This Fiscal Note is not an official copy and should not be quoted or cited.
This Fiscal Note is not an official copy and should not be quoted or cited.
Fiscal Note - SB 0379 - Modifies the cancer information reporting system to ensure complete reporting
COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. NO.: 1703-03
BILL NO.: HCS for SB 379
SUBJECT: Cancer Information Reporting System
TYPE: Original
DATE: April 15, 1999
FISCAL SUMMARY
|
ESTIMATED NET EFFECT ON STATE FUNDS | |||
| FUND AFFECTED | FY 2000 | FY 2001 | FY 2002 |
| None | |||
| Total Estimated
Net Effect on All State Funds |
$0 | $0 | $0 |
|
ESTIMATED NET EFFECT ON FEDERAL FUNDS | |||
| FUND AFFECTED | FY 2000 | FY 2001 | FY 2002 |
| Federal | ($89,965) | ($110,775) | ($113,618) |
| Total Estimated
Net Effect on All Federal Funds |
($89,965) | ($110,775) | ($113,618) |
|
ESTIMATED NET EFFECT ON LOCAL FUNDS | |||
| FUND AFFECTED | FY 2000 | FY 2001 | FY 2002 |
| Local Government | $0 | $0 | $0 |
Numbers within parentheses: ( ) indicate costs or losses
This fiscal note contains 4 pages.
FISCAL ANALYSIS
ASSUMPTION
Officials from the Department of Health (DOH) state this proposal would enable the Missouri Cancer Registry to become a 100% population-based registry by requiring that all cancer cases be reported to the central registry, not just those diagnosed and treated in a hospital inpatient setting. DOH assumes that this proposal would not fiscally impact state funds, since expansion of this registry is authorized under federal PL 102-515 and required to maintain federal funding with a commitment for federal funding. DOH further assumes this proposal would require them to contract out for a Certified Tumor Registrar I and a Computer Information Tech II to provide the services described. DOH estimates contract costs to be $89,965 in FY00, $110,775 in FY01, and $113,618 in FY02.
Officials from the Department of Social Services assume that this proposal will not fiscally affect their agency.
| FISCAL IMPACT - State Government | FY 2000 | FY 2001 | FY 2002 |
| (10 Mo.) | |||
| FEDERAL FUNDS | |||
| Costs - Department of Health | |||
| Personal Service | ($60,112) | ($73,969) | ($75,819) |
| Fringe Benefits | ($17,967) | ($22,109) | ($22,662) |
| Expense and Equipment | ($11,886) | ($14,697) | ($15,137) |
| Total Costs - Department of Health | ($89,965) | ($110,775) | ($113,618) |
|
ESTIMATED NET EFFECT | |||
| ON FEDERAL FUNDS | ($89,965) | ($110,775) | ($113,618) |
| FISCAL IMPACT - Local Government | FY 2000 | FY 2001 | FY 2002 |
| (10 Mo.) | |||
| $0 | $0 | $0 | |
| FISCAL IMPACT - Small Business | |||
| Small businesses that diagnose and treat cancer cases would be fiscally impacted to the extent of meeting the reporting requirements of this proposal. | |||
DESCRIPTION
This proposal revises provisions relating to the cancer information reporting system in Missouri. The Department of Health is required to establish and maintain a cancer information reporting system which includes a record of all Missouri cancer cases and related information of inpatients and outpatients diagnosed and treated in hospitals, pathology laboratories, physician offices, ambulatory surgical centers, and free standing cancer clinics and treatment centers. Currently, the Department of Health maintains records of hospitalized cancer cases in Missouri.
The director of the Department of Health will establish regulations regarding the reporting of cases of malignant neoplasms and relevant information. The reported cases must be filed with the director within 6 months of diagnosis or treatment. Currently, the reported cases are filed within 4 months.
Administrators or designated representatives of hospitals and related medical facilities are required to report to the Department of Health every case of malignant neoplasm. Attending physicians or other health care providers who diagnose or treat a patient's malignant neoplasm are required to report the cancer case to administrators or a designated representative. Currently, attending physicians of inpatients are required to report such cases to administrative officers.
The Department of Health is required to protect the identity of patients, physicians, health care providers, and related medical facilities required to report cancer cases. The department can
disclose their identities with written consent and can request consent for releases from patients, physicians, health care providers, and related medical facilities if applicants conducting worthwhile cancer research can show that the identities are necessary. Reports used or published by the Department of Health are based on information obtained according to the provisions of this proposal.
The department can enter into exchange of data agreements with other federal, state, or local government cancer registries. The disclosure of the identity of patients, physicians, health
care providers, and related medical facilities is not required if the agreement prevents such disclosure.
This legislation is 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 Social Services
Jeanne Jarrett, CPA
Director
April 15, 1999