LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 77th Regular Session
February 21, 2001
TO: Honorable Patricia Gray, Chair, House Committee on Public
Health
FROM: John Keel, Director, Legislative Budget Board
IN RE: HB1183 by Capelo (Relating to the regulation of surgical
assistants; granting rulemaking authority; providing
penalties.), As Introduced
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* HB1183, 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. *
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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:
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*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 *
* Dedicated Dedicated *
* 2002 $(436,364) $436,364 7.0 *
* 2003 (382,364) 382,364 7.0 *
* 2004 (382,364) 382,364 7.0 *
* 2005 (382,364) 382,364 7.0 *
* 2006 (382,364) 382,364 7.0 *
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Technology Impact
Professional service costs of $39,000 are estimated in fiscal year 2002.
Fiscal Analysis
The bill would create a nine-member Board of Surgical Assistants which
would function as an advisory board to the Board of Medical Examiners
(BME). The bill would also allow the new board to establish licensing
requirements, administer examinations, recommend the issuance of
licenses, and perform other duties to administer the provisions of the
bill. It would require the BME to take disciplinary action against
licensees and provide necessary administrative and clerical employees for
the new board.
The bill would allow the BME to set fees to offset expenses incurred in
administering and enforcing the provisions of the bill, and create a new,
unnamed dedicated account in the General Revenue Fund. The bill would
require all revenue collected by the BME for the licensure and regulation
of Surgical Assistants to be deposited to the new account. Any surplus
remaining in the account at the end of a biennium would be transferred 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 that a staff of approximately seven full-time equivalents
(FTEs) plus associated operating costs 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 that the board would set fees at a rate sufficient to
cover the costs.
Local Government Impact
No significant fiscal implication to units of local government is
anticipated.
Source Agencies: 503 Texas State Board of Medical Examiners, 302
Office of the Attorney General, 304 Comptroller of
Public Accounts, 454 Texas Department of Insurance
LBB Staff: JK, HD, MW, RT