COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 1410-01
Bill No.: SB 328
Subject: Health Care Professionals; Insurance - Medical; Medical Procedures and Personnel; Physicians
Type: Original
Date: February 23, 2001
FISCAL SUMMARY
| FUND AFFECTED | FY 2002 | FY 2003 | FY 2004 |
| None | |||
| Total Estimated
Net Effect on All State Funds |
$0 | $0 | $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 3 pages.
ASSUMPTION
Officials from the Department of Transportation, the Department of Insurance, the Department of Social Services, and the Department of Conservation assume this proposal would not fiscally impact their agencies.
Missouri Consolidated Health Care Plan (HCP) officials state that carriers include medical doctors and doctors of osteopathy in their networks without discriminating. HCP states the proposal would not fiscally impact HCP.
Officials from the Department of Public Safety - Missouri State Highway Patrol did not respond to our fiscal impact request.
| 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 proposal would require interchangeable recognition of medical doctors (M.D.) and doctors of osteopathy (D.O.) by insurance companies and the law. Currently, Section 334.021, RSMo, requires the use of terms such as "physician", "practitioner of medicine" or "practitioner of osteopathy" to mean physicians and surgeons licensed by Chapter 334, RSMo. This proposal would add the provision that no insurance company may discriminate with respect to employment and related issues based on whether the physician is an M.D. or D.O. A provision would also be added to require the interchangeable use of the terms "medical doctor", "M.D.", "physician", "doctor of osteopathy" or "D.O." in executive orders, administrative rules, and
DESCRIPTION (continued)
statutes unless any of those terms are specifically excluded. Finally, any reference to the American Board of Medical Specialties or the Bureau of Osteopathic Specialties would be inclusive of the other.
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 Transportation
Department of Insurance
Department of Social Services
Department of Conservation
Missouri Consolidated Health Care Plan
NOT RESPONDING: Department of Public Safety - Missouri State Highway Patrol
Jeanne Jarrett, CPA
Director
February 23, 2001