COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 1202-02
Bill No.: Perfected SCS for SB 391
Subject: Boards, Commission, Committees, Councils; Health Care; Health Care Professionals; Health Department; Medical Procedures and Personnel; Physicians
Type: Original
Date: March 11, 2003
FISCAL SUMMARY
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| General Revenue | ($39,486) | ($72,829) | ($74,281) |
| Total Estimated
Net Effect on General Revenue Fund |
($39,486) | ($72,829) | ($74,281) |
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| Total Estimated
Net Effect on Other State Funds |
$0 | $0 | $0 |
Numbers within parentheses: ( ) indicate costs or losses.
This fiscal note contains 4 pages.
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| Total Estimated
Net Effect on All Federal Funds |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2004 | FY 2005 | FY 2006 |
| Local Government | $0 | $0 | $0 |
ASSUMPTION
Officials from the Department of Economic Development - Division of Professional Registration, the Missouri Senate, the Attorney General's Office, and the Missouri House of Representatives assume this proposal would not fiscally impact their agencies.
Officials from the Department of Health and Senior Services (DOH) assume the DOH would furnish administrative support and staff as needed to carry out the mandates of the Council. The DOH currently does not have program or services related to the issues of this proposal. DOH states a Health Program Representative III would be need on or about January 2004, just prior to the council member appointments. DOH estimates the salary and related expenses for this position to be $37,285 in FY 04; $68,440 in FY 05; and $70,212 in FY 06.
The DOH assumes that council members would not be reimbursed for expenses unless federal funds, donated funds, or grants from private foundations can be obtained to support those costs. DOH estimates that lodging, meals and mileage for the council would be $8,280 in FY 04 and $16,560 in years FY 05 and FY 06.
Oversight assumes DOH would pay the Council expenses unless other funds are available. For ASSUMPTION (continued)
fiscal note purposes, these expenses are presented as General Revenue costs.
Oversight has, for fiscal note purposes only, changed the starting salary for the Health Representative III to correspond to the second step above minimum for comparable positions in the state's merit system pay grid. This decision reflects a study of actual starting salaries for new state employees for a six month period and the policy of the Oversight Subcommittee of the Joint Committee on Legislative Research.
| FISCAL IMPACT - State Government | FY 2004
(10 Mo.) |
FY 2005 | FY 2006 |
| GENERAL REVENUE | |||
| Costs - Department of Health and Senior Services | |||
| Personal Service (1 FTE) | ($16,396) | ($33,612) | ($34,452) |
| Fringe Benefits | ($6,635) | ($13,603) | ($13,943) |
| Expense and Equipment | ($8,175) | ($9,054) | ($9,326) |
| Council reimbursement | ($8,280) | ($16,560) | ($16,560) |
| ESTIMATED NET EFFECT ON GENERAL REVENUE |
($39,486) |
($72,829) |
($74,281) |
| FISCAL IMPACT - Local Government | FY 2004
(10 Mo.) |
FY 2005 | FY 2006 |
| $0 | $0 | $0 |
FISCAL IMPACT - Small Business
No direct fiscal impact to small businesses would be expected as a result of this proposal.
DESCRIPTION
This proposal establishes the Missouri State Advisory Council on Pain and Symptom Management. The Advisory Council will consist of 19 members who will be appointed by February 1, 2004. The Advisory Council shall: (1) Hold public hearings to gather information relating to pain management; (2) Make recommendations on acute and chronic pain management practices; (3) Analyze statutes, rules, and regulations relating to pain management; (4) Study the use of alternative therapies and any sanctions imposed; (5) Examine the needs of adults, children, and minorities that have acute and chronic pain; (6) Review the pain management education materials provided by professional licensing boards; (7) Make recommendations to health care professionals for integrating pain management into their practices; (8) Make recommendations regarding continuing education requirements for pain management; (9) Review guidelines issued by the U.S. Department of Health and Human Services; and (10) Prepare an annual report to deliver to the Speaker, Pro Tem, and Governor by February 1st of each year.
Members of the Council will serve without compensation but may be reimbursed for any expenses incurred. The Department of Health and Senior Services will furnish administrative staff to the Council.
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 and Senior Services
Attorney General Office
Missouri Senate
Missouri House of Representatives
Department of Economic Development -
Division of Professional Registration
Mickey Wilson, CPA
Director
March 11, 2003