LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 28, 2023 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2726 by Klick (relating to the practice of nursing, including disciplinary procedures of the Texas Board of Nursing; authorizing a fee.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for HB2726, Committee Report 1st House, Substituted : a positive impact of $12,832 through the biennium ending August 31, 2025. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. General Revenue-Related Funds, Five- Year Impact: Fiscal Year Probable Net Positive/(Negative) Impact toGeneral Revenue Related Funds2024$6,4162025$6,4162026$6,4162027$6,4162028$6,416All Funds, Five-Year Impact: Fiscal Year Probable Savings/(Cost) fromGeneral Revenue Fund1 Probable Revenue Gain/(Loss) fromGeneral Revenue Fund1 Change in Number of State Employees from FY 20232024($193,584)$200,0003.02025($193,584)$200,0003.02026($193,584)$200,0003.02027($193,584)$200,0003.02028($193,584)$200,0003.0 Fiscal AnalysisThe bill would amend the Occupations Code to require the Board of Nursing to adopt procedures to expunge records related to the discipline of a nurse and also sets the criteria required for a nurse to be eligible to have their records expunged. Additionally, the bill would allow the Board of Nursing to establish a fee to cover the costs of these expunctions. The Bill would be effective on September 1, 2023. LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 88TH LEGISLATIVE REGULAR SESSION April 28, 2023 TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2726 by Klick (relating to the practice of nursing, including disciplinary procedures of the Texas Board of Nursing; authorizing a fee.), Committee Report 1st House, Substituted TO: Honorable Stephanie Klick, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB2726 by Klick (relating to the practice of nursing, including disciplinary procedures of the Texas Board of Nursing; authorizing a fee.), 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 HB2726 by Klick (relating to the practice of nursing, including disciplinary procedures of the Texas Board of Nursing; authorizing a fee.), Committee Report 1st House, Substituted HB2726 by Klick (relating to the practice of nursing, including disciplinary procedures of the Texas Board of Nursing; authorizing a fee.), Committee Report 1st House, Substituted Estimated Two-year Net Impact to General Revenue Related Funds for HB2726, Committee Report 1st House, Substituted : a positive impact of $12,832 through the biennium ending August 31, 2025. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. Estimated Two-year Net Impact to General Revenue Related Funds for HB2726, Committee Report 1st House, Substituted : a positive impact of $12,832 through the biennium ending August 31, 2025. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill. General Revenue-Related Funds, Five- Year Impact: 2024 $6,416 2025 $6,416 2026 $6,416 2027 $6,416 2028 $6,416 All Funds, Five-Year Impact: 2024 ($193,584) $200,000 3.0 2025 ($193,584) $200,000 3.0 2026 ($193,584) $200,000 3.0 2027 ($193,584) $200,000 3.0 2028 ($193,584) $200,000 3.0 Fiscal Analysis The bill would amend the Occupations Code to require the Board of Nursing to adopt procedures to expunge records related to the discipline of a nurse and also sets the criteria required for a nurse to be eligible to have their records expunged. Additionally, the bill would allow the Board of Nursing to establish a fee to cover the costs of these expunctions. The Bill would be effective on September 1, 2023. Methodology According to the Board of Nursing, the agency has approximately 20,000 cases that would be eligible for expunction under the provisions of the bill. The agency anticipates and this estimate assumes that the agency would process 4,000 expunction cases per year and that the agency would need one senior level administrative assistants ($50,750 per year with estimated benefits of $15,165 per year) to review files and one Investigator ($60,900 per year with estimated benefits of $18,198 per year) to review the file for accuracy, rule compliance and update the national practitioner data bank. In addition, the agency would need one Clerk ($37,396 per year with estimated benefits of $11,175) to pull the documents and prepare files for review. The total cost would be $193,584 per year.This estimate assumes that the agency would establish a fee of at least $50 to cover the costs of these responsibilities with revenue deposited to the credit of the General Revenue Fund as this agency is statutorily required to generate revenue sufficient to cover its costs. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: b > td > 304 Comptroller of Public Accounts, 507 Texas Board of Nursing 304 Comptroller of Public Accounts, 507 Texas Board of Nursing LBB Staff: b > td > JMc, NPe, GDZ, SLee JMc, NPe, GDZ, SLee