LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 20, 2015 TO: Honorable Myra Crownover, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB3903 by Sheffield (Relating to a requirement that a hospital allow a patient to designate a caregiver to receive aftercare instruction regarding the patient.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code to require a hospital to provide a patient the opportunity to designate a caregiver. Under the provisions of the bill, a hospital would be required to document or record if the patient named a caregiver, the caregiver's information, and request written authorization from the caregiver. The bill would require a hospital to provide notification to a caregiver of a patient's transfer or discharge and provide a discharge plan and designated caregiver after care instruction. The bill would sets forth documentation requirements of a hospital. The bill would require the executive commissioner of the Health and Human Services Commission to adopt rules necessary to implement the chapter.The Health and Human Services Commission and the Department of State Health Services anticipate any additional work resulting from the passage of the bill could be reasonably absorbed within current resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies:529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: UP, NB, SD, EK LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 84TH LEGISLATIVE REGULAR SESSION April 20, 2015 TO: Honorable Myra Crownover, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB3903 by Sheffield (Relating to a requirement that a hospital allow a patient to designate a caregiver to receive aftercare instruction regarding the patient.), As Introduced TO: Honorable Myra Crownover, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE: HB3903 by Sheffield (Relating to a requirement that a hospital allow a patient to designate a caregiver to receive aftercare instruction regarding the patient.), As Introduced Honorable Myra Crownover, Chair, House Committee on Public Health Honorable Myra Crownover, Chair, House Committee on Public Health Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board HB3903 by Sheffield (Relating to a requirement that a hospital allow a patient to designate a caregiver to receive aftercare instruction regarding the patient.), As Introduced HB3903 by Sheffield (Relating to a requirement that a hospital allow a patient to designate a caregiver to receive aftercare instruction regarding the patient.), As Introduced 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 to require a hospital to provide a patient the opportunity to designate a caregiver. Under the provisions of the bill, a hospital would be required to document or record if the patient named a caregiver, the caregiver's information, and request written authorization from the caregiver. The bill would require a hospital to provide notification to a caregiver of a patient's transfer or discharge and provide a discharge plan and designated caregiver after care instruction. The bill would sets forth documentation requirements of a hospital. The bill would require the executive commissioner of the Health and Human Services Commission to adopt rules necessary to implement the chapter.The Health and Human Services Commission and the Department of State Health Services anticipate any additional work resulting from the passage of the bill could be reasonably absorbed within current resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: 529 Health and Human Services Commission, 537 State Health Services, Department of 529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: UP, NB, SD, EK UP, NB, SD, EK