LEGISLATIVE BUDGET BOARD
Austin, Texas
 
FISCAL NOTE, 85TH LEGISLATIVE REGULAR SESSION
 
May 4, 2017

TO:
Honorable Four Price, Chair, House Committee on Public Health
 
FROM:
Ursula Parks, Director, Legislative Budget Board
 
IN RE:
HB1846 by Coleman (Relating to the prescribing and ordering of Schedule II controlled substances by certain advanced practice registered nurses and physician assistants.), Committee Report 1st House, Substituted

No significant fiscal implication to the State is anticipated.

The bill would require pharmacists practicing in a Class A pharmacy to dispense a Schedule II Controlled Substance prescribed by an Advance Practice Registered Nurse or Physician Assistant to whom a physician has delegated prescribing and ordering authority. The Health and Human Services Commission and the Texas Medical Board indicate that any costs associated with the bill could be absorbed within the agency's existing resources. The bill would take effect immediately upon a two-thirds majority vote of both houses. Otherwise, it would take effect September 1, 2017. Based on the LBB's analysis of the Board of Nursing and the Board of Pharmacy, duties and responsibilities associated with implementing the provisions of the bill could be accomplished by utilizing existing resources.

Local Government Impact

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


Source Agencies:
503 Texas Medical Board, 507 Texas Board of Nursing, 515 Board of Pharmacy, 529 Health and Human Services Commission, 537 State Health Services, Department of
LBB Staff:
UP, MDI, KCA, EP, EK