COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. No.: 0771-01

Bill No.: SB 226

Subject: Motor Vehicles, Transportation

Type: Original

Date: January 31, 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 5 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 with the Department of Public Safety - Missouri State Highway Patrol, Office of State Courts Administrator, Department of Insurance, Department of Transportation, Department of Revenue and the Office of State Public Defender assume this proposal would have no fiscal impact on their agencies.



Officials with the Office of Prosecution Services assume they could absorb any fiscal impact associated with this proposal.



Officials with the Department of Mental Health (DMH) assume this proposal could require only individuals under the age of 21 to wear protective headgear while operating a motorcycle or motortricycle. The DMH assumes this would not result in an increase in the number of persons served by the Division of Mental Retardation and Developmental Disabilities because persons who are over the age of 22 when they obtain a head injury are not eligible for Division services.









ASSUMPTION (continued)



Officials with the Department of Health and Senior Services (DHSS) assume 1000 motorists over the age of twenty are in motorcycle crashes each year. Of those 1000, approximately 7 motorists could have a head injury and need extended care or rehabilitation and would have no insurance or Medicare/Medicaid. These persons could be eligible for the Head Injury Program. The DHSS estimates the average cost per client served by the DHSS Bureau of Special Health Care Needs to be $5,000 per year.

.

Officials with the Department of Social Services (DOS) - Division of Medical Services assume there could be an estimated 7 uninsured head injury cases due to the elimination of the helmet law for persons age 21 and over. If these individuals qualify for Medicaid as permanently and totally disabled (PTD) clients, the annual cost to the program could range from $0 to $310,485. (An estimate of the head injury cases is provided to the DOS by the Department of Health and Senior Services).

FY 04 (10 months) -Cost

Head Injury Program (7*$5000)*.833 $29,166

Medicaid PTD $0 to $310,485

Total Cost $0 to $310,485



FY 05 -Cost

Head Injury Program (*$5000) $35,000

Medicaid PTD with growth $0 to $324,457

Total Cost $0 to $324,457



FY 06 Cost

Head Injury Program (*$5000) $35,000

Medicaid PTD with growth $0 to $339,058

Total Cost $0 to $339,058



Oversight notes that in response to a similar proposal in a previous session, DHSS stated that data indicates an additional 7 persons could be eligible for the Head Injury Program as a result this proposal. However, nothing in the statute or regulation requires the DHSS to include these individuals in its Head Injury Program.













ASSUMPTION (continued)



Oversight assumes as a result of this proposal, some people over 21 could choose not to wear protective headgear. Accordingly, there may be an increase in injuries or the severity of injuries to motorcyclists not wearing protective headgear which may indirectly result in increased costs to the state. Oversight assumes no direct fiscal impact to state and local governments from the protective headgear exemption part of this proposal.





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 could exempt motorcyclists age 21 and over from wearing a helmet when operating a motorcycle of motortrycycle.



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 State Courts Administrator

Department of Transportation

Department of Mental Health

Department of Health and Senior Services

Department of Revenue

Department of Social Services

Department of Public Safety

- Missouri State Highway Patrol

Department of Insurance

Office of Prosecution Services

Office of State Public Defender











Mickey Wilson, CPA

Director

January 31, 2003