LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 76th Regular Session
May 7, 1999
TO: Honorable Patricia Gray, Chair, House Committee on Public
Health
FROM: John Keel, Director, Legislative Budget Board
IN RE: SB1249 by Nelson (relating to the licensing of
ambulatory surgical centers.), Committee Report 2nd
House, Substituted
**************************************************************************
* Estimated Two-year Net Impact to General Revenue Related Funds for *
* SB1249, Committee Report 2nd House, Substituted: positive impact *
* of $111,486 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. *
**************************************************************************
General Revenue-Related Funds, Five-Year Impact:
****************************************************
* Fiscal Year Probable Net Positive/(Negative) *
* Impact to General Revenue Related *
* Funds *
* 2000 $3,548 *
* 2001 107,938 *
* 2002 141,120 *
* 2003 156,120 *
* 2004 171,120 *
****************************************************
All Funds, Five-Year Impact:
**************************************************************************
*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 $(71,452) $75,000 2.2 *
* 2001 (207,062) 315,000 2.7 *
* 2002 (188,880) 330,000 2.7 *
* 2003 (188,880) 345,000 2.7 *
* 2004 (188,880) 360,000 2.7 *
**************************************************************************
Technology Impact
The department estimates that four computers and one printer would be
needed for the additional FTEs.
Fiscal Analysis
SB1249, as substitutes, relates to the licensing of ambulatory surgical
centers. The bill would authorize the Department of Health to conduct
an on-site licensing inspection of a ambulatory surgical center every
three years. The bill would allow the Department of Health to issue an
emergency order to suspend the license of an ambulatory surgical center
if the department believes the license holder's conduct endangers the
public health and safety.
Methodology
The Department of Health estimates the annual licensing fee would be
increased by $1,500 to a cost of $2,500 per license to cover increased
cost. According to the department, the annual growth rate in the number
of ambulatory surgical centers is five percent. The estimated total
generated in annual licensing fees for fiscal years 2000-2004 would be
$1,426,500.
On-site licensing inspection of ambulatory surgical centers would be
allowed under the provisions of the bill. The Department of Health
estimates that it would need 2.2 additional FTEs in fiscal year 2000 and
2.7 FTEs in fiscal years 2001-2004 to administer the survey process;
conduct on-site licensing inspections and quality assurance review of
survey documents; and provide administrative support.
Local Government Impact
No significant fiscal implication to units of local government is
anticipated.
Source Agencies: 501 Department of Health
LBB Staff: JK, TP, RM