SB 0493 - Fiscal Note

Fiscal Note - SB 0493 - Revises medical record copying fees and repeals section 191.233

COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION

FISCAL NOTE

L.R. NO. 2129-01

BILL NO. SB 493

SUBJECT: Health Care

TYPE: Original

DATE: March 30, 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
None
Total Estimated Net Effect on All Federal Funds	$0	$0	$0

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 3 pages.

FISCAL ANALYSIS

ASSUMPTION

Officials from the Department of Health and Department of Insurance assume this proposal would not fiscally impact their agencies.

Officials from the Cooper County Memorial Hospital assume that this proposal will not fiscally affect their hospital. Oversight assumes that this proposal would not significantly affect any state-owned or local government-owned hospital.

FISCAL IMPACT - State Government	FY 2000	FY 2001	FY 2002
	(10 Mo.)
	$0	$0	$0
FISCAL IMPACT - Local Government	FY 2000	FY 2001	FY 2002
	(10 Mo.)
	$0	$0	$0
FISCAL IMPACT - Small Business
No direct fiscal impact to small businesses is expected as a result of this proposal.

DESCRIPTION

This proposal revises medical record copying fees and repeals section 191.233, which requires that copy fees be increased or decreased based on the Health Care Financing Administration Market Basket Survey. Currently, a patient may make a written request that his or her medical records be copied and forwarded as long as the request is consistent with the patient's condition and treatment. This proposal would set a handling fee of $20, and medical record copying fees of $1 per page for pages 1 to 25, $.50 per page for pages 26 to 100, and $.35 per page for pages over 100. After January 1, 2002, copy fees should be adjusted in accordance with the Implicit Price Deflator (IPD) for Personal Consumption Expenditures, which is a measure of inflation determined each year by the Bureau of Economic Analysis, of the U.S. Department of Commerce. Upon evaluating the IPD, the Department of Insurance should calculate current fees and report them to the Secretary of State, who will record the change in the Missouri Register by March 1 of each year.

DESCRIPTION (continued)

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 Insurance

Department of Health

Cooper County Memorial Hospital

NOT RESPONDING: University of Missouri Hospital, Barton County Memorial Hospital, Cass Medical Center, Lincoln County Memorial Hospital, and Ste. Genevieve County Memorial Hospital.

Jeanne Jarrett, CPA

Director

March 30, 1999