LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 76th Regular Session
May 8, 1999
TO: Honorable Jane Nelson, Chair, Senate Committee on Health
Services
FROM: John Keel, Director, Legislative Budget Board
IN RE: HB110 by Maxey (Relating to public access to certain
information regarding medical practitioners.), As
Engrossed
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* HB110, As Engrossed: positive impact of $0 through the biennium *
* ending August 31, 2001. *
* *
* The bill would make no appropriation but could provide the legal *
* basis for an appropriation of funds to implement the provisions of *
* the bill. *
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General Revenue-Related Funds, Five-Year Impact:
****************************************************
* Fiscal Year Probable Net Positive/(Negative) *
* Impact to General Revenue Related *
* Funds *
* 2000 $0 *
* 2001 0 *
* 2002 0 *
* 2003 0 *
* 2004 0 *
****************************************************
All Funds, Five-Year Impact:
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*Fiscal Probable Probable Revenue Change in Number of *
* Year Savings/(Cost) from Gain/(Loss) from State Employees from *
* General Revenue Fund General Revenue Fund FY 1999 *
* 0001 0001 *
* 2000 $(1,235,129) $1,235,129 3.0 *
* 2001 (472,529) 472,529 3.0 *
* 2002 (107,829) 107,829 3.0 *
* 2003 (107,829) 107,829 3.0 *
* 2004 (107,829) 107,829 3.0 *
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Technology Impact
The bill would require consultant costs of $260,000 and programming costs
of $230,000 in the first year; and programming costs of $365,000 in the
second year.
Fiscal Analysis
The bill would amend the Medical Practice Act by requiring the Board of
Medical Examiners (BME) to create a professional profile of licensed
physicians. The profile would be annually updated, available to the
public and 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 $20 per fiscal year in the 2000-2001 biennium and
$10 per year in the 2002-2003 biennium. The BME would adopt rules
necessary to implement the provisions of the bill.
In addition, the bill would require the Board of Chiropractic Examiners,
the Board of Dental Examiners, the Board of Occupational Therapy
Examiners, the Optometry Board, the Board of Pharmacy, the Board of
Physical Therapy Examiners, the Board of Podiatric Medical Examiners,
and the Board of Examiners of Psychologists to provide a cost estimate
for establishing and administrating a similar profile program for
persons licensed or regulated by each agency, to the presiding officer
of each house of the 77th Legislature no later than January 1, 2000.
Methodology
The BME estimates increased workload created by the bill would require 3
FTEs for the development and maintenance of the profile and would require
$885,300 in programming costs, operating costs, and computer hardware
and software upgrades in the first year. In addition, $382,700 in
programming and operating costs would be required in 2001. In subsequent
years the cost of operation, including salaries, would be reduced to
$107,829 per year. It is assumed that the BME would raise fees by an
amount necessary to cover the increased costs.
In addition, a total cost of $260,000 would be realized by the state in
fiscal year 2000 for providing a cost estimate for establishing and
administrating a profile program for persons licensed or regulated by
the Board of Chiropractic Examiners, the Board of Dental Examiners, the
Board of Occupational Therapy Examiners, the Optometry Board, the Board
of Pharmacy, the Board of Physical Therapy Examiners, the Board of
Podiatric Medical Examiners, and the Board of Examiners of Psychologists
similar to the program established by the BME. It is assumed that these
agencies would raise fees by an amount necessary to cover the increased
costs.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 515 Board of Pharmacy, 520 Board of Examiners of
Psychologists, 405 Department of Public Safety, 503
Board of Medical Examiners, 504 State Board of
Dental Examiners, 533 Executive Council of
Physical and Occupational Therapy Examiners, 508
Board of Chiropractic Examiners
LBB Staff: JK, TP, MW