LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION Revision 1 May 2, 2013 TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1829 by Gonzalez, Naomi (Relating to safe patient handling and movement practices at hospitals and nursing homes.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend Chapter 256 of the Health and Safety Code as it relates to required safe patient handling and movement policy pertaining to general and specific hospitals, private mental hospitals, hospitals operated by the state, and nursing homes. The bill would require increased education for nurses and other staff, a registered nurse to supervise all patient handling or movement, manual patient handling to be conducted by two-person teams except in certain circumstances, and implementation of a quality oversight body at a facility for enforcement of safe handling practices. The University of Texas System and The Texas A&M University System indicate any cost to implement provisions of the bill would be minimal and can be absorbed within available resources, and it is assumed the Department of State Health Services can absorb any costs within existing resources. Local Government Impact There could be an indeterminate fiscal impact to a local governmental entity that operates an applicable hospital or nursing facility to comply with the provisions of the bill; however, the amounts would vary depending on current processes and procedures. Source Agencies:537 State Health Services, Department of, 539 Aging and Disability Services, Department of, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: UP, CL, LL, VJC, CH LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION Revision 1 May 2, 2013 Revision 1 Revision 1 TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1829 by Gonzalez, Naomi (Relating to safe patient handling and movement practices at hospitals and nursing homes.), As Introduced TO: Honorable Richard Peña Raymond, Chair, House Committee on Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB1829 by Gonzalez, Naomi (Relating to safe patient handling and movement practices at hospitals and nursing homes.), As Introduced Honorable Richard Peña Raymond, Chair, House Committee on Human Services Honorable Richard Peña Raymond, Chair, House Committee on Human Services Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board HB1829 by Gonzalez, Naomi (Relating to safe patient handling and movement practices at hospitals and nursing homes.), As Introduced HB1829 by Gonzalez, Naomi (Relating to safe patient handling and movement practices at hospitals and nursing homes.), As Introduced No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend Chapter 256 of the Health and Safety Code as it relates to required safe patient handling and movement policy pertaining to general and specific hospitals, private mental hospitals, hospitals operated by the state, and nursing homes. The bill would require increased education for nurses and other staff, a registered nurse to supervise all patient handling or movement, manual patient handling to be conducted by two-person teams except in certain circumstances, and implementation of a quality oversight body at a facility for enforcement of safe handling practices. The University of Texas System and The Texas A&M University System indicate any cost to implement provisions of the bill would be minimal and can be absorbed within available resources, and it is assumed the Department of State Health Services can absorb any costs within existing resources. The bill would amend Chapter 256 of the Health and Safety Code as it relates to required safe patient handling and movement policy pertaining to general and specific hospitals, private mental hospitals, hospitals operated by the state, and nursing homes. The bill would require increased education for nurses and other staff, a registered nurse to supervise all patient handling or movement, manual patient handling to be conducted by two-person teams except in certain circumstances, and implementation of a quality oversight body at a facility for enforcement of safe handling practices. The University of Texas System and The Texas A&M University System indicate any cost to implement provisions of the bill would be minimal and can be absorbed within available resources, and it is assumed the Department of State Health Services can absorb any costs within existing resources. Local Government Impact There could be an indeterminate fiscal impact to a local governmental entity that operates an applicable hospital or nursing facility to comply with the provisions of the bill; however, the amounts would vary depending on current processes and procedures. Source Agencies: 537 State Health Services, Department of, 539 Aging and Disability Services, Department of, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration 537 State Health Services, Department of, 539 Aging and Disability Services, Department of, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: UP, CL, LL, VJC, CH UP, CL, LL, VJC, CH