LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION May 8, 2013 TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB3556 by Kolkhorst (Relating to the licensing and regulation of emergency medical services providers and a moratorium on the issuance of emergency medical services provider licenses.), As Engrossed No significant fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code as it relates to the licensing and regulation of emergency medical services providers and a moratorium on the issuance of emergency medical services provider licenses. The bill adds a licensure provision requiring emergency medical services provider applicants to hold a letter of approval issued from a local government entity.The bill adds provisions related to emergency ambulance transportation providers including requiring providers to provide the Department of State Health Services (DSHS) with letters of credit and a surety bond. Under the provisions of the bill, DSHS would be required to submit a report no later than December 1 of even numbered years to the Governor and the Legislature on license and regulatory actions on emergency medical service providers. Additionally, the bill places a moratorium on the issuance of a new emergency medical services provider license for the period beginning on September 1, 2013 and ending on February 28, 2015. Based on the analysis provided by DSHS and the Comptroller of Public Accounts (CPA), the moratorium will result in a decrease in revenue, but this loss in revenue could reasonably be absorbed by DSHS. Based on the analysis provided by DSHS and CPA, it is assumed that the provisions of the bill can be implemented within existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:537 State Health Services, Department of, 304 Comptroller of Public Accounts LBB Staff: UP, KKR, CH, CL, NB
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION
May 8, 2013
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB3556 by Kolkhorst (Relating to the licensing and regulation of emergency medical services providers and a moratorium on the issuance of emergency medical services provider licenses.), As Engrossed
TO: Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: HB3556 by Kolkhorst (Relating to the licensing and regulation of emergency medical services providers and a moratorium on the issuance of emergency medical services provider licenses.), As Engrossed
Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
Ursula Parks, Director, Legislative Budget Board
Ursula Parks, Director, Legislative Budget Board
HB3556 by Kolkhorst (Relating to the licensing and regulation of emergency medical services providers and a moratorium on the issuance of emergency medical services provider licenses.), As Engrossed
HB3556 by Kolkhorst (Relating to the licensing and regulation of emergency medical services providers and a moratorium on the issuance of emergency medical services provider licenses.), As Engrossed
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 as it relates to the licensing and regulation of emergency medical services providers and a moratorium on the issuance of emergency medical services provider licenses. The bill adds a licensure provision requiring emergency medical services provider applicants to hold a letter of approval issued from a local government entity.The bill adds provisions related to emergency ambulance transportation providers including requiring providers to provide the Department of State Health Services (DSHS) with letters of credit and a surety bond. Under the provisions of the bill, DSHS would be required to submit a report no later than December 1 of even numbered years to the Governor and the Legislature on license and regulatory actions on emergency medical service providers. Additionally, the bill places a moratorium on the issuance of a new emergency medical services provider license for the period beginning on September 1, 2013 and ending on February 28, 2015. Based on the analysis provided by DSHS and the Comptroller of Public Accounts (CPA), the moratorium will result in a decrease in revenue, but this loss in revenue could reasonably be absorbed by DSHS. Based on the analysis provided by DSHS and CPA, it is assumed that the provisions of the bill can be implemented within existing resources.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 537 State Health Services, Department of, 304 Comptroller of Public Accounts
537 State Health Services, Department of, 304 Comptroller of Public Accounts
LBB Staff: UP, KKR, CH, CL, NB
UP, KKR, CH, CL, NB