LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION May 23, 2013 TO: Honorable Joe Straus, Speaker of the House, House of Representatives 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 Passed 2nd House 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. Additionally, certain providers would be required to provide a surety bond to the Health and Human Services Commission (HHSC). 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. It is assumed that the provisions of the bill can be implemented within existing resources at DSHS and HHSC. Local Government Impact No significant 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, SD, CH, KKR, CL, NB LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION May 23, 2013 TO: Honorable Joe Straus, Speaker of the House, House of Representatives 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 Passed 2nd House TO: Honorable Joe Straus, Speaker of the House, House of Representatives 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 Passed 2nd House Honorable Joe Straus, Speaker of the House, House of Representatives Honorable Joe Straus, Speaker of the House, House of Representatives 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 Passed 2nd House 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 Passed 2nd House 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. Additionally, certain providers would be required to provide a surety bond to the Health and Human Services Commission (HHSC). 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. It is assumed that the provisions of the bill can be implemented within existing resources at DSHS and HHSC. Local Government Impact No significant 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, SD, CH, KKR, CL, NB UP, SD, CH, KKR, CL, NB