LEGISLATIVE BUDGET BOARD
                                   Austin, Texas
         
                                   FISCAL NOTE
                               75th Regular Session
         
                                  May 11, 1997
         
         
      TO: Honorable Hugo Berlanga, Chair            IN RE:  Senate Bill No. 1297, As Engrossed
          Committee on Public Health                              By: Cain
          House
          Austin, Texas
         
         
         
         
         FROM:  John Keel, Director    
         
In response to your request for a Fiscal Note on SB1297 ( Relating 
to disciplinary procedures and peer review for certain medical 
practitioners; providing administrative penalties.) this office 
has detemined the following:
         
         Biennial Net Impact to General Revenue Funds by SB1297-As Engrossed
         
No significant fiscal implication to the State is anticipated. 
 
         
Physician assistants and acupuncturists would be subject to 
administrative penalties and disciplinary procedures as a result 
of peer review.  Although the bill would likely expand the legal 
responsibilities and workload of the agency, the estimated twelve 
new cases is relatively small and can be absorbed by the agency's 
current resources.  The bill would likely generate some revenue 
from administrative penalties. 
         
 
          
No fiscal implication to units of local government is anticipated.
          
   Source:            Agencies:   503   Board of Medical Examiners
                                         
                      LBB Staff:   JK ,BB ,AC