COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 0418-01
Bill No.: SB 46
Subject: Dentists; Education, Higher; Elderly; Health Care; Health Care Professionals; Health Department; Medical Procedures and Personnel; Public Assistance; Licenses-Professional
Type: Original
Date: January 15, 2001
FISCAL SUMMARY
| FUND AFFECTED | FY 2002 | FY 2003 | FY 2004 |
| General Revenue | ($66,667) | ($82,400) | ($84,872) |
| Total Estimated
Net Effect on All State Funds |
($66,667) | ($82,400) | ($84,872) |
| FUND AFFECTED | FY 2002 | FY 2003 | FY 2004 |
| None | |||
| Total Estimated
Net Effect on All Federal Funds |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2002 | FY 2003 | FY 2004 |
| Local Government | $0 | $0 | $0 |
Numbers within parentheses: ( ) indicate costs or losses.
This fiscal note contains 4 pages.
ASSUMPTION
Officials from the Department of Social Services, the Department of Transportation, the Department of Economic Development - Division of Professional Registration, the Missouri Consolidated Health Care Plan, the Department of Public Safety - Missouri State Highway Patrol, the Department of Insurance, and the Department of Conservation assume this proposal would not fiscally impact their agencies.
Department of Health (DOH) officials state they assume that they would contract for professional services to administer this program. DOH states that the costs would include administrative services, laboratory services, and office expenses. DOH estimates costs of $80,000 annually.
Officials from the Office of Secretary of State (SOS) did not respond to our fiscal impat request. However, in responding to a similar proposal from a prior session, SOS officials stated the proposal would create a donated dental services program for certain eligible persons. SOS stated that based on experience with other divisions, the rules, regulations, and forms issued by the Department of Health could require as many as approximately six pages in the "Code of State Regulations". SOS stated that for any given rule roughly half again as many pages would be published in the "Missouri Register" as in the "Code" because cost statements, fiscal notes, and the like are not repeated in the "Code". SOS stated these costs were estimated. SOS estimated the cost of a page in the "Missouri Register" to be $22.50. SOS estimated the cost of a page in the "Code" to be $26.50. SOS stated the actual costs could be more or less than the numbers given. SOS stated the impact of the proposal on future years was unknown and depended upon the frequency and length of rules, filed, amended, rescinded, or withdrawn. SOS stated the proposal alone did not require additional personnel but the cumulative effect of other proposals that require rulemaking activity may, in the aggregate, necessitate additional staff.
Oversight assumes the SOS could absorb the costs of printing and distributing regulations related to this proposal. If multiple bills pass which require the printing and distribution of regulations at substantial costs, the SOS could request funding through the appropriation process. Any decisions to raise fees to defray costs would likely be made in subsequent fiscal years.
| FISCAL IMPACT - State Government | FY 2002
(10 Mo.) |
FY 2003 | FY 2004 |
| GENERAL REVENUE FUND | |||
| Costs - Department of Health | |||
| Contracted professional services | ($66,667) | ($82,400) | ($84,872) |
| ESTIMATED NET EFFECT ON GENERAL REVENUE FUND |
($6,667) |
($82,400) |
($84,872) |
| FISCAL IMPACT - Local Government | FY 2002
(10 Mo.) |
FY 2003 | FY 2004 |
| $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 allow dental students to enroll in the Medical School Loan Repayment Program and it would establish a donated dental services program.
Currently statutes establish the Medical School Loan Repayment Program for medical and chiropractic students. The Department of Health agrees to pay a portion of a student's school loans in exchange for his or her agreement to practice in a community in need of health care
services. New language would add dental students to this Program.
In addition a new section would allow the Department of Health to contract with the Missouri Dental Board or other qualified organizations to provide dental services free of charge, with the exception of any dental lab costs. The contract must describe the program, including the network of volunteer dentists, referral systems, and the development of public awareness campaigns. The administering organization must submit an annual report to the Department and the Department may develop rules for implementation of the program and to develop eligibility criteria.
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
Department of Transportation
Department of Economic Development
Division of Professional Registration
Missouri Consolidated Health Care Plan
Department of Public Safety
Missouri State Highway Patrol
Department of Insurance
Department of Conservation
Department of Health
NOT RESPONDING: Office of Secretary of State
Jeanne Jarrett, CPA
Director
January 15, 2001