| TO: | Honorable Jane Nelson, Chair, Senate Committee on Health & Human Services |
| FROM: | John S. O'Brien, Director, Legislative Budget Board |
| IN RE: | SB1115 by Deuell (Relating to the regulation of independent emergency medical care facilities; providing an administrative penalty; creating an offense.), As Introduced |
| Fiscal Year | Probable Net Positive/(Negative) Impact to General Revenue Related Funds |
|---|---|
| 2008 | ($191,915) |
| 2009 | $235,743 |
| 2010 | $25,743 |
| 2011 | $25,743 |
| 2012 | $25,743 |
| Fiscal Year | Probable (Cost) from GENERAL REVENUE FUND 1 |
Probable Revenue Gain from GENERAL REVENUE FUND 1 |
|---|---|---|
| 2008 | ($1,421,915) | $1,230,000 |
| 2009 | ($994,257) | $1,230,000 |
| 2010 | ($994,257) | $1,020,000 |
| 2011 | ($994,257) | $1,020,000 |
| 2012 | ($994,257) | $1,020,000 |
| Fiscal Year | Change in Number of State Employees from FY 2007 |
|---|---|
| 2008 | 21.0 |
| 2009 | 13.0 |
| 2010 | 13.0 |
| 2011 | 13.0 |
| 2012 | 13.0 |
The bill would require independent emergency medical care facilities to be licensed by the Department of State Health Services (DSHS) by September 1, 2008.
Facilities would be charged an annual licensing fee in an amount to be set by the Executive Commissioner of the Health and Human Services Commission (HHSC). The bill would establish an independent emergency medical care facility licensing fund in the state treasury for fees, which may be appropriated to DSHS only to administer and enforce the provisions of the bill. It is assumed the fees would be deposited in the General Revenue Fund.
The bill provides for criminal and administrative penalties. It is assumed the penalties would not have a significant revenue impact. The Office of the Attorney General indicates any additional work related to injuctive, declaratory judgment, or judicial review proceedings could be absorbed with current resources.
The bill would require the Executive Commissioner of HHSC to adopt rules by March 1, 2008 to implement the provisions of the bill. It is assumed any costs related to adopting rules could be absorbed by HHSC.
For fiscal year 2008, DSHS estimates costs of $1,276,375 in General Revenue primarily for 21 Full-Time-Equivalent (FTE) positions, including 13 nurses, 6 architects, 1 program specialist, and 1 administrative assistant. Costs are included for salaries, benefits, travel, and other administrative expenses. For fiscal years 2009-2012, DSHS estimates costs of $984,637 in General Revenue primarily for 13 FTEs, including 8 nurses, 3 architects, 1 program specialist, and 1 administrative assistant. DSHS indicates more FTEs are needed in fiscal year 2008, because all facilities will be licensed in six months in fiscal year 2008, assuming 6 months for rules to be adopted and for other start-up activities. Estimates also include $3,500 in fiscal years 2009-2012 for the cost of referring one case to the State Office of Administrative Hearings.
DSHS estimates a revenue gain of $1,230,000 in General Revenue in fiscal years 2008-2009 and $1,020,000 in General Revenue in fiscal years 2010-2012. This assumes 300 licenses per year at a fee of $4,100 in fiscal years 2008-09 and $3,400 in fiscal years 2010-2012.
| Source Agencies: | 302 Office of the Attorney General, 304 Comptroller of Public Accounts, 360 State Office of Administrative Hearings, 529 Health and Human Services Commission, 537 State Health Services, Department of
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| LBB Staff: | JOB, CL, PP, SSt
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