LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION April 29, 2021 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB1424 by Oliverson (Relating to protection of persons from participation in a health care service for reasons of conscience; providing a civil remedy; authorizing disciplinary action.), Committee Report 1st House, Substituted No significant fiscal implication to the State is anticipated. The bill would amend Health and Safety Code to allow a person to decline participation in a health care service for reasons of conscience except in certain circumstances. The bill would also prohibit any person or entity from taking an adverse action because a person declines to participate in a health care service for reasons of conscience. A health care facility would be required to adopt protocols for how a person would decline participation in a health care service for reasons of conscience no later than December 1, 2021.The Health and Human Services Commission indicates any cost to implement provisions of the bill would be minimal and could be absorbed within available resources. It is assumed any cost for the University of Texas to implement provisions of the bill would be minimal and could be absorbed within available resources. Local Government ImpactNo significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Hlth & Human Svcs Comm, 720 UT Sys Admin LBB Staff: b > td > JMc, AKI, JLI LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION April 29, 2021 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB1424 by Oliverson (Relating to protection of persons from participation in a health care service for reasons of conscience; providing a civil remedy; authorizing disciplinary action.), Committee Report 1st House, Substituted TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB1424 by Oliverson (Relating to protection of persons from participation in a health care service for reasons of conscience; providing a civil remedy; authorizing disciplinary action.), Committee Report 1st House, Substituted Honorable Stephanie Klick, Chair, House Committee on Public Health Honorable Stephanie Klick, Chair, House Committee on Public Health Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board HB1424 by Oliverson (Relating to protection of persons from participation in a health care service for reasons of conscience; providing a civil remedy; authorizing disciplinary action.), Committee Report 1st House, Substituted HB1424 by Oliverson (Relating to protection of persons from participation in a health care service for reasons of conscience; providing a civil remedy; authorizing disciplinary action.), 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 Health and Safety Code to allow a person to decline participation in a health care service for reasons of conscience except in certain circumstances. The bill would also prohibit any person or entity from taking an adverse action because a person declines to participate in a health care service for reasons of conscience. A health care facility would be required to adopt protocols for how a person would decline participation in a health care service for reasons of conscience no later than December 1, 2021.The Health and Human Services Commission indicates any cost to implement provisions of the bill would be minimal and could be absorbed within available resources. It is assumed any cost for the University of Texas to implement provisions of the bill would be minimal and could be absorbed within available resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 529 Hlth & Human Svcs Comm, 720 UT Sys Admin 529 Hlth & Human Svcs Comm, 720 UT Sys Admin LBB Staff: b > td > JMc, AKI, JLI JMc, AKI, JLI