COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. No.: 0334-03

Bill No.: SCS for SB 75

Subject: Health Care; Health Department; Hospitals; Medical Procedures and Personnel; Vital Statistics

Type: Original

Date: February 12, 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 4 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 Health and Senior Services assumed in the original fiscal note that they could implement the requirements of this proposal with current resources. However, DOH officials now believe this proposal would require reprogramming of data files, creation and distribution of a new form, and training by DOH staff on how to use the form. DOH estimates fiscal impact to be $49,869 in FY 04; $12,753 in FY 05; and $13,137 in FY 06.



Oversight assumes DOH may have some minimal costs, but those could be absorbed with current resources.



Officials from the City of St. Louis and Cole County did not respond to our fiscal note request.



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



No direct fiscal impact to small businesses would be expected as a result of this proposal.



DESCRIPTION



This proposal creates a certificate of birth for stillborn children.



A "stillborn child" is defined as a dead fetus that was the product of human conception of twenty weeks gestation or more, calculated from the date the last normal menstrual period began to the date of delivery, and that was born alive.



The state registrar must offer to the parent or parents of stillborn children a "Certificate of Birth Resulting in Stillbirth" on an appropriate form that satisfies the formatting and filing requirements of Section 193.085, RSMo, for live births. The certificate must be filed with the local registrar within seven days following the delivery. If the parent or parents of the stillborn child do not wish to provide a name, then any references to the name on the certificate will remain blank.



If a stillbirth has not been registered within one year of the date of delivery, then a certificate marked "delayed" can be filed and registered along with any other requirements necessary to substantiate the facts surrounding the stillbirth.



The state registrar, shall issue a certificate of still birth to any applicant having a direct and tangible interest in the record.



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 and Senior Services



Not Responding: City of St. Louis and Cole County





Mickey Wilson, CPA

Director

February 12, 2003