LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session May 21, 2001 TO: Honorable James E. "Pete" Laney, Speaker of the House, House of Representatives FROM: John Keel, Director, Legislative Budget Board IN RE: HB1183 by Capelo (Relating to the regulation of surgical assistants; granting rulemaking authority; providing an administrative penalty.), As Passed 2nd House ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB1183, As Passed 2nd House: 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 New State Employees from * * New General Revenue General Revenue FY 2001 * * Related Related * * 2002 $(151,897) $151,897 3.0 * * 2003 (184,323) 184,323 4.0 * * 2004 (184,323) 184,323 4.0 * * 2005 (184,323) 184,323 4.0 * * 2006 (184,323) 184,323 4.0 * ************************************************************************** Technology Impact Professional service costs of $14,000 and $7,000 are estimated in fiscal years 2002 and 2003 respectively. Fiscal Analysis The bill would amend the Occupations Code to regulate surgical assistants and would create a committee to advise the Board of Medical Examiners (BME) regarding the regulation of surgical assistants. The bill would establish new guidelines and requirements for the advisory committee and the BME and would require the BME to establish licensing and enforcement procedures and requirements, administer examinations, prepare an annual financial report, and perform other duties to administer the provisions of the bill. The bill would allow the BME to set and collect fees to offset expenses incurred in administering and enforcing the provisions of the bill, and would create a new, unnamed dedicated account in the General Revenue Fund. The bill would require all revenue collected by the BME for the purpose of licensing and regulating surgical assistants to be deposited to the new account. The bill would require the Comptroller to transfer any surplus remaining in the account at the end of a biennium to the General Revenue Fund. The bill would take effect September 1, 2001. The medical board would be required to adopt rules by January 1, 2002; surgical assistants would not be required to have licenses until September 1, 2002. Methodology It is estimated a staff of approximately three full-time equivalents (FTEs) in the first year and four FTEs in each subsequent year would be required to implement the provisions of the bill. This estimate is based on the assumption that approximately 4,600 surgical assistants would apply for licensure. It is assumed the agency would adopt rules and set fees sufficient to cover the costs or implementing the bill. Local Government Impact No significant fiscal implication to units of local government is anticipated. Source Agencies: 320 Texas Workforce Commission, 304 Comptroller of Public Accounts, 503 Texas State Board of Medical Examiners LBB Staff: JK, HD, RT, MW