COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. No.: 1155-04

Bill No.: Perfected SCS for SB 266

Subject: Health Care; Health Care Professionals; Health Department; Health, Public; Medical Procedures

Type: Original

Date: April 3, 2001




FISCAL SUMMARY



ESTIMATED NET EFFECT ON STATE FUNDS
FUND AFFECTED FY 2002 FY 2003 FY 2004
General Revenue ($35,000) ($35,000) ($35,000)
Total Estimated

Net Effect on All

State Funds

($35,000) ($35,000) ($35,000)



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 Health (DOH) assume that at a minimum one additional staff person would be needed. A Health Educator I ($30,204) would be responsible for planning, coordination of daily program operation, and integration of the lupus program in all seven Regional Arthritis Centers. In order to track and monitor the prevalence of lupus the existing surveillance system can be utilized, once modified. DOH anticipates that data collection and analysis would be conducted in-house. DOH states that regional arthritis centers would receive $5,000 each for educational efforts to include materials and related expenses. When initial surveillance activities are completed and if prevalence is found to be higher in the urban areas, contracts would be adjusted.



Oversight assumes that DOH could use the existing resources of the Office of Women's Health, the Office of Minority Health, and the State Arthritis Program to track and monitor the prevalence of lupus.



FISCAL IMPACT - State Government FY 2002

(10 Mo.)

FY 2003 FY 2004
GENERAL REVENUE FUND
Costs - Department of Health
Expense and equipment ($35,000) ($35,000) ($35,000)
ESTIMATED NET EFFECT ON GENERAL REVENUE FUND



($35,000)


($35,000)


($35,000)


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 establish a program on the inflammatory connective tissue disease, lupus, within the Department of Health. The program would track lupus incidents in Missouri, identify medical professionals specializing in the treatment of lupus, and promote lupus research. The Department would implement the lupus program by expanding on existing programs, such as the Office of Women's Health, the Office of Minority Health, and the State Arthritis Program.



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 Health

















Jeanne Jarrett, CPA

Director



April 3, 2001