COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. No.: 0255-01

Bill No.: SB 664

Subject: Health Care; Health Care Professionals; Physicians; Insurance - Medical; Medical Procedures and Personnel

Type: Original

Date: March 25, 2003




FISCAL SUMMARY



ESTIMATED NET EFFECT ON GENERAL REVENUE FUND
FUND AFFECTED FY 2004 FY 2005 FY 2006
Total Estimated

Net Effect on

General Revenue

Fund

$0 $0 $0



ESTIMATED NET EFFECT ON OTHER STATE FUNDS
FUND AFFECTED FY 2004 FY 2005 FY 2006
Total Estimated

Net Effect on Other

State Funds

$0 $0 $0



Numbers within parentheses: ( ) indicate costs or losses.

This fiscal note contains 3 pages.











ESTIMATED NET EFFECT ON FEDERAL FUNDS
FUND AFFECTED FY 2004 FY 2005 FY 2006
Total Estimated

Net Effect on All

Federal Funds

$0 $0 $0



ESTIMATED NET EFFECT ON LOCAL FUNDS
FUND AFFECTED FY 2004 FY 2005 FY 2006
Local Government $0 $0 $0




FISCAL ANALYSIS



ASSUMPTION



Officials from the Department of Social Services, Missouri Consolidated Health Care Plan, Department of Insurance, Department of Economic Development - Division of Professional Registration, Office of State Courts Administrator, Office of Attorney General and University of Missouri assume the proposal will have no fiscal impact on their organizations.



FISCAL IMPACT - State Government FY 2004

(10 Mo.)

FY 2005 FY 2006
$0 $0 $0





FISCAL IMPACT - Local Government FY 2004

(10 Mo.)

FY 2005 FY 2006
$0 $0 $0





FISCAL IMPACT - Small Business



Small businesses in the health care field could have more exposure to liability due to not informing patients of abnormal medical test results.



DESCRIPTION



This proposal specifies that a medical malpractice action may be brought against a physician for the failure to inform a patient of the results of an abnormal medical test, unless the physician never received the results of the abnormal medical test. If a facility fails to notify a physician of the results of an abnormal medical test, then the facility will be the subject of the medical malpractice action.



Evidence that the patient was informed of the abnormal medical test can include a conversation of record between the physician and the patient, a letter to the patient's last known address, or any other communications consistent with that particular patient-physician relationship.



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



Office of Attorney General

Office of State Courts Administrator

Department of Economic Development

Department of Social Services

Missouri Consolidated Health Care Plan

Department of Insurance

University of Missouri













Mickey Wilson, CPA

Director

March 25, 2003