LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 4, 2017 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1101 by Taylor, Van (Relating to the prescription of epinephrine auto-injectors to and administration of epinephrine auto-injectors in day-care centers; limiting liability.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend the Human Resources Code to authorize a physician, or a person delegated prescribing authority by a physician, to prescribe epinephrine auto-injectors in the name of a day-care center, and require a physician, or a person delegated prescribing authority by a physician, to provide a day-care center with a standing order for the administration of an epinephrine auto-injector to a person reasonably believed to be experiencing anaphylaxis. The bill would require that each day-care center is responsible for training personnel in the administration of an epinephrine auto-injector. The bill would take effect immediately upon receiving a two-thirds majority vote of both houses. Otherwise, the bill would take effect September 1, 2017. Based on the LBB's analysis of the Health and Human Services Commission, Board of Pharmacy, and Texas Medical Board, 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, 515 Board of Pharmacy, 529 Health and Human Services Commission LBB Staff: UP, KCA, EP, MDI, TBo, EK
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION
May 4, 2017
TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1101 by Taylor, Van (Relating to the prescription of epinephrine auto-injectors to and administration of epinephrine auto-injectors in day-care centers; limiting liability.), Committee Report 1st House, Substituted
TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: SB1101 by Taylor, Van (Relating to the prescription of epinephrine auto-injectors to and administration of epinephrine auto-injectors in day-care centers; limiting liability.), Committee Report 1st House, Substituted
Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services
Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services
Ursula Parks, Director, Legislative Budget Board
Ursula Parks, Director, Legislative Budget Board
SB1101 by Taylor, Van (Relating to the prescription of epinephrine auto-injectors to and administration of epinephrine auto-injectors in day-care centers; limiting liability.), Committee Report 1st House, Substituted
SB1101 by Taylor, Van (Relating to the prescription of epinephrine auto-injectors to and administration of epinephrine auto-injectors in day-care centers; limiting liability.), Committee Report 1st 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 Human Resources Code to authorize a physician, or a person delegated prescribing authority by a physician, to prescribe epinephrine auto-injectors in the name of a day-care center, and require a physician, or a person delegated prescribing authority by a physician, to provide a day-care center with a standing order for the administration of an epinephrine auto-injector to a person reasonably believed to be experiencing anaphylaxis. The bill would require that each day-care center is responsible for training personnel in the administration of an epinephrine auto-injector. The bill would take effect immediately upon receiving a two-thirds majority vote of both houses. Otherwise, the bill would take effect September 1, 2017. Based on the LBB's analysis of the Health and Human Services Commission, Board of Pharmacy, and Texas Medical Board, 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, 515 Board of Pharmacy, 529 Health and Human Services Commission
503 Texas Medical Board, 515 Board of Pharmacy, 529 Health and Human Services Commission
LBB Staff: UP, KCA, EP, MDI, TBo, EK
UP, KCA, EP, MDI, TBo, EK