COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. NO.: 3730-03

BILL NO.: SB 1011

SUBJECT: Health Care; Health Care Professionals; Physicians; Medical Procedures and Personnel; Consumer Protection; Insurance - Medical

TYPE: Original

DATE: April 4, 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 Missouri Consolidated Health Care Plan, the Missouri Department of Conservation, the Department of Transportation, the Department of Public Safety - Missouri State Highway Patrol, and the Department of Insurance assume the proposed legislation would have no fiscal impact on their agencies.



Officials from the Department of Mental Health (DMH) assume this proposal would have no fiscal impact on its agency since physicians employed by the DMH don't typically refer clients to other physicians.



Officials from the Department of Social Services (DOS) assume this proposal would have no fiscal impact on its agency. The proposed legislation does not expand Medicaid services or eligibility. It requires physicians to disclose information to their patients; any costs that might occur from this requirement would be an additional cost to the physician.





FISCAL IMPACT - State Government FY 2001

(10 Mo.)

FY 2002 FY 2003
$0 $0 $0





FISCAL IMPACT - Federal 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 legislation shall be known and may be cited as the "Patient Protection Act of 2000". When referring patients to other health care providers, as defined in section 538.205, RSMO, any

referring physician must disclose to such patient, specifically and in writing of any affiliation, common employer or employers, or financial interest the referring physician might have with the health care provider to which the patient is being referred.



If the physician fails to provide the information required in subsection 2 of this section, then a patient may report the physician to the state board of registration for the healing arts.



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

Missouri Department of Conservation

Department of Transportation

Department of Insurance

Department of Mental Health

Department of Social Services

Department of Public Safety

Missouri State Highway Patrol















Jeanne Jarrett, CPA

Director

April 4, 2000