This Fiscal Note is not an official copy and should not be quoted or cited.
Fiscal Note - SB 0515 - Organ Donation-Donor Can Make Gift Irrevocable Upon Death
L.R. NO. 2382-02
BILL NO. Perfected SCS for SB 515 and 584
SUBJECT: Public Health; Medical Procedures; Physician; Coroner
TYPE: Original
DATE: May 1, 1996
FISCAL SUMMARY
ESTIMATED NET EFFECT ON STATE FUNDS
FUND AFFECTED FY 1997 FY 1998 FY 1999
None
Total Estimated
Net Effect on All
State Funds $0 $0 $0
ESTIMATED NET EFFECT ON FEDERAL FUNDS
FUND AFFECTED FY 1997 FY 1998 FY 1999
None
Total Estimated
Net Effect on All
Federal Funds $0 $0 $0
ESTIMATED NET EFFECT ON LOCAL FUNDS
FUND AFFECTED FY 1997 FY 1998 FY 1999
Local Government $0 $0 $0
FISCAL ANALYSIS
ASSUMPTION
Officials of the Department of Health (DOH), the Department of Mental Health
(DMH), the Office of Attorney General (AGO), and Department of Economic
Development (DED), Division of Professional Registration (DPR) assume this
proposal would not fiscally impact their agencies.
Officials from Barnes Hospital, Capital Region Medical Center, Children's
Mercy Hospital, Kirksville Osteopathic Medical Center, Oak Hill Hospital, St.
Luke's Hospital of Kansas City, St. Louis University Hospital, University
Hospital and Clinics did not respond to our fiscal impact request.
FISCAL IMPACT - State Government FY 1997 FY 1998 FY 1999
(10 Mo.)
$0 $0 $0
FISCAL IMPACT - Local Government FY 1997 FY 1998 FY 1999
(10 Mo.)
$0 $0 $0
DESCRIPTION
This proposal would make a donor's anatomical gift irrevocable if the donor
signs a written statement indicating intent to make such a gift, and the
statement is signed by two witnesses, notarized, or included in the donor's
durable power of attorney, and if it is not revoked before death, either
orally or in writing. This proposal would require hospitals to request
consent to a donation from a person authorized to dispose of the body and
permit any physician to accept an organ donation if there is no specified
donee, the donee is not available at the time of death, or if the gift cannot
be implemented. It would allow organ procurement organizations and tissue
banks to employ coordinators to assist in obtaining cadaveric organs and
tissue for transplant and research. This proposal requires coroners and
medical examiners to make reasonable efforts to accommodate organ donations
during the performance of their official duties.
This proposal would also make several changes to the Uniform Anatomical Gift
Act. It would authorize a donee to accept an organ donation without
obtaining consent if the donor has made an express desire to donate and
change the priority list of next-of-kin who may donate organs when the donor
has not made an express donation. This proposal would require hospitals to
request consent to a donation from a person authorized to dispose of the body
and permit any physician to accept an organ donation if there is no specified
donee, the donee is not available at the time of death, or if the gift cannot
be implemented. It would allow organ procurement organizations and tissue
banks to employ coordinators to assist in obtaining cadaveric organs and
tissue for transplant and research. This proposal requires coroners and
medical examiners to make reasonable efforts to accommodate organ donations
during the performance of their official duties.
This legislation is not federally mandated, would not duplicate any other
program and would not require additional capital improvements or rental
space.
SOURCES OF INFORMATION
Department of Health
Department of Economic Development
Division of Professional Registration
Department of Mental Health
Office of Attorney General
NOT RESPONDING: Barnes Hospital, Capital Region Medical Center, Children's
Mercy Hospital, Kirksville Osteopathic Medical Center, Oak Hill Hospital, St.
Luke's Hospital of Kansas City, St. Louis University Hospital, University
Hospital and Clinics