COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. NO.: 4325-01
BILL NO.: SB 952
SUBJECT: Attorney General; Medicaid and Medicare
TYPE: Original
DATE: February 15, 2000
FISCAL SUMMARY
| FUND AFFECTED | FY 2001 | FY 2002 | FY 2003 |
| Total Estimated
Net Effect on All State Funds |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2001 | FY 2002 | FY 2003 |
| 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 Department of Mental Health, Department of Health, Department of Economic Development, and Department of Public Safety - Missouri Highway Patrol assume the proposed legislation would have no fiscal impact on their agencies.
Officials from the Office of the Attorney General (AGO) assume any costs associated with the proposed legislation could be absorbed by their agency.
Oversight assumes the recent passage of the 'Ticket to Work and Work Incentives Improvement Act of 1999' (P.L. No. 106-170) grants the AGO - Medicaid Fraud Control Unit the authority to handle Medicare fraud and abuse cases but is not a federal mandate.
Offices from the Department of Social Services (DOS) indicated the proposed legislation would require an additional attorney and .5 FTE support staff in order to provide coordinating counsel for the Attorney General. Office space and equipment would also be required.
Oversight assumes that since the AGO - Medicaid Fraud Control Unit would be the lead in any cases resulting from this proposed legislation and the AGO indicated they would be able to absorb any associated costs, the DOS would also be able to absorb any costs.
| 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
The proposed legislation grants the Attorney General authority to investigate claims of abuse or neglect at residential health care facilities. Currently, the Department of Social Services conducts such investigations, and may request the assistance of the Attorney General. The proposal also grants the Attorney General authority to handle Medicare fraud and abuse cases based on a recent federal law change.
This legislation is federally mandated, would not duplicate any other program and would not require additional capital improvements or rental space.
SOURCES OF INFORMATION
Office of the Attorney General
Office of the State Courts Administrator
Department of Social Services
Department of Mental Health
Department of Health
Department of Economic Development
Department of Public Safety - Missouri Highway Patrol
Office of Prosecution Services
Jeanne Jarrett, CPA
Director
February 15, 2000