COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 2727-02
Bill No.: SB 799
Subject: Health Care; Health Department; Hospitals; Medical Procedures and Personnel; Vital Statistics
Type: Original
Date: January 8, 2004
FISCAL SUMMARY
| FUND AFFECTED | FY 2005 | FY 2006 | FY 2007 |
| Total Estimated
Net Effect on General Revenue Fund |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2005 | FY 2006 | FY 2007 |
| Total Estimated
Net Effect on All State Funds |
$0 | $0 | $0 |
Numbers within parentheses: ( ) indicate costs or losses.
This fiscal note contains 4 pages.
| FUND AFFECTED | FY 2005 | FY 2006 | FY 2007 |
| Total Estimated
Net Effect on All Federal Funds |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2005 | FY 2006 | FY 2007 |
| Local Government | $0 | $0 | $0 |
ASSUMPTION
Officials from the Department of Health and Senior Services (DOH) assume they could utilize the same format and information from the established fetal death report to provide certification statements relating to the event as required by the proposal. DOH assumes there would be no fiscal impact to implement this portion of the proposal.
The DOH states there would be a need to create a totally new certificate to eliminate the cause of death information that is an established item on the fetal report, and to fulfill the requirements of section 193.085 relating to a live birth that is outlined in the proposal. DOH estimates the cost of printing forms, designing and printing handbooks, postage, and programming costs would be $52,4950 in FY 05; $10,598 in FY 06; and $10,915 in FY 07.
Oversight assumes DOH may have some minimal costs, but those could be absorbed with current resources.
Officials from the City of St. Louis and Cole County did not respond to our fiscal note request.
| FISCAL IMPACT - State Government | FY 2005
(10 Mo.) |
FY 2006 | FY 2007 |
| $0 | $0 | $0 |
| FISCAL IMPACT - Local Government | FY 2005
(10 Mo.) |
FY 2006 | FY 2007 |
| $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 allows the State Registrar to issue a certification of stillbirth to the parent or parents of a stillborn child.
A "stillborn child" is defined as a dead fetus that was the product of human conception of twenty weeks gestation or more, calculated from the date the last normal menstrual period began to the date of delivery, and that was not born alive.
The certification of stillbirth form must satisfy the formatting and filing requirements of Section 193.085, RSMo, for live births. The certification must be filed with the local registrar within seven days of the delivery. If the parent or parents of the stillborn child do not wish to provide a name, then any references to the name on the certification will remain blank.
If a stillbirth has not been registered within one year of the date of delivery, then a certification marked "delayed" can be filed and registered along with any other requirements necessary to substantiate the facts surrounding the stillbirth. A certification of stillbirth may be issued to any individual having a direct and tangible interest in the record. The certification shall include the statement "This is not proof of a live birth".
An individual may file an application for certification of stillbirth for any birth that resulted in stillbirth that occurred prior to August 28, 2004
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
Not Responding: City of St. Louis and Cole County
Mickey Wilson, CPA
Director
January 8, 2004