COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. No.: 1457-01

Bill No.: SB 569

Subject: Health Care; Health Care Professionals; Physical

Therapists; Licenses-Professional; Physicians

Type: Original

Date: March 23, 2001




FISCAL SUMMARY



ESTIMATED NET EFFECT ON STATE FUNDS
FUND AFFECTED FY 2002 FY 2003 FY 2004






Total Estimated

Net Effect on All

State Funds





$0
$0 $0


ESTIMATED NET EFFECT ON FEDERAL FUNDS
FUND AFFECTED FY 2002 FY 2003 FY 2004
Total Estimated

Net Effect on All

Federal Funds

$0 $0 $0



ESTIMATED NET EFFECT ON LOCAL FUNDS
FUND AFFECTED FY 2002 FY 2003 FY 2004
Local Government $0 $0 $0

Numbers within parentheses: ( ) indicate costs or losses.

This fiscal note contains 3 pages.

FISCAL ANALYSIS



ASSUMPTION



Officials from the Department of Economic Development - Division of Professional Registration (DED-DPR) reviewed the proposed legislation and having sought the conclusion of the appropriate board(s), are of the opinion that this proposal in its present form, has no fiscal impact to their agency.



This bill revises licensure procedures for physical therapists and physical therapist assistants.

Officials with the Office of Secretary of State (SOS) assume the State Board of Registration for the Healing Arts will promulgate rules to implement this bill. Based on experience with other divisions, the rules, regulations and forms issued by the State Board of Registration for the Healing Arts could require as many as approximately 30 pages in the Code of State Regulations. For any given rule, roughly half again as many pages are published in the Missouri Register as in the Code because cost statements, fiscal notes and the like are not repeated in Code. These costs are estimated. The estimated cost of a page in the Missouri Register is $23.00. The estimated cost of a page in the Code of State Regulations is $27.00. The actual costs could be more or less than the numbers given. The impact of this legislation in future years is unknown and depends upon the frequency and length of rules filed, amended, rescinded and withdrawn.

Oversight assumes the SOS could absorb the costs of printing and distributing regulations related to this proposal. If multiple bills pass which require the printing and distribution of regulations at substantial costs, the SOS could request funding through the appropriation process. Any decisions to raise fees to defray costs would likely be made in subsequent fiscal years.





FISCAL IMPACT - State Government FY 2002

(10 Mo.)

FY 2003 FY 2004





$0




$0




$0
FISCAL IMPACT - Local Government FY 2002

(10 Mo.)

FY 2003 FY 2004
$0 $0 $0









FISCAL IMPACT - Small Business



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



DESCRIPTION



SB 569 - This act revises licensure procedures for physical therapists (PT) and physical therapist assistants (PTA). The act revises Sections 334.530 -334.560, RSMo, for PTs and Sections 334.655 - 334.670, RSMo, for PTAs and contains identical revisions for both practices.



The Board of Registration for the Healing Arts is authorized to renew the temporary license of an applicant who fails the required examination. Direct, on-site supervision will, however, be required along with the temporary license. The examination results will be provided to the applicant and the supervising PT, specifying the areas of weakness.



If the applicant fails the examination a second time, he or she is required to provide the Board with documentation of a completed program of remediation before the applicant may sit for the exam a third time. If the applicant fails the examination a third time, he or she is required to pass the exam in another state, obtain licensure, and practice for three years in that state. After such time, the applicant will be eligible to apply for Missouri licensure via reciprocity.



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



Secretary of State

Administrative Rules Division

Department of Economic Development

Division of Professional Registration









Jeanne Jarrett, CPA

Director



March 23, 2001