LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 77th Regular Session April 11, 2001 TO: Honorable Patricia Gray, Chair, House Committee on Public Health FROM: John Keel, Director, Legislative Budget Board IN RE: HB2837 by Dukes (Relating to the licensing and regulation of the practice of kinesiotherapy; providing penalties.), As Introduced ************************************************************************** * Estimated Two-year Net Impact to General Revenue Related Funds for * * HB2837, 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 (Cost) to Probable Revenue Change in Number of * * Year New General Revenue Gain to New General TDH Employees from * * Dedicated Licensed Revenue Dedicated FY 2001 * * Kinesiotherapist Licensed * * Account Kinesiotherapist * * Account * * 2002 $(74,956) $75,000 1.1 * * 2003 (58,989) 60,000 0.8 * * 2004 (55,564) 60,000 0.8 * * 2005 (57,239) 60,000 0.8 * * 2006 (55,564) 60,000 0.8 * ************************************************************************** Technology Impact It is assumed the Texas Department of Health (TDH) would incur technology costs that include (1) the purchase of computer hardware in the amounts of $2000 for FY 2002, $2,500 for FY 2003, and $2000 for FY 2005; and (2) the development and maintenance of an automated licensure tracking system requiring 100 hours of programming (at $50 per hour, $5,000) in FY 2002, 50 hours of programming ($2,500) in FY 2003, and 25 hours of programming ($1,250) in each subsequent year. Fiscal Analysis The bill would add Chapter 456 to the Occupations Code, creating a nine-member, governor-appointed Texas State Board of Examiners of Kinesiotherapists (board) that would be staffed and supported by TDH. The duties of the board would include developing rules, establishing qualifications for licensure, approving continuing education programs, sanctioning license holders for violations of Chapter 456, and establishing reasonable fees to cover the cost of operating the regulatory program. The bill would be create a new general revenue-dedicated account. The bill would become effective September 1, 2001, with the following exceptions that would take effect on September 1, 2003: a provision requiring a person to be properly licensed in order to identify oneself as a licensed kinesiotherapist and a provision related to criminal penalties for certain violations of Chapter 456. Methodology It is assumed the governor would appoint the board by December 1, 2001. It is assumed 300 individuals will seek licensure as a kinesiotherapist every two years and the board will establish a staggered renewal system to ensure a constant revenue stream for each year of the biennium. Anticipated fee revenue is $75,000 for FY 2002, and $60,000 in the following years. TDH estimates 1.1 full time equivalents (FTEs) would be required to staff the program during the implementation year of FY 2002, and would be reduced to 0.8 FTEs in subsequent years. Associated personnel costs are estimated at $42,908 for the first year and $31,000 thereafter. It is estimated first year miscellaneous administrative costs related to establishing the offices for new TDH staff would be approximately $2,613 in FY 2002, and $879 annually thereafter. It is estimated that costs associated with managing the regulatory program including printing, postage, storage, and related expenses would be approximately $8,325 per biennium. It is assumed the board would meet to receive training and conduct business for a two-day period three times per year, with two of the three meetings occurring in Austin. Associated travel costs for the nine board members and TDH staff would be as follows: transportation, lodging, and meals at $490 per board member per meeting ($4,410 x 3 = $13,230 annually), and lodging and meals at $190 per staff person per non-Austin meeting ($380 annually). It is assumed that complaints against licensed kinesiotherapists would be received at no additional cost through existing venues at TDH, including the professional licensing and certification division's toll-free complaint hotline and on-line complaint form. TDH assumed a private investigator would be contracted to investigate one complaint per year, beginning in FY 2003. It is further assumed that the investigation would require 40 hours to complete at $100 per hour and that travel expenses would average $100 per day for five days, for a total cost of $4,500 per investigation. Local Government Impact No fiscal implication to units of local government is anticipated. Source Agencies: 501 Texas Department of Health LBB Staff: JK, HD, KF, RM, SW