LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION April 15, 2025 TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB2480 by Campbell (Relating to the administration of the Texas Physician Health Program; the disciplinary authority of the Texas Medical Board; imposing a surcharge.), As Introduced Estimated Two-year Net Impact to General Revenue Related Funds for SB2480, As Introduced: an impact of $0 through the biennium ending August 31, 2027. 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 Funds2026$02027$02028$02029$02030$0All Funds, Five-Year Impact: Fiscal Year Probable Revenue Gain/(Loss) fromPublic Assurance5105 Probable Revenue Gain/(Loss) fromPhysicians Health Program51472026$427,900$204,2252027$427,900$204,2252028$427,900$204,2252029$427,900$204,2252030$427,900$204,225 Fiscal AnalysisThe bill would amend the Occupations Code to authorize the Texas Medical Board (TMB) to collect a surcharge for the Texas Physicians Health Program and National Practitioner Data Bank for all individuals licensed and regulated by the agency. These surcharges are deposited into the General Revenue-Dedicated Account 5147, Texas Physician Health Program Fund, and General Revenue-Dedicated Account 5105, Public Assurance, respectively. This bill would take effect September 1, 2025.
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION
April 15, 2025
TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: SB2480 by Campbell (Relating to the administration of the Texas Physician Health Program; the disciplinary authority of the Texas Medical Board; imposing a surcharge.), As Introduced
TO: Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: SB2480 by Campbell (Relating to the administration of the Texas Physician Health Program; the disciplinary authority of the Texas Medical Board; imposing a surcharge.), 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
SB2480 by Campbell (Relating to the administration of the Texas Physician Health Program; the disciplinary authority of the Texas Medical Board; imposing a surcharge.), As Introduced
SB2480 by Campbell (Relating to the administration of the Texas Physician Health Program; the disciplinary authority of the Texas Medical Board; imposing a surcharge.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for SB2480, As Introduced: an impact of $0 through the biennium ending August 31, 2027. 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 SB2480, As Introduced: an impact of $0 through the biennium ending August 31, 2027. 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:
2026 $0
2027 $0
2028 $0
2029 $0
2030 $0
All Funds, Five-Year Impact:
2026 $427,900 $204,225
2027 $427,900 $204,225
2028 $427,900 $204,225
2029 $427,900 $204,225
2030 $427,900 $204,225
Fiscal Analysis
The bill would amend the Occupations Code to authorize the Texas Medical Board (TMB) to collect a surcharge for the Texas Physicians Health Program and National Practitioner Data Bank for all individuals licensed and regulated by the agency. These surcharges are deposited into the General Revenue-Dedicated Account 5147, Texas Physician Health Program Fund, and General Revenue-Dedicated Account 5105, Public Assurance, respectively. This bill would take effect September 1, 2025.
This bill would take effect September 1, 2025.
Methodology
Based upon analysis provided by the Texas Medical Board and the Comptroller of Public Accounts, this estimate assumes a licensee population of 77,800 that would pay the surcharge for the Physicians Health Program and National Practitioner Data Bank under the bill's provisions. This includes Physician Assistants, Acupuncturists, Medical Physicists, Certified and Non-Certified Medical Radiologic Technologists, Perfusionists, and Respiratory Care Practitioners. This estimate assumes a surcharge amount of $5.25 for the Physicians Health Program and $11.00 for the National Practitioner Data Bank. This estimate assumes that these fees will be paid on licensure and renewal, and due to licenses covering a two-year period, only half of the population would be paying the fee each fiscal year. In total, this would result in a gain of $204,225 each fiscal year in the Texas Physicians Health Program Fund and $427,900 each fiscal year in the Public Assurance Fund.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: b > td > 304 Comptroller of Public Accounts, 503 Texas Medical Board
304 Comptroller of Public Accounts, 503 Texas Medical Board
LBB Staff: b > td > JMc, NPe, GDZ, BFa
JMc, NPe, GDZ, BFa