LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 18, 2017 TO: Honorable J. M. Lozano, Chair, House Committee on Higher Education FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1066 by Schwertner (Relating to meeting the graduate medical education needs of new medical degree programs offered by public institutions of higher education and to the employment status of certain residents participating in certain graduate medical education programs.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend the Education Code and the Health and Safety Code relating to meeting the graduate medical education needs of new medical degree programs offered by public institutions of higher education and to the employment status of certain residents participating in certain graduate medical education programs. The bill would require institutions that complete preliminary planning for a new doctor of medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree to submit a specific plan to the Texas Higher Education Coordinating Board (THECB) regarding the addition of first-year residency positions for the graduate medical education program to be offered in connection with the new degree program. The bill would make the submission of this plan a prerequisite for THECB's approval of the proposed degree program. The bill would identify a resident engaged in graduate medical education in a public or nonprofit hospital in association with a medical and dental unit as an employee of a state agency.Based on information provided by THECB, Employees Retirement System, Teacher Retirement System, and institutions of higher education, duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies:304 Comptroller of Public Accounts, 323 Teacher Retirement System, 327 Employees Retirement System, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration, 758 Texas State University System, 768 Texas Tech University System Administration, 781 Higher Education Coordinating Board, 783 University of Houston System Administration LBB Staff: UP, THo, DEH, ED LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 18, 2017 TO: Honorable J. M. Lozano, Chair, House Committee on Higher Education FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1066 by Schwertner (Relating to meeting the graduate medical education needs of new medical degree programs offered by public institutions of higher education and to the employment status of certain residents participating in certain graduate medical education programs.), Committee Report 2nd House, Substituted TO: Honorable J. M. Lozano, Chair, House Committee on Higher Education FROM: Ursula Parks, Director, Legislative Budget Board IN RE: SB1066 by Schwertner (Relating to meeting the graduate medical education needs of new medical degree programs offered by public institutions of higher education and to the employment status of certain residents participating in certain graduate medical education programs.), Committee Report 2nd House, Substituted Honorable J. M. Lozano, Chair, House Committee on Higher Education Honorable J. M. Lozano, Chair, House Committee on Higher Education Ursula Parks, Director, Legislative Budget Board Ursula Parks, Director, Legislative Budget Board SB1066 by Schwertner (Relating to meeting the graduate medical education needs of new medical degree programs offered by public institutions of higher education and to the employment status of certain residents participating in certain graduate medical education programs.), Committee Report 2nd House, Substituted SB1066 by Schwertner (Relating to meeting the graduate medical education needs of new medical degree programs offered by public institutions of higher education and to the employment status of certain residents participating in certain graduate medical education programs.), Committee Report 2nd House, Substituted No significant fiscal implication to the State is anticipated. No significant fiscal implication to the State is anticipated. The bill would amend the Education Code and the Health and Safety Code relating to meeting the graduate medical education needs of new medical degree programs offered by public institutions of higher education and to the employment status of certain residents participating in certain graduate medical education programs. The bill would require institutions that complete preliminary planning for a new doctor of medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree to submit a specific plan to the Texas Higher Education Coordinating Board (THECB) regarding the addition of first-year residency positions for the graduate medical education program to be offered in connection with the new degree program. The bill would make the submission of this plan a prerequisite for THECB's approval of the proposed degree program. The bill would identify a resident engaged in graduate medical education in a public or nonprofit hospital in association with a medical and dental unit as an employee of a state agency.Based on information provided by THECB, Employees Retirement System, Teacher Retirement System, and institutions of higher education, duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 304 Comptroller of Public Accounts, 323 Teacher Retirement System, 327 Employees Retirement System, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration, 758 Texas State University System, 768 Texas Tech University System Administration, 781 Higher Education Coordinating Board, 783 University of Houston System Administration 304 Comptroller of Public Accounts, 323 Teacher Retirement System, 327 Employees Retirement System, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration, 758 Texas State University System, 768 Texas Tech University System Administration, 781 Higher Education Coordinating Board, 783 University of Houston System Administration LBB Staff: UP, THo, DEH, ED UP, THo, DEH, ED