This Fiscal Note is not an official copy and should not be quoted or cited.
Fiscal Note - SB 0231 - Requires Licensure of Dietitians

L.R. NO.  1000-01
BILL NO.  SB 231
SUBJECT:  Licenses - Professional: Dietitians
TYPE:     Original
DATE:     February 3, 1997


                              FISCAL SUMMARY

                    ESTIMATED NET EFFECT ON STATE FUNDS

FUND AFFECTED              FY 1998             FY 1999           FY 2000

Dietitian                       $0             $27,720           $30,561

PR Fees                         $0                  $0                $0

Total Estimated
Net Effect on All
State Funds                     $0             $27,720           $30,561


                   ESTIMATED NET EFFECT ON FEDERAL FUNDS

FUND AFFECTED              FY 1998             FY 1999           FY 2000
None                            $0                  $0                $0

Total Estimated
Net Effect on All
Federal Funds                   $0                  $0                $0


                    ESTIMATED NET EFFECT ON LOCAL FUNDS

FUND AFFECTED              FY 1998             FY 1999           FY 2000
Local Government                $0                  $0                $0


                              FISCAL ANALYSIS

ASSUMPTION

Officials from the Department of Economic Development (DED)-Professional
Registration (DPR) assume the proposed legislation would result in the
licensure of 2,172 individuals annually, with a projected annual growth rate
of 3%.  The estimated number of licensees is based on the 1990 U.S. Census
EE090A report.  The initial registration fee and annual renewal fee would be
set at $80.  The effective date of this legislation is July 1, 1998,
therefore, no revenues or expenditures are reflected until FY 99.  Also, FY
99 would reflect revenues and expenditures for 12 months.

DPR is requesting an additional 2.5 FTE to carry out duties generated by this
proposal.  The additional employees would include a .5 Principal Assistant
(.5 FTE at $33,879 per year) to serve as senior executive officer of the
board and to be responsible for overseeing the licensure and regulation
program, one Licensure Technician I (1 FTE at $16,488 per year) to provide
clerical and technical support directly to the Principal Assistant and the
Board and to be responsible for processing applications for licensure, as
well as respond to any inquiries relating to the licensure law or rules and
regulations, a .5 Clerk Typist II (.5 FTE at $15,936 per year) to provide
clerical and technical support to the Division-Administration support pool
and a .5 Investigator II (.5 FTE at $25,524 per year) to provide
investigation/inspection support to the Division-Administration investigative
pool due to the number of additional licensees.

It is assumed the Board would meet four times per year for two days each.
Each of the six members would receive a $50 per diem for an annual total of
$2,400, as well as associated travel costs (mileage, lodging and meals).

DPR has based postage and printing costs on the actual FY 96 usage for
Chiropractors, a board of similar size and has estimated costs in FY 99 to be
$24,086 and $20,090 in subsequent years.  Additional costs would be incurred
the first year for statute and rule mailings and for first year start up
printing of rules, letterhead and envelopes.  Office and communication
expenses and equipment are based on estimated existing costs within the
Division.

DPR has included costs to investigate complaints and assumes there would be
14 complaints and investigations per year.  This would entail costs for
investigators and professional experts, as well as associated travel costs,
resulting in an annual total of $29,582.

DPR assumes there would be a one time cost to design, program and implement a
computer registration program to accommodate dietitians for a total of
$14,400 (240 hours x $60 per hour).

Also, it is assumed the Committee would utilize the nationally certified
examination(s) offered by The American Dietetic Association.  However, if the
Committee would elect to develop its own examination, the cost is estimated
to be somewhere between $10,000 and $50,000.

DPR estimates General Revenue transfers to be $10,490 per year, based on the
overall average of the Division's FY 96 general revenue transfers.

It is assumed the Dietitian Fund would reimburse the PR Fees Fund at the end
of each fiscal year for start-up costs incurred during that year.

Additionally, DPR has included rental costs to accommodate the additional
FTEs.  However, Oversight assumes DPR would locate new FTEs in existing
facilities and has not included rental costs as a result of this proposal.
Oversight has also adjusted equipment requests based on OA guidelines.

Officials from the Office of the Secretary of State (SOS) assume the proposed
legislation would require the printing of additional pages in the Missouri
Register and the Code of State Regulations and have estimated a one-time
publishing and distribution cost of $673 for FY 1998.  SOS acknowledges that
additional costs could, to some degree, be offset by those fees collected
from subscriptions, given that the number of subscribers remains constant or
increases.  While this bill alone would not require SOS to acquire additional
staff, SOS assumes the cumulative effect of additional Register and Code
publishing duties could, at some point, require additional staff or
equipment.  However, Oversight assumes SOS could increase fees to cover any
additional costs, per Section 536.033, RSMo.

Officials from the Department of Revenue (DOR),Office of the Attorney General
(AGO), Office of State Courts Administrator (CTS) and the Office of the State
Treasurer (STO) assume the proposed legislation would have either minimal or
no fiscal impact on their agencies.

Officials from the Administrative Hearing Commission (AHC) would anticipate
few new hearings under this legislation.  However, if there are more
hearings, or more complex hearings, there could be a fiscal impact.


FISCAL IMPACT - State Government        FY 1998     FY 1999     FY 2000
                                       (10 Mo.)
DIETITIAN FUND

Revenue-Division of Professional Registration (DPR)
   Licensure Fees/Renewals                   $0    $173,760    $178,960

Costs-DPR
   Transfer to PR Fees Fund                  $0  ($146,040)  ($148,399)

ESTIMATED NET EFFECT TO
DIETITIAN FUND                               $0     $27,720     $30,561


PR FEES FUND

Income-Division of Professional Registration (DPR)
   Transfer from Dietitian Fund              $0    $146,040    $148,399

Costs-DPR
   Personal Service (2.5 FTE)              ($0)   ($56,899)   ($58,321)
   Fringe Benefits                          (0)    (16,233)    (16,639)
   Board Member Per Diem                    (0)     (2,400)     (2,400)
   Expense and Equipment                    (0)    (60,018)    (60,549)
   Other Costs/GR Transfers (AGO)           (0)    (10,490)    (10,490)
Total Costs - DPR                          ($0)  ($146,040)  ($148,399)

ESTIMATED NET EFFECT TO
PR FEES FUND                                 $0          $0          $0


FISCAL IMPACT - Local Government        FY 1998     FY 1999     FY 2000
                                       (10 Mo.)

                                             $0          $0          $0


FISCAL IMPACT - Small Business

No direct fiscal impact to small businesses would be expected as a result of
this proposal.


DESCRIPTION

The proposed legislation would provide for the licensure of dietitians with
the Division of Professional Registration (DPR).  The State Committee of
Dietitians would be established to advise and make recommendations to DPR.
The proposal would outline licensure exemption, application standards, the
license renewal process and reciprocity.

The fees collected would be deposited in the state treasury and credited to
the newly created Dietitian Fund.

This legislation is not federally mandated, would not duplicate any other
program and would not require additional capital improvements or rental
space.

This legislation could affect Total State Revenues.


SOURCES OF INFORMATION

Department of Economic Development-Professional Registration
Office of the Secretary of State
Department of Revenue
Office of the Attorney General
Office of State Courts Administrator
Office of the State Treasurer
Administrative Hearing Commission