LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE 75th Regular Session May 12, 1997 TO: Honorable Hugo Berlanga, Chair IN RE: Senate Bill No. 1699, Committee Report 2nd House, Substituted Committee on Public Health By: Cain House Austin, Texas FROM: John Keel, Director In response to your request for a Fiscal Note on SB1699 ( Relating to the Texas State Board of Medical Examiners and the licensure of physicians; providing penalties.) this office has detemined the following: Biennial Net Impact to General Revenue Funds by SB1699-Committee Report 2nd House, Substituted Implementing the provisions of the bill would result in a net impact to the State of $0 to General Revenue Related Funds through the biennium ending August 31, 1999. Fiscal Analysis The bill would restructure and consolidate sections of the Medical Practice Act. This would require some minor changes to the licensing rules and procedures of the Board of Medical Examiners (BME); however, these changes would not require additional funds. The bill would also amend the Medical Practice Act by requiring the BME to create a professional profile of licensed physicians. This profile would be updated annually; would be available to the public; and would be more comprehensive than the profile currently maintained by the BME. The bill would require the BME to raise fees for each licensed physician to cover the costs of administering the bill. The increase in fees could not exceed $15 per fiscal year in the 1998-1999 biennium and could not exceed $10 per year in the 2000-2001 biennium. The BME would adopt rules necessary to implement the provisions of the bill. Methodolgy The bill would increase the workload related to collecting additional information from the physicians, subsequent verification of information, annual profile updates, and requests for information by consumers and physicians. Such increases in workload would require 5 FTEs for the development of the profile in the first year and 2 FTEs for maintenance of the profile in subsequent years. The physician profile would also require $128,653 in computer hardware and software upgrades in the first year sufficient to meet the number and size of the profiles. It is assumed that the BME would raise fees by an amount necessary to cover the increased costs. 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 ($256,367) $256,367 5.0 1998 (42,702) 42,702 2.0 2000 (42,702) 42,702 2.0 2001 (42,702) 42,702 2.0 2002 (42,702) 42,702 2.0 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: 503 Board of Medical Examiners LBB Staff: JK ,BB ,AC