COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 4352-04
Bill No.: Truly Agreed To And Finally Passed HCS for SCS for SB 1181
Subject: Physical Therapists; Licenses - Professional; Boards, Commissions, Committees, Councils; Health Care Professionals
Type: Original
Date: May 19, 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 Economic Development - Division of Professional Registration assume the proposal will have no fiscal impact on their organization.
Officials from the Office of the Secretary of State (SOS) state this proposal modifies licensure for physical therapists and physical therapist assistants. The Department of Economic Development could promulgate rules to enact this proposal. Based on experience with other divisions, the rules, regulations and forms issued by the Department of Economic Development could require as many as 8 pages in the Code of State Regulations. For any given rule, roughly one-half again as many pages are published in the Missouri Register as are published in the Code because cost statements, fiscal notes and notices are not published in the Code. The estimated cost of a page in the Missouri Register is $23.00. The estimated cost of a page in the Code of State Regulations is $27.00. The actual costs could be more or less than the numbers given. The fiscal impact of this legislation in future years is unknown and depends upon the frequency and length of rules filed, amended, rescinded and withdrawn. The SOS estimates the cost of this legislation to be $492 [(8 pp x $27) + (12 pp x $23)].
Oversight assumes the SOS could absorb the costs of printing and distributing regulations related to this proposal. If multiple bills pass which require the printing and distribution of regulations at substantial costs, the SOS could request funding through the appropriation process. Any decisions to raise fees to defray costs would likely be made in subsequent fiscal years.
| 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 changes the laws regarding the licensing of physical therapists and physical therapy assistants. Persons having failed the physical therapy or physical therapist assistant licensing exam three or more times may be licensed by the State Board of Registration for the Healing Arts if they hold an unsanctioned license from another state and have maintained a clinical practice for the previous three years. Persons having failed the physical therapy licensing exam three or more times and not holding a license from another state may take the licensing exam three additional times if they have obtained a professional degree in physical therapy at a higher level than previously completed.
The proposal also requires that temporary licenses for physical therapists and physical therapist assistants only be valid for 90 days or until the results of the licensing exam are received.
The proposal also makes it a cause for discipline when a licensed physical therapist practices independent of the prescription and direction of a physician, dentist, or podiatrist licensed in another state.
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 Economic Development -
Division of Professional Registration
Office of Secretary of State
Mickey Wilson, CPA
Director
May 19, 2004