LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                              March 30, 2001
  
  
          TO:  Honorable Patricia Gray, Chair, House Committee on Public
               Health
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  HB611  by Turner, Bob (Relating to the regulation of
               telepharmacy as a method to dispense drugs.), Committee
               Report 1st House, Substituted
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  HB611, Committee Report 1st House, Substituted:  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                *
          *       2001                                   $0  *
          *       2002                                    0  *
          *       2003                                    0  *
          *       2004                                    0  *
          *       2005                                    0  *
          ****************************************************
  
All Funds, Six-Year Impact:
  
***************************************************************************
*Fiscal    Probable Savings/(Cost) from    Probable Savings/(Cost) from   *
* Year         General Revenue Fund            General Revenue Fund       *
*                      0001                            0001               *
*  2001                         $(22,159)                         $22,159 *
*  2002                                 0                               0 *
*  2003                                 0                               0 *
*  2004                                 0                               0 *
*  2005                                 0                               0 *
***************************************************************************
  
Technology Impact
  
The Board of Pharmacy (TSBP) would have to modify its data processing
system to accommodate the data generated by the bill. It is anticipated
approximately $21,000 will be required for the analysis, design, coding,
testing and implementation of these changes to the agency's computer
system.
  
  
Fiscal Analysis
  
The bill would require the Board of Pharmacy to adopt rules regarding the
use of telepharmacy systems located at certain health care facilities
and remote from that of a Class A (Community) or Class C (Institutional)
pharmacy, by February 24, 2002.

The bill would take effect September 1, 2001.
  
  
Methodology
  
The Pharmacy Board estimates that about 497 facilities would use a
telepharmacy system requiring regulation and inspection by TSBP.  Initial
startup costs of $22,159 includes an estimated 62 hours for initial data
entry and implementation of the provisions of the bill.

It is assumed the bill would take effect September 1, 2001, and the
agency would incur approximately $22,159 of costs in FY 2002.  In
subsequent years, there would be no significant fiscal costs to the
agency.

It is estimated that the TSBP would adjust fees collected by the agency
to offset any costs associated with the bill.
  
  
Local Government Impact
  
No significant fiscal implication to units of local government is
anticipated.
  
  
Source Agencies:   515   Texas State Board of Pharmacy
LBB Staff:         JK, HD, RT, ER