COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. NO.: 2697-01
BILL NO.: SB 1012
SUBJECT: Contracts and Contractors; Health Care; Health Care Professionals; Physicians; Hospitals; Medical Procedures and Personnel
TYPE: Original
DATE: March 8, 2000
FISCAL SUMMARY
| FUND AFFECTED | FY 2001 | FY 2002 | FY 2003 |
| None | |||
| Total Estimated
Net Effect on All State Funds |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2001 | FY 2002 | FY 2003 |
| None | |||
| Total Estimated
Net Effect on All Federal Funds |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2001 | FY 2002 | FY 2003 |
| Local Government | $0 | $0 | $0 |
Numbers within parentheses: ( ) indicate costs or losses.
This fiscal note contains 3 pages.
ASSUMPTION
Officials from the Missouri Consolidated Health Care Plan, the Department of Public Safety - Missouri State Highway Patrol, the Department of Social Services, the Department of Conservation, and the Department of Transportation assume this proposal would not fiscally impact their agencies.
| FISCAL IMPACT - State Government | FY 2001
(10 Mo.) |
FY 2002 | FY 2003 |
| $0 | $0 | $0 |
| FISCAL IMPACT - Local Government | FY 2001
(10 Mo.) |
FY 2002 | FY 2003 |
| $0 | $0 | $0 |
FISCAL IMPACT - Small Business
Small businesses would expect to be fiscally impacted to the extent that they would incur additional administrative costs due to the requirements of this proposal.
DESCRIPTION
This proposal would prohibit the utilization of non-compete clauses in certain situations and would clarify the extent to which they may be used in other situations. A new Section 334.108 would make covenants not to compete enforceable except when they would be part of a physician's contract with a not-for-profit health services corporation as defined in Section 354.010. Covenants with other health care facilities would enforceable as long as they: 1. Do not deny the physician access to a list of patients the physician saw within a year of contract termination; 2. Provide access to patient medical records with the patient's consent and in an accessible format; 3. Provide for a buy-out of the covenant by the physician at a reasonable price; and 4. Provide that the physician would not be prohibited from providing continuing treatment to specific acutely ill patients after the contract has terminated.
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
Missouri Consolidated Health Care Plan
Department of Social Services
Department of Transportation
Department of Public Safety
Missouri State Highway Patrol
Department of Conservation
Jeanne Jarrett, CPA
Director
March 8, 2000