COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 4267-02
Bill No.: Perfected SCS for SB 1024
Subject: Physicians; Medical Procedures and Personnel; Health Care; Health Care Professionals
Type: Original
Date: March 5, 2002
FISCAL SUMMARY
| FUND AFFECTED | FY 2003 | FY 2004 | FY 2005 |
| Total Estimated
Net Effect on All State Funds |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2003 | FY 2004 | FY 2005 |
| Total Estimated
Net Effect on All Federal Funds |
$0 | $0 | $0 |
| FUND AFFECTED | FY 2003 | FY 2004 | FY 2005 |
| Local Government | $0 | $0 | $0 |
Numbers within parentheses: ( ) indicate costs or losses.
This fiscal note contains 3 pages.
ASSUMPTION
Officials from the Missouri Department of Conservation, the Department of Economic Development - Division of Professional Registration, the Department of Social Services, the Department of Insurance, the Department of Transportation, the Missouri Consolidated Health Care Plan, the Department of Health and Senior Services, the Department of Mental Health, and the Department of Public Safety - Missouri State Highway Patrol assume this proposal would not fiscally impact their agencies.
Officials from the Department of Corrections (DOC) state that DOC already meets the standard proposed in this legislation by having computerized medical records. DOC states printing out records may prove to have some fiscal impact for the DOC, however it is assumed to be a minimal amount that could be absorbed within existing resources.
| FISCAL IMPACT - State Government | FY 2003
(10 Mo.) |
FY 2004 | FY 2005 |
| $0 | $0 | $0 |
| FISCAL IMPACT - Local Government | FY 2003
(10 Mo.) |
FY 2004 | FY 2005 |
| $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 requires physicians to maintain adequate and complete medical records for their patients. Such records shall include identification of the patient, appointment dates, current status, observations, diagnosis, plan for treatment including prescriptions, and record of consent. Records must be maintained for at least seven years. Changes to records which occur forty-eight hours after the last entry must be noted. A consultative report will be adequate for certain persons. The Board of Registration for the Healing Arts may not discipline a person solely for violation of this section. Finally, the Board may not obtain a patient's medical record without the patient's written consent or a subpoena.
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
Missouri Department of Conservation
Department of Economic Development -
Division of Professional Registration
Department of Social Services
Department of Insurance
Department of Transportation
Missouri Consolidated Health Care Plan
Department of Health and Senior Services
Department of Public Safety -
Missouri State Highway Patrol
Department of Corrections
Department of Mental Health
Mickey Wilson, CPA
Acting Director
March 5, 2002