LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 83RD LEGISLATIVE REGULAR SESSION

May 1, 2013

TO:	Honorable Lois W. Kolkhorst, Chair, House Committee on Public Health
FROM:	Ursula Parks, Director, Legislative Budget Board
IN RE:	SB406 by Nelson (Relating to the practice of advanced practice registered nurses and physician assistants and the delegation of prescriptive authority by physicians to and the supervision by physicians of certain advanced practice registered nurses and physician assistants.), Committee Report 2nd House, Substituted

No significant fiscal implication to the State is anticipated.

This bill would amend the Occupations Code to change the way physicians delegate and supervise the prescriptive authority of advanced practice registered nurses (APRNs) and physician assistants (PAs). The Texas Medical Board, Texas Board of Nursing, the Texas Board of Pharmacy, and the Department of Aging and Disability Services have determined that the bill would not result in a significant fiscal impact to the State.

The bill would also allow physicians working in a hospital or long term care facility to delegate prescriptive authority for Schedule II Controlled Substances to APRNs and PAs under some circumstances. The Department of Public Safety reports it would need to update their web pages, licensing process, and Prescription Access in Texas system. It is assumed this could be accomplished with existing resources.

Local Government Impact

No significant fiscal implication to units of local government is anticipated.

Source Agencies:

454 Department of Insurance, 503 Texas Medical Board, 507 Texas Board of Nursing, 515 Board of Pharmacy, 405 Department of Public Safety, 539 Aging and Disability Services, Department of

LBB Staff:

UP, KKR, CL, JI, BH