LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION April 11, 2017 TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB919 by Rodríguez (Relating to the authority of an advanced practice registered nurse or physician assistant to sign a death certificate or out-of-hospital do-not-resuscitate order.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code to authorize physician assistants and advanced practice registered nurses to sign a death certificate or out-of-hospital do-not-resuscitate order. The bill would take effect immediately upon 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 Department of State Health Services, 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, 507 Texas Board of Nursing, 529 Health and Human Services Commission, 537 State Health Services, Department of LBB Staff: UP, KCA, EP, MDI, RD, TBo
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION
April 11, 2017
TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services FROM: Ursula Parks, Director, Legislative Budget Board IN RE:SB919 by Rodríguez (Relating to the authority of an advanced practice registered nurse or physician assistant to sign a death certificate or out-of-hospital do-not-resuscitate order.), As Introduced
TO: Honorable Charles Schwertner, Chair, Senate Committee on Health & Human Services
FROM: Ursula Parks, Director, Legislative Budget Board
IN RE: SB919 by Rodríguez (Relating to the authority of an advanced practice registered nurse or physician assistant to sign a death certificate or out-of-hospital do-not-resuscitate order.), As Introduced
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
SB919 by Rodríguez (Relating to the authority of an advanced practice registered nurse or physician assistant to sign a death certificate or out-of-hospital do-not-resuscitate order.), As Introduced
SB919 by Rodríguez (Relating to the authority of an advanced practice registered nurse or physician assistant to sign a death certificate or out-of-hospital do-not-resuscitate order.), As Introduced
No significant fiscal implication to the State is anticipated.
No significant fiscal implication to the State is anticipated.
The bill would amend the Health and Safety Code to authorize physician assistants and advanced practice registered nurses to sign a death certificate or out-of-hospital do-not-resuscitate order. The bill would take effect immediately upon 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 Department of State Health Services, 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, 507 Texas Board of Nursing, 529 Health and Human Services Commission, 537 State Health Services, Department of
503 Texas Medical Board, 507 Texas Board of Nursing, 529 Health and Human Services Commission, 537 State Health Services, Department of
LBB Staff: UP, KCA, EP, MDI, RD, TBo
UP, KCA, EP, MDI, RD, TBo