LEGISLATIVE BUDGET BOARD
                              Austin, Texas
                                     
                    FISCAL NOTE, 77th Regular Session
  
                              March 15, 2001
  
  
          TO:  Honorable Mike Moncrief, Chair, Senate Committee on
               Health & Human Services
  
        FROM:  John Keel, Director, Legislative Budget Board
  
       IN RE:  SB539  by Carona (Relating to regulating the enteral
               administration of anesthesia  in connection with the
               practice of dentistry.), As Introduced
  
**************************************************************************
*  Estimated Two-year Net Impact to General Revenue Related Funds for    *
*  SB539, 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 Savings/(Cost) from    Probable Revenue Gain/(Loss)   *
* Year         General Revenue Fund         from General Revenue Fund     *
*                      0001                            0001               *
*  2002                                $0                              $0 *
*  2003                          (10,000)                          10,000 *
*  2004                          (10,000)                          10,000 *
*  2005                          (10,000)                          10,000 *
*  2006                          (10,000)                          10,000 *
***************************************************************************
  
Fiscal Analysis
  
The bill would amend the Occupations Act to require the Texas State Board
of Dental Examiners (TSBDE) to adopt rules to regulate the
administration of enteral anesthesia by dentists.  The bill would require
dentists to comply with rules adopted on and after August 31, 2002.
Dentists would receive a permit annually and pay a fee.  The bill would
require the TSBDE to adopt rules necessary to implement the provisions of
the bill by January 8, 2002, and would allow permitting to be staggered
so that all affected dentists would be in compliance by September 1,
2004.

In addition, the bill would authorize the TSBDE to inspect office sites,
and related documents, as well as allowing dentists to request an
inspection from the board to receive an advisory opinion regarding their
compliance with the provisions of the bill.  The bill would also allow
the TSBDE to conduct requested compliance inspections and establish a fee
for providing that service.

The bill would require the TSBDE to submit a report to the Speaker of the
House of Representatives and the Lieutenant Governor no later than
January 1, 2003.

The bill would take effect September 1, 2001.
  
  
Methodology
  
The TSBDE estimates 2,000 dentists would be affected by the requirements
of the bill.  It is assumed that the TSBDE would stagger and phase in
permits over a one-year period so all affected dentists would be in
compliance by September 1, 2003.  The TSBDE estimates a total of $10,000
in operating and travel costs would be realized by the state for
providing compliance inspections during each year.  The TSBDE  estimates
it would conduct 20 inspections each year and each inspection would cost
approximately $500.

It is assumed 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:   507   Board of Nurse Examiners, 503   Texas State
                   Board of Medical Examiners, 504   State Board of
                   Dental Examiners
LBB Staff:         JK, HD, RT, MW