COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 1785-01
Bill No.: SB 434
Subject: Dentists; Health Care; Health Care Professionals; Health Department; Medical Procedures and Personnel
Type: Original
Date: March 2, 2001
FISCAL SUMMARY
| FUND AFFECTED | FY 2002 | FY 2003 | FY 2004 |
| Health Initiatives | (Unknown) | (Unknown) | (Unknown) |
| Health Access Initiatives* | $0 | $0 | $0 |
| Medical School Loan and Loan Repayment Program* | $0 | $0 | $0 |
| Total Estimated
Net Effect on All State Funds |
(UNKNOWN) | (UNKNOWN) | (UNKNOWN) |
*Unknown income and expenditures annually net to $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 4 pages.
ASSUMPTION
Officials from the Department of Health (DOH) assume there would be no cost associated with this proposal as there is staff in place to manage the PRIMO program and its components and any funds added would be appropriated by the General Assembly.
Oversight assumes this proposal would expand the expenditures of the Medical School Loan and Loan Repayment Program Fund with the inclusion of dentists. Oversight is unable to determine how many dentists may participate.
| FISCAL IMPACT - State Government | FY 2002
(10 Mo.) |
FY 2003 | FY 2004 |
| HEALTH INITIATIVES FUND | |||
| Transfer Out - Health Access Initiative Fund | |||
| Program costs | (Unknown) | (Unknown) | (Unknown) |
| ESTIMATED NET EFFECT ON HEALTH INITIATIVES FUND |
(UNKNOWN) |
(UNKNOWN) |
(UNKNOWN) |
| HEALTH ACCESS INITIATIVE FUND | |||
| Transfer In - Health Initiatives Fund | |||
| Appropriations | Unknown | Unknown | Unknown |
| Costs - Health Access Initiative Fund | |||
| Medical school loans | (Unknown) | (Unknown) | (Unknown) |
| ESTIMATED NET EFFECT ON HEALTH ACCESS INITIATIVE FUND |
$0 |
$0 |
$0 |
| MEDICAL SCHOOL LOAN AND LOAN REPAYMENT PROGRAM FUND | |||
| Income - Medical School Loan and Loan Repayment Program Fund | |||
| Loan repayments/defaults | Unknown | Unknown | Unknown |
| Costs - Medical School Loan and Loan Repayment Program Fund | |||
| Medical school loans | (Unknown) | (Unknown) | (Unknown) |
| ESTIMATED NET EFFECT ON MEDICAL SCHOOL LOAN AND LOAN REPAYMENT FUND |
$0 |
$0 |
$0 |
| FISCAL IMPACT - Local Government | FY 2002
(10 Mo.) |
FY 2003 | FY 2004 |
| $0 | $0 | $0 |
FISCAL IMPACT - Small Business
Small businesses (doctors offices) would expect to be fiscally impacted to the extent they would benefit from loans and loan repayments as a result of the requirements of this proposal.
DESCRIPTION
This proposal would allow expanded funding for Department of Health programs. Currently, Section 191.211, RSMo, requires that state expenditures for all new programs enacted by the listed sections be exclusively funded by federal funds or proceeds from cigarette taxes. References to Sections 167.600 - 167.621, 191.411 and 192.013, RSMo, would be removed. A new Section 191.213 would be created to provide that state expenditures for Department of Health programs may be funded through federal, general revenue, or any other appropriated funds. Section 191.411, currently requires the Director of the Department of Health to establish coordinated health care services throughout the state. New language would clarify that the plan should encourage the location of health care practitioners, including dentists, in rural and urban areas of the state, and particularly in health resource
shortage areas.
DESCRIPTION (continued)
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
March 2, 2001