LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION April 23, 2017 TO: Honorable Kelly Hancock, Chair, Senate Committee on Business & Commerce FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1148 by Buckingham (Relating to maintenance of certification by a physician or an applicant for a license to practice medicine in this state; authorizing a fee.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend the Occupations Code and the Insurance Code relating to maintenance of certification by a physician or an applicant for a license to practice medicine in this state and authorizing a fee for the application. The bill would prohibit certain hospitals, institutions, programs, or managed care plan issuer from differentiating between physicians based solely on a physician's maintenance of certificate. The bill provides exceptions for a managed care plan issuer if the maintenance of certificate is certified with the Texas Medical Board (TMB). The bill would prohibit the TMB from requiring maintenance of certificate or adopting a rule that would require maintenance of certificate. The bill would prohibit a state agency, including the Health and Human Services Commission and the Department of State Health Services from requiring a hospital or other provider to require maintenance of certification by a physician. Under the provisions of the bill, TMB would be required to establish a process to issue a certificate authorizing an entity to provide maintenance of certification for physicians. TMB would be required to establish certain criteria for the certification and would be permitted to set a fee for a certification. Based on the analysis of the TMB, data is unavailable on the number of applications for certification that would be received under the provisions of the bill, but it is assumed duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. It is not assumed there would be significant amount of revenue generated from the fee for the application process due to TMB implementing the provisions of the bill within existing resources. The University of Texas System Administration, Texas A&M University System Administrative and General Offices, Department of Insurance, Health and Human Services Commission, and 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:304 Comptroller of Public Accounts, 454 Department of Insurance, 503 Texas Medical Board, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration, 537 State Health Services, Department of LBB Staff: UP, CL, EH, EK, TBo
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION
April 23, 2017
TO: Honorable Kelly Hancock, Chair, Senate Committee on Business & Commerce FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB1148 by Buckingham (Relating to maintenance of certification by a physician or an applicant for a license to practice medicine in this state; authorizing a fee.), Committee Report 1st House, Substituted
TO: Honorable Kelly Hancock, Chair, Senate Committee on Business & Commerce
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: SB1148 by Buckingham (Relating to maintenance of certification by a physician or an applicant for a license to practice medicine in this state; authorizing a fee.), Committee Report 1st House, Substituted
Honorable Kelly Hancock, Chair, Senate Committee on Business & Commerce
Honorable Kelly Hancock, Chair, Senate Committee on Business & Commerce
Ursula Parks, Director, Legislative Budget Board
Ursula Parks, Director, Legislative Budget Board
SB1148 by Buckingham (Relating to maintenance of certification by a physician or an applicant for a license to practice medicine in this state; authorizing a fee.), Committee Report 1st House, Substituted
SB1148 by Buckingham (Relating to maintenance of certification by a physician or an applicant for a license to practice medicine in this state; authorizing a fee.), 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 Occupations Code and the Insurance Code relating to maintenance of certification by a physician or an applicant for a license to practice medicine in this state and authorizing a fee for the application. The bill would prohibit certain hospitals, institutions, programs, or managed care plan issuer from differentiating between physicians based solely on a physician's maintenance of certificate. The bill provides exceptions for a managed care plan issuer if the maintenance of certificate is certified with the Texas Medical Board (TMB). The bill would prohibit the TMB from requiring maintenance of certificate or adopting a rule that would require maintenance of certificate. The bill would prohibit a state agency, including the Health and Human Services Commission and the Department of State Health Services from requiring a hospital or other provider to require maintenance of certification by a physician. Under the provisions of the bill, TMB would be required to establish a process to issue a certificate authorizing an entity to provide maintenance of certification for physicians. TMB would be required to establish certain criteria for the certification and would be permitted to set a fee for a certification. Based on the analysis of the TMB, data is unavailable on the number of applications for certification that would be received under the provisions of the bill, but it is assumed duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources. It is not assumed there would be significant amount of revenue generated from the fee for the application process due to TMB implementing the provisions of the bill within existing resources. The University of Texas System Administration, Texas A&M University System Administrative and General Offices, Department of Insurance, Health and Human Services Commission, and 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: 304 Comptroller of Public Accounts, 454 Department of Insurance, 503 Texas Medical Board, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration, 537 State Health Services, Department of
304 Comptroller of Public Accounts, 454 Department of Insurance, 503 Texas Medical Board, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration, 537 State Health Services, Department of
LBB Staff: UP, CL, EH, EK, TBo
UP, CL, EH, EK, TBo