LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION April 24, 2017 TO: Honorable Four Price, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1846 by Coleman (Relating to the prescribing and ordering of Schedule II controlled substances by certain advanced practice registered nurses and physician assistants.), As Introduced No significant fiscal implication to the State is anticipated. The bill would require pharmacists practicing in a Class A pharmacy to dispense a Schedule II Controlled Substance prescribed by an Advance Practice Registered Nurse or Physician Assistant to whom a physician has delegated prescribing and ordering authority. The Health and Human Services Commission and the Texas Medical Board indicate that any costs associated with the bill could be absorbed within the agency's existing resources. The bill would take effect immediately upon a two-thirds majority vote of both houses. Otherwise, it would take effect September 1, 2017. Based on the LBB's analysis of the Board of Nursing and the Board of Pharmacy, duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies:503 Texas Medical Board, 507 Texas Board of Nursing, 515 Board of Pharmacy, 529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: UP, KCA, EP, MDI, EK
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION
April 24, 2017
TO: Honorable Four Price, Chair, House Committee on Public Health FROM: Ursula Parks, Director, Legislative Budget Board IN RE:HB1846 by Coleman (Relating to the prescribing and ordering of Schedule II controlled substances by certain advanced practice registered nurses and physician assistants.), As Introduced
TO: Honorable Four Price, Chair, House Committee on Public Health
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: HB1846 by Coleman (Relating to the prescribing and ordering of Schedule II controlled substances by certain advanced practice registered nurses and physician assistants.), As Introduced
Honorable Four Price, Chair, House Committee on Public Health
Honorable Four Price, Chair, House Committee on Public Health
Ursula Parks, Director, Legislative Budget Board
Ursula Parks, Director, Legislative Budget Board
HB1846 by Coleman (Relating to the prescribing and ordering of Schedule II controlled substances by certain advanced practice registered nurses and physician assistants.), As Introduced
HB1846 by Coleman (Relating to the prescribing and ordering of Schedule II controlled substances by certain advanced practice registered nurses and physician assistants.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would require pharmacists practicing in a Class A pharmacy to dispense a Schedule II Controlled Substance prescribed by an Advance Practice Registered Nurse or Physician Assistant to whom a physician has delegated prescribing and ordering authority. The Health and Human Services Commission and the Texas Medical Board indicate that any costs associated with the bill could be absorbed within the agency's existing resources. The bill would take effect immediately upon a two-thirds majority vote of both houses. Otherwise, it would take effect September 1, 2017. Based on the LBB's analysis of the Board of Nursing and the Board of Pharmacy, duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.
Source Agencies: 503 Texas Medical Board, 507 Texas Board of Nursing, 515 Board of Pharmacy, 529 Health and Human Services Commission, 537 State Health Services, Department of
503 Texas Medical Board, 507 Texas Board of Nursing, 515 Board of Pharmacy, 529 Health and Human Services Commission, 537 State Health Services, Department of
LBB Staff: UP, KCA, EP, MDI, EK
UP, KCA, EP, MDI, EK