LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 79TH LEGISLATIVE REGULAR SESSION
 
April 7, 2005

TO:
Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services
 
FROM:
John S. O'Brien, Deputy Director, Legislative Budget Board
 
IN RE:
SB1329 by Nelson (Relating to the Interagency Council for Genetic Services and the provision of genetic counseling services. ), Committee Report 1st House, Substituted



Estimated Two-year Net Impact to General Revenue Related Funds for SB1329, Committee Report 1st House, Substituted: a positive impact of $1 through the biennium ending August 31, 2007.



Fiscal Year Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2006 ($14)
2007 $15
2008 $15
2009 $15
2010 $15




Fiscal Year Probable (Cost) from
GENERAL REVENUE FUND
1
Probable Revenue Gain from
GENERAL REVENUE FUND
1
Change in Number of State Employees from FY 2005
2006 ($42,614) $42,600 0.2
2007 ($43,685) $43,700 0.3
2008 ($43,685) $43,700 0.3
2009 ($43,685) $43,700 0.3
2010 ($43,685) $43,700 0.3

Fiscal Analysis

The bill would amend Chapter 62 of the Health and Safety Code and Chapter 32 of the Human Resources Code, requiring the HHSC Executive Commissioner to promulgate prompt payment rules for appropriate claims by clinical geneticists for Medicaid and CHIP services.

The Department of State Health Services (DSHS) commissioner would be required to appoint a task force related to genetic issues and to establish an advisory committee on licensing of genetic counselors.

HHSC would be required to adopt rules governing license requirements for genetic counselors and would be required to consider the recommendations of the advisory committee described above. 
This act takes effect September 1, 2005.


Methodology

The bill would provide for the practice protection licensure of genetic counselors.  The bill would require the commission of the Department of State Health Services (DSHS) to establish an advisory committee on the licensure of genetic counselors and establish a licensing program for genetic counselors, to be supported with staff at the DSHS.

DSHS assumes that there are approximately 100 persons in Texas subject to the licensure requirement.  The bill requires that the fee for the license and renewal must be set in amounts necessary to defray the cost of administering the licensing program.  Based on DSHS estimates, implementation of the bill would require 0.25 of an FTE and related costs.  The advisory committee is estimated to consist of nine members, and meet four times in year one and twice in succeeding years.  The public members (three of the nine) would receive reimbursement for travel expenses at $1,650 per meeting ($550 per member).

Based on the DSHS estimates, the annual cost per licensee would be $426 in 2006 and $438 per year subsequently in order to cover the cost of the DSHS support of the program and the advisory committee.


Local Government Impact

No fiscal implication to units of local government is anticipated.


Source Agencies:
454 Department of Insurance, 529 Health and Human Services Commission, 537 Department of State Health Services, 539 Department of Aging and Disability Services, 720 The University of Texas System Administration, 739 Texas Tech University Health Sciences Center, 763 University of North Texas Health Science Center at Fort Worth
LBB Staff:
JOB, CL, KF