LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION April 28, 2017 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB833 by Hughes (Relating to the regulation of certain health organizations certified by the Texas Medical Board; providing an administrative penalty.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend the Occupations Code relating to the regulation of certain health organizations certified by the Texas Medical Board (TMB); providing an administrative penalty. The bill would permit the TMB to impose an administrative penalty on a health organization that commits a violation. The bill would require TMB to accept and process complaints against a certified health organization. Under the provisions of the bill, TMB would be permitted to dispose of a complaint or resolve the investigation of a complaint under certain conditions. The bill would prohibit a nonprofit health corporation from retaliating against a person for filing complaints. The Comptroller of Public Accounts reports revenue from the provisions of the bill cannot be estimated due to an unknown number of violations that would be subject to an administrative penalty. Based on LBB's analysis, it is not assumed the administrative penalties would be a significant source of revenue to the state.TMB and 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 fiscal implication to units of local government is anticipated. Source Agencies:304 Comptroller of Public Accounts, 503 Texas Medical Board, 302 Office of the Attorney General, 529 Health and Human Services Commission LBB Staff: UP, KCA, EH, EK, JSm LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION April 28, 2017 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB833 by Hughes (Relating to the regulation of certain health organizations certified by the Texas Medical Board; providing an administrative penalty.), 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: SB833 by Hughes (Relating to the regulation of certain health organizations certified by the Texas Medical Board; providing an administrative penalty.), 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 SB833 by Hughes (Relating to the regulation of certain health organizations certified by the Texas Medical Board; providing an administrative penalty.), Committee Report 1st House, Substituted SB833 by Hughes (Relating to the regulation of certain health organizations certified by the Texas Medical Board; providing an administrative penalty.), 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 regulation of certain health organizations certified by the Texas Medical Board (TMB); providing an administrative penalty. The bill would permit the TMB to impose an administrative penalty on a health organization that commits a violation. The bill would require TMB to accept and process complaints against a certified health organization. Under the provisions of the bill, TMB would be permitted to dispose of a complaint or resolve the investigation of a complaint under certain conditions. The bill would prohibit a nonprofit health corporation from retaliating against a person for filing complaints. The Comptroller of Public Accounts reports revenue from the provisions of the bill cannot be estimated due to an unknown number of violations that would be subject to an administrative penalty. Based on LBB's analysis, it is not assumed the administrative penalties would be a significant source of revenue to the state.TMB and 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 fiscal implication to units of local government is anticipated. Source Agencies: 304 Comptroller of Public Accounts, 503 Texas Medical Board, 302 Office of the Attorney General, 529 Health and Human Services Commission 304 Comptroller of Public Accounts, 503 Texas Medical Board, 302 Office of the Attorney General, 529 Health and Human Services Commission LBB Staff: UP, KCA, EH, EK, JSm UP, KCA, EH, EK, JSm