LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 75th Regular Session May 2, 1997 TO: Honorable Hugo Berlanga, Chair IN RE: House Bill No. 3195, Committee Report 1st House, Substituted Committee on Public Health By: Janek House Austin, Texas FROM: John Keel, Director In response to your request for a Fiscal Note on HB3195 ( Relating to the regulation of the practice of optometry.) this office has detemined the following: Biennial Net Impact to General Revenue Funds by HB3195-Committee Report 1st House, Substituted Implementing the provisions of the bill would result in a net impact of $0 to General Revenue Related Funds through the biennium ending August 31, 1999. 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 amend Article 4552-5.11, add subsection (k) to Article 4552-5.12, and Article 4552-5.22 to Revised Statutes. Fiscal Analysis Article 4552-5.12 would allow an optometrist or therapeutic optometrist to delegate specified acts to be performed by an ophthalmic assistant. The bill would prohibit an assistant from performing comprehensive examination, diagnosis, treatment planning, and drug/medicine prescription. The Board of Optometry would be charged with establishing and enforcing rules related to delegation, and could provide that assistants meet certain registration requirements. It is assumed the Board of Optometry would increase fees to offset the cost of implementing the bill. Therefore, the bill would have no net fiscal impact on the state. Methodolgy One additional FTE (admin. tech II, Group 11/Step 1) would be required to administer the registration of ophthalmic assistants. FTE salary would be $20,625 per year, with an additional $5,206 per year for benefits. The first year cost is reduced by one-third to allow for phase-in of the program. Related computer costs would be $3,672 for the first year, and $1,356 for each subsequent year. One-time printing and mailing costs would be $4,800. The probable fiscal implications of implementing the provisions of the bill during each of the first five years following passage is estimated as follows: Five Year Impact: Fiscal Year Probable Probable Revenue Change in Number Savings/(Cost) Gain/(Loss) from of State from General General Revenue Employees from Revenue Fund Fund FY 1997 0001 0001 1998 ($25,797) $25,797 1.0 1998 (27,214) 27,214 1.0 2000 (27,214) 27,214 1.0 2001 (27,214) 27,214 1.0 2002 (27,214) 27,214 1.0 Net Impact on General Revenue Related Funds: Fiscal Year Probable Net Postive/(Negative) General Revenue Related Funds Funds 1998 $0 1999 0 2000 0 2001 0 2002 0 Similar annual fiscal implications would continue as long as the provisions of the bill are in effect. No fiscal implication to units of local government is anticipated. Source: Agencies: 514 Optometry Board LBB Staff: JK ,BB ,PP