Texas 2021 87th Regular

Texas House Bill HB1535 Fiscal Note / Fiscal Note

Filed 04/06/2021

                    LEGISLATIVE BUDGET BOARD     Austin, Texas       FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION             April 6, 2021       TO: Honorable Stephanie Klick, Chair, House Committee on Public Health     FROM: Jerry McGinty, Director, Legislative Budget Board      IN RE: HB1535 by Klick (Relating to the medical use of low-THC cannabis by patients with certain medical conditions and the establishment of compassionate-use institutional review boards to evaluate and approve proposed research programs to study the medical use of low-THC cannabis in the treatment of certain patients.), As Introduced     No significant fiscal implication to the State is anticipated. The bill would amend Health and Safety Code Chapter 487 to require the Health and Human Services Commission (HHSC) to establish one or more compassionate-use institutional review boards to evaluate proposed research programs to study the medical use of low-THC cannabis in treating certain conditions and oversee patient treatment undertaken as part of the approved research program. The bill would require patient treatment provided as part of an approved research program to be administered only by a physician certified by an institutional review board to participate in the program. The Texas Medical Board (TMB) would be required to adopt rules regarding the certification of a physician participating in the program.   Each institutional review board would be required to submit written reports to HHSC no later than October 1 of each year; and the legislature no later than October 1 of each even-number year.   The bill would require the executive commissioner of HHSC to adopt rules as necessary for the proposed research programs no later than December 1, 2021. Additionally, the Department of Public Safety (DPS) would be required to adopt or amend rules regarding the cultivation, processing and dispensing of low-THC cannabis by a licensed dispensing organization under Health and Safety Code Chapter 487 by December 1, 2021. The bill would also amend Occupations Code Chapter 169 to add a definition and a list of conditions in which a physician could prescribe low-THC cannabis to a patient. The Department of State Health Services (DSHS) would be required to develop rules to designate debilitating medical conditions in which a physician may prescribe low-THC cannabis.DPS, TMB, HHSC, and DSHS indicate any cost 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 > 405 Department of Public Safety, 503 Texas Medical Board, 529 Hlth & Human Svcs Comm, 537 State Health Services  LBB Staff: b > td > JMc, AKI, JLI

LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION
April 6, 2021

 

 

  TO: Honorable Stephanie Klick, Chair, House Committee on Public Health     FROM: Jerry McGinty, Director, Legislative Budget Board      IN RE: HB1535 by Klick (Relating to the medical use of low-THC cannabis by patients with certain medical conditions and the establishment of compassionate-use institutional review boards to evaluate and approve proposed research programs to study the medical use of low-THC cannabis in the treatment of certain patients.), As Introduced   

TO: Honorable Stephanie Klick, Chair, House Committee on Public Health
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: HB1535 by Klick (Relating to the medical use of low-THC cannabis by patients with certain medical conditions and the establishment of compassionate-use institutional review boards to evaluate and approve proposed research programs to study the medical use of low-THC cannabis in the treatment of certain patients.), As Introduced

 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 

 HB1535 by Klick (Relating to the medical use of low-THC cannabis by patients with certain medical conditions and the establishment of compassionate-use institutional review boards to evaluate and approve proposed research programs to study the medical use of low-THC cannabis in the treatment of certain patients.), As Introduced 

 HB1535 by Klick (Relating to the medical use of low-THC cannabis by patients with certain medical conditions and the establishment of compassionate-use institutional review boards to evaluate and approve proposed research programs to study the medical use of low-THC cannabis in the treatment of certain patients.), As Introduced 



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 Chapter 487 to require the Health and Human Services Commission (HHSC) to establish one or more compassionate-use institutional review boards to evaluate proposed research programs to study the medical use of low-THC cannabis in treating certain conditions and oversee patient treatment undertaken as part of the approved research program. The bill would require patient treatment provided as part of an approved research program to be administered only by a physician certified by an institutional review board to participate in the program. The Texas Medical Board (TMB) would be required to adopt rules regarding the certification of a physician participating in the program.   Each institutional review board would be required to submit written reports to HHSC no later than October 1 of each year; and the legislature no later than October 1 of each even-number year.   The bill would require the executive commissioner of HHSC to adopt rules as necessary for the proposed research programs no later than December 1, 2021. Additionally, the Department of Public Safety (DPS) would be required to adopt or amend rules regarding the cultivation, processing and dispensing of low-THC cannabis by a licensed dispensing organization under Health and Safety Code Chapter 487 by December 1, 2021. The bill would also amend Occupations Code Chapter 169 to add a definition and a list of conditions in which a physician could prescribe low-THC cannabis to a patient. The Department of State Health Services (DSHS) would be required to develop rules to designate debilitating medical conditions in which a physician may prescribe low-THC cannabis.DPS, TMB, HHSC, and DSHS indicate any cost to implement provisions of the bill would be minimal and could be absorbed within available resources.



Each institutional review board would be required to submit written reports to HHSC no later than October 1 of each year; and the legislature no later than October 1 of each even-number year. 



The bill would require the executive commissioner of HHSC to adopt rules as necessary for the proposed research programs no later than December 1, 2021. Additionally, the Department of Public Safety (DPS) would be required to adopt or amend rules regarding the cultivation, processing and dispensing of low-THC cannabis by a licensed dispensing organization under Health and Safety Code Chapter 487 by December 1, 2021. The bill would also amend Occupations Code Chapter 169 to add a definition and a list of conditions in which a physician could prescribe low-THC cannabis to a patient. The Department of State Health Services (DSHS) would be required to develop rules to designate debilitating medical conditions in which a physician may prescribe low-THC cannabis.DPS, TMB, HHSC, and DSHS indicate any cost to implement provisions of the bill would be minimal and could be absorbed within available resources.

The bill would also amend Occupations Code Chapter 169 to add a definition and a list of conditions in which a physician could prescribe low-THC cannabis to a patient. The Department of State Health Services (DSHS) would be required to develop rules to designate debilitating medical conditions in which a physician may prescribe low-THC cannabis.DPS, TMB, HHSC, and DSHS indicate any cost 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 > 405 Department of Public Safety, 503 Texas Medical Board, 529 Hlth & Human Svcs Comm, 537 State Health Services

405 Department of Public Safety, 503 Texas Medical Board, 529 Hlth & Human Svcs Comm, 537 State Health Services

LBB Staff: b > td > JMc, AKI, JLI

JMc, AKI, JLI