LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 77th Regular Session
April 2, 2001
TO: Honorable Mike Moncrief, Chair, Senate Committee on
Health & Human Services
FROM: John Keel, Director, Legislative Budget Board
IN RE: SB1265 by Haywood (Relating to the delegation of
prescription drug orders to physician assistants and
advanced practice nurses who provide health care
services at certain alternate practice sites.), As
Introduced
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* Estimated Two-year Net Impact to General Revenue Related Funds for *
* SB1265, 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 State Employees from *
* General Revenue Fund General Revenue Fund FY 2001 *
* 0001 0001 *
* 2002 $(46,652) $46,652 1.0 *
* 2003 (23,052) 23,052 1.0 *
* 2004 (23,052) 23,052 1.0 *
* 2005 (23,052) 23,052 1.0 *
* 2006 (23,052) 23,052 1.0 *
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Technology Impact
The agency estimates consultant costs of $13,600 in the first year.
Fiscal Analysis
The bill would amend the Occupations Code to provide that a physician's
authority to delegate the carrying out or signing of a prescription drug
order is limited to a certain number of physician assistants or advanced
practice nurses or their full-time equivalents at the physician's primary
practice site or at an alternate practice site. The bill would provide
authorization, conditions, and limitations for a physician to delegate
the carrying out or signing of prescription drug orders.
The bill would take effect September 1, 2001.
Methodology
The Board of Medical Examiners (BME) estimates $13,600 would be required
to upgrade and expand a database for tracking, monitoring, and verifying
specific information relating to the delegation of carrying out or
signing prescription drug orders to physician assistants or advanced
practice nurses by physicians. The BME reports processing approximately
10,000 delegation authority transactions each year with three FTEs and
estimates 3,000 new transactions would be realized in implementing the
provisions of the bill. It is estimated one additional FTE would be
required to verify, process, and enter the additional delegation
transaction information into the database.
It is assumed the BME would adjust fees to offset any cost associated
with the implementation of the bill.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: 503 Texas State Board of Medical Examiners
LBB Staff: JK, HD, MW