LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 87TH LEGISLATIVE REGULAR SESSION

March 30, 2021

TO:	Honorable Stephanie Klick, Chair, House Committee on Public Health
FROM:	Jerry McGinty, Director, Legislative Budget Board
IN RE:	HB2348 by Klick (Relating to the regulation of the practice of dental hygiene.), As Introduced

Estimated Two-year Net Impact to General Revenue Related Funds for HB2348, As Introduced : an impact of $0 through the biennium ending August 31, 2023.

The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.

General Revenue-Related Funds, Five- Year Impact:

Fiscal Year	Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2022	$0
2023	$0
2024	$0
2025	$0
2026	$0

All Funds, Five-Year Impact:

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 2021
2022	($65,289)	$65,289	1.0
2023	($62,989)	$62,989	1.0
2024	($62,989)	$62,989	1.0
2025	($62,989)	$62,989	1.0
2026	($62,989)	$62,989	1.0

Fiscal Analysis

The bill would amend the Occupations Code as it relates to the regulation of the practice of dental

hygiene. 

The bill would allow a dentist to delegate the authority to administer certain anesthetic agents to dental hygienists who meet certain criteria. The bill would require the Board of Dental Examiners (TSBDE) to establish education and certification examination requirements for dental hygienists to administer these anesthetic agents.

The bill amends the description of the practice of dental hygiene to include administering certain types of anesthesia under the authorization and direct supervision of a dentist.

The bill would take effect September 1, 2021.

Methodology

Under the provisions of the bill, a dentist may delegate a dental hygienist to administer local

anesthesia provided the dental hygienist has completed a certification examination and related

educational course. In fiscal year 2021, the agency has 14,531 active dental hygienist licensees

and estimates 740 new applicants each year.

It is assumed that the provisions of the bill would establish an additional certification. TSBDE estimates that to achieve the intent of the bill, the agency would require an additional FTE for a License and Permit Specialist III which would amount to $62,289 in additional salary and benefit costs in each fiscal year.

This analysis assumes that any increased cost to TSBDE, an agency 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

TSBDE estimates $2,300 in new employee technology set up expenses which include the costs for a computer, associated software, and a scanner.

Local Government Impact

No fiscal implication to units of local government is anticipated.

Source Agencies:

504 Board of Dental Examiners

LBB Staff:

JMc, AKI, MB, EJ