| TO: | Honorable David Swinford, Chair, House Committee on State Affairs |
| FROM: | John S. O'Brien, Director, Legislative Budget Board |
| IN RE: | HB1557 by Gattis (Relating to the billing and reimbursement of anatomic pathology services.), As Introduced |
| Fiscal Year | Probable Net Positive/(Negative) Impact to General Revenue Related Funds |
|---|---|
| 2008 | $0 |
| 2009 | $0 |
| 2010 | $0 |
| 2011 | $0 |
| 2012 | $0 |
| Fiscal Year | Probable Revenue Gain from GENERAL REVENUE FUND 1 |
Probable (Cost) from GENERAL REVENUE FUND 1 |
|---|---|---|
| 2008 | $53,243 | ($53,243) |
| 2009 | $53,243 | ($53,243) |
| 2010 | $53,243 | ($53,243) |
| 2011 | $53,243 | ($53,243) |
| 2012 | $53,243 | ($53,243) |
The bill would amend the Occupations Code relating to the billing and reimbursement of anatomic pathology services. The bill would establish a licensed practitioner of anatomic pathology services to be a healthcare professional who is licensed in this state including a physician, dentist, advanced practice nurse, and physician assistant, and who orders or performs anatomic pathology services within the scope of the practitioner's practice. The bill would provide authority for the appropriate regulatory agency of this state that issues a license or a certificate to a licensed practitioner to adopt rules necessary to implement the provisions of the bill and to take disciplinary action against a licensed practitioner who violates the requirements of the bill.
The bill would take effect September 1, 2007.
Based on the analysis of the Texas Medical Board (TMB), it is estimated that implementing the provisions of the bill would result in 20 new jurisdictional complaints reported each year with an estimated cost of $53,243 each year. Additionally, the agency estimates an estimated revenue gain of $25,000 each year to the state resulting from administrative penalties imposed on licensees. However, this analysis does not consider any revenues that could be generated from penalties.
For the purposes of this analysis it is assumed that the average cost for complaint resolution for the TMB is $2,662.21 each, which includes the cost of salaries for existing staff, professional services, travel and other operating expenses ([2662.21 x 20] = $53,244.20 per year). According to the agency, these expenses are pro-rated from the following cost categories: professional fees ($53,244.20 x .35 = $ 18,635.47); travel ($53,244.20 x .10 = $5,324.42); and other operating expenses ($53,244.20 x .55 = $29,284.31). This analysis assumes that the TMB would adjust fees as necessary to cover any additional costs associated with the implementation of the bill.
Based on the analysis of the Board of Dental Examiners and the Board of Nurse Examiners, it is assumed that costs associated with implementing the provisions of the bill for these agencies could be absorbed within existing resources.
| Source Agencies: | 503 Texas Medical Board, 507 Board of Nurse Examiners
|
| LBB Staff: | JOB, KJG, MW, NV
|