SB 0584 - Fiscal Note

Fiscal Note - SB 0584 - Revises Uniform Anatomical Gift Act

L.R. NO.  1834-01
BILL NO.  SB 584
SUBJECT:  Uniform Laws:  Medical Procedures
TYPE:     Original
DATE:     January 12, 1996



                              FISCAL SUMMARY
                    ESTIMATED NET EFFECT ON STATE FUNDS


FUND AFFECTED              FY 1997             FY 1998           FY 1999
None

Total Estimated
Net Effect on All
State Funds                     $0                  $0                $0

                   ESTIMATED NET EFFECT ON FEDERAL FUNDS


FUND AFFECTED              FY 1997             FY 1998           FY 1999
None

Total Estimated
Net Effect on All
Federal Funds                   $0                  $0                $0

                    ESTIMATED NET EFFECT ON LOCAL FUNDS


FUND AFFECTED              FY 1997             FY 1998           FY 1999
Local Government                $0                  $0                $0


                              FISCAL ANALYSIS

ASSUMPTION

Officials of the Department of Health, the Department of Mental Health, the
Office of Attorney General, and the Department of Economic Development -
Division of Professional Registration assume this proposal would not fiscally
impact their agencies.

Officials from Barnes Hospital, Capital Region Medical Center, Children's
Mercy Hospital, Kirksville Osteopathic Medical Center, Oak Hill Hospital, St.
Luke's Hospital of Kansas City, St. Louis University Hospital, University
Hospital and Clinics did not respond to our fiscal impact request.

FISCAL IMPACT - State Government  FY 1997   FY 1998   FY 1999
                                 (10 Mo.)

                                       $0        $0        $0


FISCAL IMPACT  - Local Government FY 1997   FY 1998   FY 1999
                                 (10 Mo.)

                                       $0        $0        $0


DESCRIPTION

This proposal would make several changes to the Uniform Anatomical Gift Act.
It would authorize a donee to accept an organ donation without obtaining
consent if the donor has made an express desire to donate and change the
priority list of next-of-kin who may donate organs when the donor has not
made an express donation.  This proposal would require hospitals to request
consent to a donation from a person authorized to dispose of the body and
permit any physician to accept an organ donation if there is no specified
donee, the donee is not available at the time of death, or if the gift cannot
be implemented.  It would allow organ procurement organizations and tissue
banks to employ coordinators to assist in obtaining cadaveric organs and
tissue for transplant and research.  This proposal requires coroners and
medical examiners to make reasonable efforts to accommodate organ donations
during the performance of their official duties.

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
Department of Mental Health
Office of Attorney General
Department of Economic Development
   Division of Professional Registration


NOT RESPONDING:  Barnes Hospital, Capital Region Medical Center, Children's
Mercy Hospital, Kirksville Osteopathic Medical Center, Oak Hill Hospital, St.
Luke's Hospital of Kansas City, St. Louis University Hospital, University
Hospital and Clinics