LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION May 13, 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.), Committee Report 1st House, Substituted 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 for 90 days after an ethics or medical committee's review so that the patient can be transferred to a willing provider or facility. If the patient is not transferred during this time period, the obligation to provide life-sustaining treatment other than artificially administered nutrition, hydration, and pain management could cease following the provision of certain information to certain individuals by the medical provider or facility. The bill would remove language defining the patient as being responsible for any costs of the associated transfer.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
May 13, 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.), Committee Report 1st House, Substituted
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.), Committee Report 1st House, Substituted
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.), Committee Report 1st House, Substituted
SB917 by Hughes (Relating to advance directives or health care or treatment decisions made by or on behalf of patients.), 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 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 for 90 days after an ethics or medical committee's review so that the patient can be transferred to a willing provider or facility. If the patient is not transferred during this time period, the obligation to provide life-sustaining treatment other than artificially administered nutrition, hydration, and pain management could cease following the provision of certain information to certain individuals by the medical provider or facility. The bill would remove language defining the patient as being responsible for any costs of the associated transfer.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 for 90 days after an ethics or medical committee's review so that the patient can be transferred to a willing provider or facility. If the patient is not transferred during this time period, the obligation to provide life-sustaining treatment other than artificially administered nutrition, hydration, and pain management could cease following the provision of certain information to certain individuals by the medical provider or facility. The bill would remove language defining the patient as being responsible for any costs of the associated transfer.
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