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