LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 24, 2017 TO: Honorable Dan Patrick, Lieutenant Governor, Senate 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.), As Passed 2nd House 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. The bill would prohibit a managed care plan issuer from differentiating between physicians based solely on a physician's maintenance of certificate. The bill provides exceptions. The bill would create a joint interim committee to study and assess maintenance of certifications of physicians in the state. The bill would require the joint interim committee to report the findings and recommendations by January 15, 2019.The Texas Medical Board, University of Texas System Administration, Texas A&M University System Administrative and General Offices, Department of Insurance, and the Health and Human Services Commission 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, EK, JGA, KCA, EH, CL, TBo LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 24, 2017 TO: Honorable Dan Patrick, Lieutenant Governor, Senate 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.), As Passed 2nd House TO: Honorable Dan Patrick, Lieutenant Governor, Senate 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.), As Passed 2nd House Honorable Dan Patrick, Lieutenant Governor, Senate Honorable Dan Patrick, Lieutenant Governor, Senate 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.), As Passed 2nd House SB1148 by Buckingham (Relating to maintenance of certification by a physician or an applicant for a license to practice medicine in this state.), As Passed 2nd House 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. The bill would prohibit a managed care plan issuer from differentiating between physicians based solely on a physician's maintenance of certificate. The bill provides exceptions. The bill would create a joint interim committee to study and assess maintenance of certifications of physicians in the state. The bill would require the joint interim committee to report the findings and recommendations by January 15, 2019.The Texas Medical Board, University of Texas System Administration, Texas A&M University System Administrative and General Offices, Department of Insurance, and the Health and Human Services Commission 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, EK, JGA, KCA, EH, CL, TBo UP, EK, JGA, KCA, EH, CL, TBo