Honorable Senfronia Thompson, Chair, House Committee on Public Health
FROM:
John McGeady, Assistant Director Sarah Keyton, Assistant Director Legislative Budget Board
IN RE:
HB3878 by Stucky (Relating to the requirement to obtain a license to practice as an anesthesiologist assistant; providing an administrative penalty; authorizing fees.), As Introduced
Estimated Two-year Net Impact to General Revenue Related Funds for HB3878, As Introduced: a positive impact of $123,308 through the biennium ending August 31, 2021.
The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
Fiscal Year
Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2020
$57,454
2021
$65,854
2022
$76,654
2023
$86,854
2024
$98,254
Fiscal Year
Probable Savings/(Cost) from General Revenue Fund 1
Probable Revenue Gain/(Loss) from General Revenue Fund 1
Change in Number of State Employees from FY 2019
2020
($80,996)
$138,450
1.0
2021
($53,996)
$119,850
1.0
2022
($53,996)
$130,650
1.0
2023
($53,996)
$140,850
1.0
2024
($53,996)
$152,250
1.0
Fiscal Analysis
The bill would amend the Occupations Code and add Chapter 207 creating an anesthesiologist assistant license and advisory board, authorizing fees.
The bill would require the Texas Medical Board (TMB) to establish licensure, continuing education, and disciplinary requirements for anesthesiologist assistants and appoint an advisory board.
The bill would require anesthesiologist assistants to hold a license by September 1, 2020.
Except as otherwise specified, this bill would take effect on September 1, 2019.
Methodology
Under the provisions of the bill, TMB would be required to license anesthesiologist assistants, and the agency estimates approximately 355 initial applicants in fiscal year 2020 and 35 new applicants in each subsequent fiscal year. Unlike any other licensees at TMB, the agency would be required under provisions of the bill to maintain recertification requirements consistent with the requirements of the National Commission for Certification or Anesthesiologist Assistants or its successor organization.
To implement the provisions of the bill, this analysis assumes that TMB would require 1.0 additional FTE for a Licensing and Permit Specialist and $50,996 in General Revenue in fiscal year 2020 and $48,996 in each subsequent fiscal year.
TMB estimates a one-time cost of $25,000 in fiscal year 2020 for programming changes for the agency's internal databases and licensing management system and a cost of $5,000 in fiscal year 2020 and each subsequent fiscal year for travel costs for members of the Texas Anesthesiologist Assistant Board.
The agency would be authorized to charge fees and estimates a fee of $390 for new applicants and a biennial renewal fee of $600 for licensees. TMB anticipates a gain to General Revenue of $138,450 in fiscal year 2020, $119,850 in fiscal year 2021, $130,650 in fiscal year 2022, $140,850 in fiscal year 2023, and $152,250 in fiscal year 2024.
The estimated total impact to comply with the provisions of the bill would be a gain of $57,454 in fiscal year 2020, $65,854 in fiscal year 2021, $76,654 in fiscal year 2022, $86,854 in fiscal year 2023, and $98,254 in fiscal year 2024.
This analysis assumes that any increased cost to TMB, which is statutorily required to generate sufficient revenue to cover its costs of operation, would be offset by an increase in fee generated revenue.
Technology
TMB estimates a one-time cost of $25,000 in fiscal year 2020 for programming changes for the agency's internal databases and licensing management system.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies:
304 Comptroller of Public Accounts, 503 Texas Medical Board