This Fiscal Note is not an official copy and should not be quoted or cited.
Fiscal Note - SB 0676 - Pub. Hosp. May Function Outside Their Political Boundaries
L.R. NO.  2720-03
BILL NO.  HCS for SB 676
SUBJECT:  Cities; Counties; Health; Pubic health; Hospitals
TYPE:     Original
DATE:     April 16, 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 from the Department of Health and the Department of Social Services
assume this proposal would not fiscally impact their agencies.

Officials from Barton County Memorial Hospital, Cass Medical Center, Cooper
County Memorial, Lincoln County Memorial Hospital Pemiscot Memorial Hospital,
Phelps County Regional Medical Center, Ray County Memorial Hospital,
Samaritan Memorial Hospital, and Ste. Genevieve County Memorial Hospital 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 allow city, county and hospital districts to operate
hospitals and health care facilities outside of their political boundaries
except in counties of third or fourth classification where there already
exists a hospital.

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 Social Services

NOT RESPONDING:  Barton County Memorial Hospital, Cooper County Memorial
Hospital, Lincoln County Memorial Hospital, Cass Medical Center, Excelsior
Springs Medical Center, Pemiscot Memorial Hospital, Phelps County Regional
Medical Center, Ray County Memorial Hospital, Samaritan Memorial Hospital,
and Ste. Genevieve County Memorial Hospital