COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. NO.: 3738-01
BILL NO.: Truly Agreed and Finally Passed SB 810
SUBJECT: Hospitals; Health Care
TYPE: Original
DATE: May 24, 2000
FISCAL SUMMARY
| FUND AFFECTED | FY 2001 | FY 2002 | FY 2003 |
| Federal Reimbursement Allowance* | $0 | $0 | $0 |
| Total Estimated
Net Effect on All State Funds |
$0 | $0 | $0 |
*Revenues and expenditures of more than $365 million are expected and would net to $0
| FUND AFFECTED | FY 2001 | FY 2002 | FY 2003 |
| Federal funds | $0 | $0 | $0 |
| Total Estimated
Net Effect on All Federal Funds* |
$0 | $0 | $0 |
*Revenues and expenditures of more than $570 million are expected and would net to $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 4 pages.
ASSUMPTION
Officials of the Department of Social Services - Division of Medical Services (DMS) assume this proposal would not fiscally impact their agency, and furthermore, if this proposal does not pass, additional funding would be needed to maintain the current level of services. DMS assumes that FY2001 is based on nine months and FY2002 is based on three months. The federal participation rate used is 60.9%.
Oversight assumes this proposal extends the expiration date of the federal reimbursement allowance and would result in the continuation of current funding sources for existing programs from the Federal Reimbursement Allowance Fund and Federal Funds.
Officials from the Cooper County Memorial Hospital assume the proposal would not fiscally impact their agency.
| FISCAL IMPACT - State Government | FY 2001
(9 Mo.) |
FY 2002
(3 Mo.) |
FY 2003 |
| FEDERAL REIMBURSEMENT ALLOWANCE FUND | |||
| Income - Department of Social Services | |||
| Assessment on hospitals | $274,650,847 | $91,550,282 | $0 |
| Costs - Department of Social Services | |||
| Program specific expenditures | ($274,650,847) | ($91,550,282) | $0 |
| ESTIMATED NET EFFECT ON FEDERAL REIMBURSEMENT ALLOWANCE FUND |
$0 |
$0 |
$0 |
| FEDERAL FUNDS | |||
| Income - Department of Social Services | |||
| Medicaid match | $427,780,987 | $142,593,662 | $0 |
| Costs - Department of Social Services | |||
| Program specific expenditures | ($427,780,987) | ($142,593,662) | $0 |
| ESTIMATED NET EFFECT ON FEDERAL FUNDS |
$0 |
$0 |
$0 |
| FISCAL IMPACT - Local Government | FY 2001
(9 Mo.) |
FY 2002
(3 Mo.) |
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 extend the hospital federal reimbursement allowance from September 30, 2000 to September 30, 2001.
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 Social Services
Cooper County Memorial Hospital
NOT RESPONDING : Barton County Memorial Hospital, Cass Medical Center, Excelsior Springs Medical Center, Lincoln County Memorial Hospital, Pemiscot Memorial Hospital, Phelps County Regional Medical Center, Ray County Memorial Hospital, Samaritan Memorial Hospital, Ste. Genevieve County Memorial Hospital
Jeanne Jarrett, CPA
Director
May 24, 2000