COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. No.: 0607-02

Bill No.: SCS for SB 99

Subject: Health Care; Health, Public; Hospitals; Medical Procedures and Personnel; Mental Health; Social Services Department; Public Assistance

Type: Original

Date: March 16, 2001




FISCAL SUMMARY



ESTIMATED NET EFFECT ON STATE FUNDS
FUND AFFECTED FY 2002 FY 2003 FY 2004
Healthy Families Trust $0 to ($5,000,000) $0 to ($5,000,000) $0 to ($5,000,000)
Total Estimated

Net Effect on All

State Funds*

$0 TO ($5,000,000) $0 TO ($5,000,000) $0 TO ($5,000,000)



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 Mental Health and the Department of Health assume this proposal would not fiscally impact their agencies.



Department of Social Services (DOS) officials assumed that there would not be a fiscal impact to the Division of Medical Services (DMS). However, if funds are appropriated, DMS could contract and provide funding to federally qualified health centers with existing staff and resources.



Oversight assumes a range of $0 to ($5,000,000) from the Healthy Families Trust Fund - Health Care Treatment and Access Account. This amount reflects the amount of new funding requested from tobacco settlement funds in the FY2002 Governor's budget request.



FISCAL IMPACT - State Government FY 2002

(10 Mo.)

FY 2003 FY 2004
HEALTHY FAMILIES TRUST FUND - HEALTH CARE TREATMENT AND ACCESS ACCOUNT
Cost - Department of Social Services
Contracted services $0 to ($5,000,000) $0 to ($5,000,000) $0 to ($5,000,000)
ESTIMATED NET EFFECT ON HEALTHY FAMILIES TRUST FUND - HEALTH CARE TREATMENT AND ACCESS ACCOUNT







$0 TO ($5,000,000)






$0 TO ($5,000,000)






$0 TO ($5,000,000)


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 authorize state support of federally qualified health centers (FQHC). A new Section 660.026 would allow the Department of Social Services to contract with and provide funding support to all FQHCs in Missouri. Such funds would be used by FQHCs for health care to underserved populations, for capital expenditures when federal funds are not available, and for other services such as dental care and mental health services.



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 Health

Department of Social Services













Jeanne Jarrett, CPA

Director



March 16, 2001