COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. NO.: 3070-05

BILL NO.: Perfected SCS for SB's 617 & 646

SUBJECT: Anatomical Gift Act

TYPE: Original

DATE: March 9, 2000




FISCAL SUMMARY



ESTIMATED NET EFFECT ON STATE FUNDS
FUND AFFECTED FY 2001 FY 2002 FY 2003
Highway Fund $0 $0 $0
Organ Donor Program $329,320 $404,184 $404,184
Total Estimated

Net Effect on All

State Funds

$329,320 $404,184 $404,184





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 5 pages.

FISCAL ANALYSIS



ASSUMPTION



Officials from the Department of Economic Development - Division of Professional Registration, the Department of Public Safety - Missouri State Highway Patrol, the Cooper County Memorial Hospital, Department of Transportation and the Office of Attorney General assume this proposal would not fiscally impact their agencies.



Officials from the Department of Health (DOH) assume no fiscal impact. The increase in the contribution for the organ donation fund would be revenue neutral because individuals may only contribute at the time of license renewal, which has been extended to every six years versus every three years. Therefore, the frequency of the donations would decrease.



Department of Revenue (DOR) officials assume the following administrative and fiscal impacts:



The Drivers License Bureau (DLB) would incur programming expenses to modify the Over-the-Counter system in the amount of $7,500. These programming changes would include changes to the applicant screen, the verification sheet print routine, and report changes. The current OTC contractor is Polaroid. Polaroid estimates that it will take approximately 60 hours to complete these changes, at $125 per hour, for a total anticipated cost of $7,500 in FY01.



REVENUE - Organ Donor Program Fund



Although the driver license renewal period beginning July 1, 2000 will be increased to six years; the additional collection of $1 for organ donation beginning August 28, 2000 will result in additional funds collected for the Organ Donor Program Fund. Not all licensees will obtain a six year license immediately upon implementation of the change on July 1, 2000. Licensees will renew to a six year license after their three year license has expired. The Drivers License Bureau will continue to renew individuals that currently have a license expiring in FY 01, 02 or 03. In addition, three year licenses will continue to be issued to driver's up until July 1, 2000. As a result, this proposal would increase the amount of donations per year for the first three years and would begin to level off in FY04 and beyond.



The Drivers License Bureau has collected approximately $33,682 per month for organ donation. It is anticipated that the same number of individuals will continue to donate an additional $1. Thus, an anticipated increase to the Organ Donation Program Fund would be $336,820 in FY01 and $404,184 in FY02 and 03.



ASSUMPTION (continued)



Oversight notes that the fund is to repay the DOR the costs for development and implementation of the contribution program. These costs are reflected in the Highway Fund. Oversight has also reflected a transfer-in from the Organ Donor Program Fund to repay the costs of development and implementation. The proposal states that for the first fiscal year, the Organ Donor Program Fund shall reimburse the DOR for actual operating expenses of the program up to a maximum of $100,000. For each fiscal year thereafter, the fund shall reimburse the DOR for the actual operating costs of the program in an amount not to exceed the prior year's actual operating costs, on a full fiscal year basis, plus three percent. Therefore, Oversight has calculated the net impact to DOR equal to approximately $7,500 for FY01 and $0 for FY02 and FY03 to reflect the reimbursement by the Organ Donor Program Fund.



Oversight sent a fiscal note request to various community hospitals seeking input on any administrative or fiscal impacts on the hospitals by the proposal. Cooper County Memorial Hospital was the only hospital that responded. Oversight assumes that hospitals could experience some administrative tasks relating to this proposal. However, we believe that the functions could be absorbed with existing resources and therefore have shown no fiscal impact to hospitals.







FISCAL IMPACT - State Government FY 2001 FY 2002 FY 2003

(10 Mo.)

HIGHWAY FUND



Transfer - In

Transfer from Organ Donor Program Fund

for Development and Implementation Cost $7,500 $0 $0



Costs - Department of Revenue

OTC Programming - Drivers License ($7,500) $0 $0

ESTIMATED NET EFFECT ON

HIGHWAY FUND $0 $0 $0





FISCAL IMPACT - State Government FY 2001 FY 2002 FY 2003

(10 Mo.)

ORGAN DONOR PROGRAM FUND



Income - Department of Health

Additional $1 donation from licensee $336,820 $404,184 $404,184



Transfer - Out

Transfer To Highway Fund for DOR

Development and Implementation Costs ($7,500) $0 $0



ESTIMATED NET EFFECT ON

ORGAN DONOR PROGRAM FUND $329,320 $404,184 $404,184





FISCAL IMPACT - Local Government FY 2001 FY 2002 FY 2003

(10 Mo.)



$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 modifies the membership and duties of the Organ Donation Advisory Committee and increases contributions to the organ donation program. In Section 194.300, RSMo, the membership of the Advisory Committee is increased by adding a representative from the Department of Revenue. Section 194.302, RSMo, currently describes the duties of the Advisory Committee. New language adds the requirement that the Committee study the feasibility of providing Internet access to the organ donor registry for authorized personnel. The Committee shall provide a report of its findings. Finally, Section 302.171, RSMo, outlines the procedure individuals must follow when applying for a Missouri driver's license. New language increases the amount that an applicant may donate to promote organ donor programs from $1.00 to $2.00. An additional Section 302.171, RSMo, is repealed in this act in order to remove a version of this section that will become ineffective on January 1, 2001.



This legislation is not federally mandated, would not duplicate any other program and would not require additional capital improvements or rental space. This proposal would affect Total State Revenues.



SOURCES OF INFORMATION



Department of Health

Department of Revenue

Department of Public Safety

Missouri State Highway Patrol

Office of Attorney General

Department of Transportation

Cooper County Memorial Hospital





NOT RESPONDING: Bothwell Regional Health Center, Golden Valley Memorial Hospital, North Kansas City Hospital, Phelps County Regional Medical Center, University Hospital and Clinics, Sullivan County Memorial Hospital













Jeanne Jarrett, CPA

Director

March 9, 2000