COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. NO.: 2784-01

BILL NO.: SB 614

SUBJECT: Administrative Rules, Health Care, Insurance - Medical, Insurance Department

TYPE: Original

DATE: January 17, 2000




FISCAL SUMMARY



ESTIMATED NET EFFECT ON STATE FUNDS
FUND AFFECTED FY 2001 FY 2002 FY 2003
None
Total Estimated

Net Effect on All

State Funds

$0 $0 $0



ESTIMATED NET EFFECT ON FEDERAL FUNDS
FUND AFFECTED FY 2001 FY 2002 FY 2003
None
Total Estimated

Net Effect on All

Federal Funds

$0 $0 $0



ESTIMATED NET EFFECT ON LOCAL FUNDS
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.



FISCAL ANALYSIS



ASSUMPTION



Officials from the Department of Public Safety - Missouri State Highway Patrol, the Office of Administration, the Department of Conservation, and the Department of Transportation assume this proposal would not fiscally impact their agencies.



Department of Insurance (INS) officials anticipate that current appropriations would be able to absorb the expense of task force meetings, etc., but depending on number of meetings and locations, INS may need to request an increase in appropriations.



Officials from the Missouri Consolidated Health Care Plan state the proposal would require some administrative cost to the carriers which may be passed along in the premiums. However, any impact should be minimal.



Department of Corrections (DOC) officials did not respond to our fiscal note request. However, in responding to similar proposal last session, DOC responded they assumed there would be no fiscal impact to their agency.



Oversight assumes the Office of Secretary of State (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 appropriations process. Any decisions to raise fees to defray costs would likely be made in subsequent fiscal years.



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



No direct fiscal impact to small businesses would be expected as a result of this proposal.



DESCRIPTION



This proposal would require health insurance carriers to use standardized forms for the explanation of benefits and referrals. The standardized form would be developed by a task force established by the Department of Insurance. The standardized forms would be used by health

insurance carriers and providers after January 1, 2002.



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 Transportation

Department of Conservation

Department of Public Safety

Missouri State Highway Patrol

Department of Insurance

Missouri Consolidated Health Care Plan

Office of Administration



NOT RESPONDING: Department of Corrections















Jeanne Jarrett, CPA

Director

January 17, 2000