LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session March 12, 2001 TO: Honorable Patricia Gray, Chair, House Committee on Public Health FROM: John Keel, Director, Legislative Budget Board IN RE: HB411 by Maxey (Relating to delegation of certain acts by dentists.), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB411, As Introduced: an impact of $0 through the biennium ending * * August 31, 2003. * * * * 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 * * 2002 $0 * * 2003 0 * * 2004 0 * * 2005 0 * * 2006 0 * **************************************************** 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 2001 * * 0001 0001 * * 2002 $(39,128) $39,128 1.0 * * 2003 (24,953) 24,953 1.0 * * 2004 (24,953) 24,953 1.0 * * 2005 (24,953) 24,953 1.0 * * 2006 (24,953) 24,953 1.0 * ************************************************************************** Technology Impact The agency estimates a cost of $9,575 in the first year to create a new database. Fiscal Analysis The bill would amend the Occupations Code to allow dentists to delegate the application of a pit and fissure sealant and to require the Texas State Board of Dental Examiners (TSBDE) to provide a certification to allow dental assistants meeting certain eligibility requirements to apply a pit and fissure sealant under the delegation authority of a dentist. The bill would allow a dentist to delegate the application of a pit and fissure sealant to a dental hygienist apart from the dentist's supervision under certain conditions and would also authorize a dentist who is a Medicaid provider to delegate the application of a pit and fissure sealant. The bill would take effect September 1, 2001. Methodology The TSBDE estimates the bill would require $9,575 in system upgrades to create a database and an application program to track and verify specific information for each dental assistant applying for certification. The TSBDE also estimates that approximately 2,000 dental assistants will seek certification each year and that one FTE would be required to verify the training and experience for each applicant and enter all necessary information into the new database. It is assumed that the TSBDE would adjust fees to offset any costs associated with the implementation of the bill. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 701 Texas Education Agency, 504 State Board of Dental Examiners, 655 TX Dept. of Mental Health & Mental Retardation, 324 Texas Department of Human Services, 501 Texas Department of Health LBB Staff: JK, HD, RT, MW