COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 0550-03
Bill No.: HCS for SCS for SB 136
Subject: Health Department; Health Care; Revenue Department; Licenses - Driver's; Boards, Commissions, Committees, Councils
Type: Original
Date: May 16, 2001
FISCAL SUMMARY
| FUND AFFECTED | FY 2002 | FY 2003 | FY 2004 |
| Highway | $0 | $0 | $0 |
| Organ Donor Program | $121,712 | $202,092 | $0 |
| Total Estimated
Net Effect on All State Funds |
$121,712 | $202,092 | $0 |
| 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 6 pages.
ASSUMPTION
Officials from the Department of Economic Development - Division of Professional Registration, the Department of Elementary and Secondary Education, the Department of Public Safety - Missouri State Highway Patrol, and the Office of Attorney General assume this proposal would not fiscally impact their agencies.
Department of Health (DOH) officials state the costs of the feasibility study and subsequent report would be less than $10,000 and would be absorbed by the existing organ donor program budget. Therefore, DOH assume this proposal would have no additional fiscal impact on their agency.
Officials from the Department of Revenue (DOR) assume the following administrative and fiscal impacts:
DIVISION OF MOTOR VEHICLES AND DRIVER LICENSING
Driver and Vehicle Services Bureau
Collection of Organ Donation Information and Increased Donation Amount
This proposal would require the Division of Motor Vehicle and Drivers Licensing to modify the driver's license and identification card application process and renewal system to: 1) Obtain information from individuals over the age of eighteen regarding consent to anatomical donation and 2) Allow persons under the age of eighteen to register as donors with parental consent.
The inquiry on the application and renewal form shall read "Do you wish to have the organ donor designation printed on your driver's license? If yes is answered to this question, the words "Organ Donor" would be printed on the front of the license.
In addition the application process must be modified in order to collect a $2 donation. Currently, the Driver and Vehicle Services Bureau can only collect a $1 donation from each applicant.
The Driver and Vehicle Services Bureau would incur programming expenses in the amount of $42,000 to the Over-the-Counter system to accommodate each of the aforementioned changes to the system.
STATE DATA CENTER
The State Data Center would require an implementation cost of $5,129 in FY02 to make modifications to the current Missouri Drivers License System (MODL).
Organ Donor Program Fund
The Driver and Vehicle Services Bureau estimates increased revenue collected for the organ donor program fund. The following estimates are based on fiscal years 2002 and 2003 only as these are the final two years of a three year transition to a six year driver license renewal system. The Driver and Vehicle Services Bureau estimates that half of the renewal license applicants would be able to donate $2 through this transitional period as these are the only applicants eligible to donate $2. Beginning fiscal year 2004, this proposal would be revenue neutral as license renewal volumes and the increased donation amount would offset each other.
Estimates are based on current donation levels of $33,682 per month.
FY02
$33,682 Current Donations Monthly
/ 2 Half of All Applicants Will Be Eligible for a $2 Donation
16,841 Six Year Applicants Who Will Donate an Additional $1
x $1 Increased Donations
$16,841 Increased Donation Per Month
x 10 Number of Months in Fiscal year 2002
$168,841 Increased Funding in FY02
FY03
$16,841 Increased Donations Monthly
x 12 Number of Months in Fiscal Year 2003
$202,092 Increased Funding for FY03
Oversight assumes that hospitals could experience some administrative tasks relating to this proposal. However, we believe that the functions could be absorbed with existing resources and therefore have shown no fiscal impact to hospitals.
Officials from the Department of Public Safety (DPS) did not respond to our fiscal impact request. However, in responding to a similar proposal last session DPS assumed no fiscal impact.
This proposal would result in a increase in Total State Revenues.
| FISCAL IMPACT - State Government | FY 2002
(10 Mo.) |
FY 2003 | FY 2004 |
| HIGHWAY FUND | |||
| Transfer - In | |||
| Transfer from Organ Donor Program Fund for Development and Implementation Cost |
$47,129 |
$0 |
$0 |
| Costs - Department of Revenue | |||
| OTC Programming - Drivers License | ($47,129) | $0 | $0 |
| ESTIMATED NET EFFECT ON HIGHWAY FUND |
$0 |
$0 |
$0 |
| ORGAN DONOR PROGRAM FUND | |||
| Income - Department of Health | |||
| Additional donation from license | $168,841 | $202,092 | $0 |
| Transfer - Out | |||
| Transfer to Highway Fund for DOR development and implementation costs |
($47,129) |
$0 |
$0 |
| ESTIMATED NET EFFECT ON ORGAN DONOR PROGRAM FUND |
$121,712 |
$202,092 |
$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 proposal would make several changes to the Anatomical Gift Act. In its main provisions, the proposal would: (1) add definitions for "anatomical donations," "federally certified organ procurement organizations," and "organ donor program fund"; (2) allow persons who are 15 years of age to make anatomical gifts with parental or guardian consent; (3) allow an attending physician or hospital designee to contact an organ procurement organization in Missouri to determine the suitability or non-suitability of an organ, tissue, or eye donation of any patient who is near death or who dies while an inpatient at a hospital and specifies the procedures for the determination; (4) allow a hospital to develop and implement a protocol for referring potential anatomical donors; (5) establish procedures for conducting death medical record reviews for the purpose of determining the anatomical donor potential at a hospital; (6) allow the Division of Motor Vehicle and Drivers Licensing to modify the driver's license and identification card application process and renewal system for the purposes of obtaining information on anatomical donations from persons over 15 years of age and allowing persons under 18 years of age to register as donors with parental consent; (7) allow organ procurement organizations and tissue banks to employ procurement coordinators and enucleators who can assist physicians and surgeons in the recovery of cadaveric organs and tissues for transplant or research; (8) allow applicants for a driver's license to make voluntary contributions of $2 to the Organ Donor Program Fund; (9) specify persons who can conduct reasonable administrative and physical searches in order to verify the approval or non-approval of an organ donation; (10) specify the use of the Organ Donor Program Fund; (11) add the following members to the Organ Donation Advisory Committee: one representative from the Department of Revenue; one representative nominated by the Missouri Hospital Association; and one representative nominated by an eye bank. The proposal would also specify that 4 advisory committee representatives are required to be nominated by the organ procurement organizations in Missouri; and (12) allow the Director of the Department of Revenue to specify the rules and procedures for allowing an applicant to designate an anatomical gift on the back of a non-driver's license.
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 Economic Development
Division of Professional Registration
Department of Elementary and Secondary Education
Department of Public Safety
Missouri State Highway Patrol
Office of Attorney General
Department of Health
Department of Revenue
NOT RESPONDING: Department of Public Safety
Jeanne Jarrett, CPA
Director
May 16, 2001