHS with access to reports. It would also enable the executive commissioner to designate a federal agency to receive reports of preventable adverse events. The bill would also allow DSHS to disclose information to the CDC and other federal agencies, as designated by the executive commissioner. The bill would amend Chapter 98 of the Health and Safety Code relating to data reported in DSHS departmental summary. It would enable the executive commissioner to adopt rules requiring reporting more frequently than quarterly if it is required for participation in NHSN. The bill would also delete Section 98.104 relating to surgical site infection reporting for certain health care facilities performing less than 50 specified procedures per month. DSHS indicates the bill would not have a significant 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, JI, LL LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 82ND LEGISLATIVE REGULAR SESSION March 29, 2011 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE:SB620 by Nelson (Relating to the reporting of health care-associated infections and preventable adverse events.), Committee Report 1st House, Substituted TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: John S O'Brien, Director, Legislative Budget Board IN RE: SB620 by Nelson (Relating to the reporting of health care-associated infections and preventable adverse events.), Committee Report 1st House, Substituted 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 SB620 by Nelson (Relating to the reporting of health care-associated infections and preventable adverse events.), Committee Report 1st House, Substituted SB620 by Nelson (Relating to the reporting of health care-associated infections and preventable adverse events.), 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 enable the executive commissioner of the Health and Human Services Commission (HHSC) to designate the federal Centers for Disease Control (CDC) and Preventions National Healthcare Safety Network (NHSN), or its successor, to receive reports of health care-associated infections from health care facilities on behalf of the Department of State Health Services (DSHS) and require facilities to provide DSHS with access to reports. It would also enable the executive commissioner to designate a federal agency to receive reports of preventable adverse events. The bill would also allow DSHS to disclose information to the CDC and other federal agencies, as designated by the executive commissioner. The bill would amend Chapter 98 of the Health and Safety Code relating to data reported in DSHS departmental summary. It would enable the executive commissioner to adopt rules requiring reporting more frequently than quarterly if it is required for participation in NHSN. The bill would also delete Section 98.104 relating to surgical site infection reporting for certain health care facilities performing less than 50 specified procedures per month. DSHS indicates the bill would not have a significant 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, JI, LL JOB, CL, JI, LL