OFFICE OF FISCAL ANALYSIS

Legislative Office Building, Room 5200

Hartford, CT 06106 (860) 240-0200

http: //www. cga. ct. gov/ofa

sSB-471

AN ACT EXTENDING THE STATE PHYSICIAN PROFILE TO CERTAIN OTHER HEALTH CARE PROVIDERS.

OFA Fiscal Note

State Impact:

Agency Affected

Fund-Effect

FY 09 $

FY 10 $

Public Health, Dept.

GF - Cost

1,817,900

at least 285,900

Comptroller Misc. Accounts (Fringe Benefits)1

GF - Cost

63,197

97,267

Note: GF=General Fund

Municipal Impact: None

Explanation

The Department of Public Health (DPH) will incur FY 09 costs of approximately $1. 82 million to expand its current physician profile database system to include dentists, chiropractors, optometrists, podiatrists, naturopaths, dental hygienists, advanced practice registered nurses and physical therapists by 10/1/08. This includes:

YEAR 1

 

One Time Costs

 

Costs to upgrade computer platform

$1,200,000

Consultant charges related to staff training

180,000

Supplies; postage to mail survey to 15,850 practitioners

60,000

2 Temporary clerical staff for initial data entry & follow-up

83,300

Equipment/Software

8,700

Total – One Time Costs

$1,532,000

   

Ongoing Costs

 

Department of Information Technology (DoIT) hosting fees

$120,000

3 Permanent staff (Health Program Associate, Office Assistant, IT Analyst)

165,900

Total – Ongoing Costs

$285,900

   

Total – Year 1 Costs

$1,817,900

In FY 10 and subsequent fiscal years, ongoing costs associated with this initiative will be $285,900 as the temporary clerical staff will not be required after the initial data entry effort is completed and one-time software and equipment costs will not recur. Additional costs ($63,197 in FY 09; $97,267 in FY 10) will be incurred for associated fringe benefits.

A further future potential cost would be incurred should the department incorporate data collection for the expanded provider profile system into a pending on-line licensure system. These costs would be associated with additional conveyance fees, at an annualized cost of $45,000. The on-line licensure system is not anticipated to be operational until FY 10.

It is expected that information concerning each provider's history of medical malpractice or criminal activity will be self-reported. Therefore, no resulting fiscal impact is anticipated for either the Departments of Insurance or Public Safety.

The Out Years

The annualized ongoing fiscal impact identified above would continue into the future subject to inflation.

1 The fringe benefit costs for state employees are budgeted centrally in the Miscellaneous Accounts administered by the Comptroller. The first year fringe benefit costs for new positions do not include pension costs. The estimated first year fringe benefit rate as a percentage of payroll is 25. 36%. The state's pension contribution is based upon the prior year's certification by the actuary for the State Employees Retirement System (SERS). The SERS fringe benefit rate is 33. 27%, which when combined with the rate for non-pension fringe benefits totals 58. 63%.