COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. No.: 0361-02

Bill No.: SB 24

Subject: Administrative Rules; Health Care; Insurance - Medical; Insurance Department

Type: Original

Date: January 16, 2001




FISCAL SUMMARY



ESTIMATED NET EFFECT ON STATE FUNDS
FUND AFFECTED FY 2002 FY 2003 FY 2004
None
Total Estimated

Net Effect on All

State Funds

$0 $0 $0



ESTIMATED NET EFFECT ON FEDERAL FUNDS
FUND AFFECTED FY 2002 FY 2003 FY 2004
None
Total Estimated

Net Effect on All

Federal Funds

$0 $0 $0



ESTIMATED NET EFFECT ON LOCAL FUNDS
FUND AFFECTED FY 2002 FY 2003 FY 2004
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 Social Services, the Department of Conservation, and the Department of Public Safety - Missouri State Highway Patrol assume this proposal would not fiscally impact their agencies.



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



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



Department of Transportation (DHT) officials did not respond to our fiscal impact request. However, in responding to a similar request last session, DHT assumed no fiscal impact.



Officials from the Department of Corrections (DOC) did not respond to our fiscal impact request. However, in responding to a similar request in a past session, DOC assumes no fiscal impact.

FISCAL IMPACT - State Government FY 2002

(10 Mo.)

FY 2003 FY 2004
$0 $0 $0





FISCAL IMPACT - Local Government FY 2002

(10 Mo.)

FY 2003 FY 2004
$0 $0 $0





FISCAL IMPACT - Small Business



Small health carriers may be fiscally impacted to the extent that they would incur additional administrative costs as a result of the requirements of this proposal.







DESCRIPTION



This proposal would require health insurance carriers to use standardized forms for the explanation of benefits and referrals. Health carriers would be required to use the explanation of Medicare Benefits Part B form for the explanation of benefits. The standardized referral 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, 2003.



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

Missouri Consolidated Health Care Plan

Department of Insurance

Department of Conservation

Department of Public Safety

Missouri State Highway Patrol



NOT RESPONDING: Department of Transportation and Department of Corrections











Jeanne Jarrett, CPA

Director



January 16, 2001