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