LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION April 6, 2021 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB917 by Hughes (Relating to advance directives or health care or treatment decisions made by or on behalf of patients.), As Introduced No significant fiscal implication to the State is anticipated. The bill would amend the Health and Safety Code as it relates to the care received by those with advance directives.The bill would require physicians who refuse to comply with a directive or treatment to continue to provide life-sustaining treatment to a patient as outlined in the bill until that patient is transferred to another provider or facility willing to comply with the directive or treatment. The bill would repeal the 10-day period after which life-sustaining treatment would be discontinued if not transferred and would repeal associated procedures for a district or county court to extend this time period.It is assumed that any costs associated with the bill's provisions relating to advance directives, health care, or treatment decisions made by or on behalf of patients could be absorbed using existing resources. Local Government ImpactNo significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 212 Office of Court Admin, 503 Texas Medical Board, 529 Hlth & Human Svcs Comm LBB Staff: b > td > JMc, AKI, MB, EJ LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION April 6, 2021 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB917 by Hughes (Relating to advance directives or health care or treatment decisions made by or on behalf of patients.), As Introduced TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB917 by Hughes (Relating to advance directives or health care or treatment decisions made by or on behalf of patients.), As Introduced Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services Jerry McGinty, Director, Legislative Budget Board Jerry McGinty, Director, Legislative Budget Board SB917 by Hughes (Relating to advance directives or health care or treatment decisions made by or on behalf of patients.), As Introduced SB917 by Hughes (Relating to advance directives or health care or treatment decisions made by or on behalf of 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 the Health and Safety Code as it relates to the care received by those with advance directives.The bill would require physicians who refuse to comply with a directive or treatment to continue to provide life-sustaining treatment to a patient as outlined in the bill until that patient is transferred to another provider or facility willing to comply with the directive or treatment. The bill would repeal the 10-day period after which life-sustaining treatment would be discontinued if not transferred and would repeal associated procedures for a district or county court to extend this time period.It is assumed that any costs associated with the bill's provisions relating to advance directives, health care, or treatment decisions made by or on behalf of patients could be absorbed using existing resources. The bill would require physicians who refuse to comply with a directive or treatment to continue to provide life-sustaining treatment to a patient as outlined in the bill until that patient is transferred to another provider or facility willing to comply with the directive or treatment. The bill would repeal the 10-day period after which life-sustaining treatment would be discontinued if not transferred and would repeal associated procedures for a district or county court to extend this time period. It is assumed that any costs associated with the bill's provisions relating to advance directives, health care, or treatment decisions made by or on behalf of patients could be absorbed using existing resources. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 212 Office of Court Admin, 503 Texas Medical Board, 529 Hlth & Human Svcs Comm 212 Office of Court Admin, 503 Texas Medical Board, 529 Hlth & Human Svcs Comm LBB Staff: b > td > JMc, AKI, MB, EJ JMc, AKI, MB, EJ