LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 7, 2017 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB315 by Hinojosa (Relating to the enforcement of subpoenas and the regulation of pain management clinics by the Texas Medical Board.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend the Occupations Code relating to the enforcement of subpoenas and the regulation of pain management clinics by the Texas Medical Board (TMB). The bill would permit TMB, acting through the Attorney General, to file suit to enforce a subpoena in a district court in Travis County or in a county in which a hearing was conducted. The bill permits TMB to inspect non-certified pain management clinics. Under the provisions of the bill, inappropriate prescribing would include nontherapeutic prescribing or other conduct specified by TMB. TMB, the Office of Court Administration, and the Office of the Attorney General 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:212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General, 503 Texas Medical Board LBB Staff: UP, KCA, EH, EK LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION May 7, 2017 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB315 by Hinojosa (Relating to the enforcement of subpoenas and the regulation of pain management clinics by the Texas Medical Board.), 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: SB315 by Hinojosa (Relating to the enforcement of subpoenas and the regulation of pain management clinics by the Texas Medical Board.), 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 SB315 by Hinojosa (Relating to the enforcement of subpoenas and the regulation of pain management clinics by the Texas Medical Board.), Committee Report 1st House, Substituted SB315 by Hinojosa (Relating to the enforcement of subpoenas and the regulation of pain management clinics by the Texas Medical Board.), 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 relating to the enforcement of subpoenas and the regulation of pain management clinics by the Texas Medical Board (TMB). The bill would permit TMB, acting through the Attorney General, to file suit to enforce a subpoena in a district court in Travis County or in a county in which a hearing was conducted. The bill permits TMB to inspect non-certified pain management clinics. Under the provisions of the bill, inappropriate prescribing would include nontherapeutic prescribing or other conduct specified by TMB. TMB, the Office of Court Administration, and the Office of the Attorney General 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: 212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General, 503 Texas Medical Board 212 Office of Court Administration, Texas Judicial Council, 302 Office of the Attorney General, 503 Texas Medical Board LBB Staff: UP, KCA, EH, EK UP, KCA, EH, EK