COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. No.: 512-01

Bill No.: SB 0018

Subject: Motor Vehicles

Type: #Corrected

Date: January 22, 2001

#Corrected fiscal note number.


FISCAL SUMMARY



ESTIMATED NET EFFECT ON STATE FUNDS
FUND AFFECTED FY 2002 FY 2003 FY 2004
$0 $0 $0
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
$0 $0 $0
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 4 pages.









FISCAL ANALYSIS



ASSUMPTION



Officials of the Department of Mental Health, Department of Public Safety - Missouri Division of Highway Safety, Department of Transportation - Highway, Department of Insurance, Office of the State Public Defender, Department of Revenue, Office of the State Courts Administrator, and Office of Prosecution Services, responded they assumed there would be no direct fiscal impact to their agency as a result of this proposal.



Officials of the Missouri Highway Patrol, responded to a similar proposal that they assumed there would be no direct fiscal impact to their agency.



Officials of the Department of Health (DOH), Bureau of Special Health Care Needs, Adult Head Injury Program estimates that there will be in increase of approximately 8 additional persons over the age of 20 who would incur head or spinal injuries due to not using motorcycle helmets and would be severely disabled or need extended or rehabilitation care and have either insurance or government insurance. The DOH estimates the average cost per client served by the Bureau of Special Health Care (BSHCN) Needs Adult Head Injury Program to be $3,753 per year. This proposed bill change is estimated to cost the DOH $30,024 annually. The BSHCN provides statewide service coordination and rehabilitative services to survivors of head injury over the age of 21 who meet medical and financial eligibility requirements. Services include evaluation and assessment of needs, assistance in locating and accessing services available through various state agencies, including the DOH.



The Head Injury Program also provides rehabilitative services such as functional living rehabilitation, day activity rehabilitation, in-home support, personal care service, pre-vocational/pre-employment training, recreation services, transportation, supported employment, community support services, special instruction, physical therapy, occupational therapy, speech therapy, and psychologist/neuropsychologist evaluation for those who meet 185% of poverty income guidelines. If this bill passes, data indicates an additional eight (8) persons would be eligible for the Head Injury Program. Nothing in the statute or regulation requires the DOH to include these individuals in its Head Injury Program.



Officials from the Department of Social Services, Division of Medical Services (DOS-DMS) in a response to a similar proposal in the prior session ( HB 1258, 2000) assume this proposal could result in increased costs to the Medicaid Program. Based on the DOH's assumptions that an additional seven people would become uninsured head-injury cases and seek rehabilitative services through the state, DOS-DMS also assumes these same seven individuals would qualify for Medicaid as permanently and totally disabled (PTD) clients. The total costs to the Medicaid program could range from $0 to $466,186 annually.



ASSUMPTION (continued)



Oversight assumes as a result of this proposal some people over 21 would choose not to wear protective headgear. Accordingly, there may be an increase in injuries or the severity of injuries to motorcyclists not wearing protective headgear which may indirectly result in increased costs to the state. Oversight assumes no direct fiscal impact to state and local governments from passage of this proposal.



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



No direct fiscal impact to small businesses would be expected as a result of this proposal.



DESCRIPTION



This act requires that motorcyclists under 21 years of age and every person operating a motorcycle or motor tricycle which has a passenger who is under 21 years of age wear protective headgear. Currently, all motorcyclists are required to wear protective headgear.



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 Mental Health

Department of Public Safety - Division of Highway Safety

Department of Transportation

Department of Insurance

Office of the State Public Defender

Department of Revenue

Office of the State Courts Administrator

Office of Prosecution Services

Department of Health













Jeanne Jarrett, CPA

Director

January 22, 2001