COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 1835-01
Bill No.: SB 448
Subject: Health Care; Medical Procedures and Personnel; Medicaid; Social Services Department; Family Services Division; Public Assistance
Type: Original
Date: March 2, 2001
FISCAL SUMMARY
| FUND AFFECTED | FY 2002 | FY 2003 | FY 2004 |
| General Revenue | ($338,188) | ($367,194) | ($397,991) |
| Total Estimated
Net Effect on All State Funds |
($338,188) | ($367,194) | ($397,991) |
| FUND AFFECTED | FY 2002 | FY 2003 | FY 2004 |
| Federal | $0 | $0 | $0 |
| Total Estimated
Net Effect on All Federal Funds* |
$0 | $0 | $0 |
*Revenues and expenditures of approximately $1.1 million annually net to $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 Transportation, the Department of Insurance, the Missouri Consolidated Health Care Plan, and the Department of Conservation assume this proposal would not fiscally impact their agencies.
Department of Social Services (DOS) - Division of Medical Services (DMS) officials state the U.S. Code referenced in the proposal would allow persons who have been diagnosed with breast or cervical cancer and screened for breast and cervical cancer under the Center for Disease Control and Prevention breast and cervical cancer early detection program (established under title XV of the Public Health Service Act in accordance with the requirements of section 1504 of the Act) to receive the needed treatment for breast or cervical cancer. The Center for Disease Control and Prevention breast and cervical cancer early detection program targets low income, underserved women up to 200% of the Federal Poverty level.
Breast Cancer Recipient:
The Center for Disease Control (CDC) predicted that 3,700 women in Missouri would be diagnosed with breast cancer in the year 2000. It is estimated that 21% of the 3,700 would fall into this category, and of these 777 women, 81.16% would have some form of healthcare coverage. DMS assumes that the remaining 146 women would be in the new eligible group. The estimated annual medical cost for this population is $8,000.
Annual cost calculation:
FY 2002 FY 2003 FY 2004
New Medicaid eligibles 146 152 158
Annual cost x $8,000 x $8,320 x $8,653
Total estimated cost $1,168,000 $1,264,640 $1,367,174
Cervical Cancer Recipient:
The Center for Disease Control predicted there would be 12,800 new cases of cervical cancer in the year 2000. Missouri's population represents 2.1% of the U.S. population, so the DMS assumes 269 Missourians would be detected with cervical cancer. It is estimated that 21% of the 269 women would fall into this category, and of these 56 women (81.16%) would have some form of healthcare coverage. DMS assumes that the remaining 11 women would be in the new eligible group. The estimated annual medical cost for this population is $6,600.
ASSUMPTION (continued)
Annual cost calculation:
FY 2002 FY 2003 FY 2004
New Medicaid eligibles 11 12 13
Annual cost x $6,600 x $6,864 x $7,139
Total estimated cost $72,600 $82,368 $92,807
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 |
| GENERAL REVENUE FUND | |||
| Costs - Department of Social Services - Division of Medical Services | |||
| Medical assistance payments | ($338,188) | ($367,194) | ($397,991) |
| ESTIMATED NET EFFECT ON GENERAL REVENUE FUND |
($338,188) |
($367,194) |
($397,991) |
| FEDERAL FUNDS | |||
| Income - Department of Social Services - Division of Medical Services | |||
| Medicaid reimbursements | $902,412 | $979,814 | $1,061,990 |
| Costs - Department of Social Services - Division of Medical Services | |||
| Medical assistance payments | ($902,412) | ($979,814) | ($1,061,990) |
| ESTIMATED NET EFFECT ON FEDERAL FUNDS |
$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 provide for Medicaid coverage for certain breast and cervical cancer patients. A new subdivision 13 would be added to section 208.151 to provide that persons who have been diagnosed with breast or cervical cancer would be eligible for Medicaid coverage if other eligibility requirements are met. To be eligible, the person would: 1) be under 65; 2) have been screened for breast or cervical cancer under the federal Centers for Disease Control and Prevention Breast and Cervical Cancer Early Detection Program; 3) need treatment for breast or cervical cancer; and 4) be uninsured. During the eligibility determination, the person would be eligible during a period of presumptive eligibility. If all eligibility requirements are met, then the person would receive Medicaid coverage.
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 Insurance
Missouri Consolidated Health Care Plan
Department of Social Services
Department of Conservation
Department of Transportation
NOT RESPONDING: Department of Public Safety - Missouri State Highway Patrol
Jeanne Jarrett, CPA
Director
March 2, 2001