COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. No.: 2938-05

Bill No.: Truly Agreed To and Finally Passed HCS for SB 714

Subject: Health Care; Health Care Professionals; Medical Procedures and Personnel; Physicians; Emergencies; Health, Public

Type: Original

Date: May 8, 2002




FISCAL SUMMARY



ESTIMATED NET EFFECT ON STATE FUNDS
FUND AFFECTED FY 2003 FY 2004 FY 2005
Total Estimated

Net Effect on All

State Funds

$0 $0 $0



ESTIMATED NET EFFECT ON FEDERAL FUNDS
FUND AFFECTED FY 2003 FY 2004 FY 2005
Total Estimated

Net Effect on All

Federal Funds

$0 $0 $0



ESTIMATED NET EFFECT ON LOCAL FUNDS
FUND AFFECTED FY 2003 FY 2004 FY 2005
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 Health and Senior Services and the Department of Public Safety - Missouri State Highway Patrol indicate this proposed legislation would have no fiscal impact on their agencies.



Officials from the Department of Economic Development - Division of Professional Registration (DED-PR) are assuming a zero fiscal impact, assuming that current DED-PR appropriations/funds could support the impact of a state emergency. DED-PR is also assuming no charge to the temporary license holder. However, due to unknown factors, such as the number of temporary licenses that may be issued, it could become necessary in the future to secure additional appropriation authority and to charge the temporary licensee a respective fee.



FISCAL IMPACT - State Government FY 2003

(10 Mo.)

FY 2004 FY 2005
$0 $0 $0



FISCAL IMPACT - Local Government FY 2003

(10 Mo.)

FY 2004 FY 2005
$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 proposed legislation act allows the state to temporarily license certain health care practitioners in an emergency. Currently, Section 190.500, RSMo, allows a twelve-month temporary license for a health care practitioner licensed in another state who is acting

under military orders and is enrolled in a trauma and disaster response training in this state.



This proposal adds a third category to also allow temporary licensure of a health care practitioner licensed in another state and acting pursuant to a Governor's declaration of a state public health emergency. Temporary licensure for this category will be issued for a two-week period and, after verification of qualifications, may be reissued every two weeks. Licensure information for all three categories may be obtained by any means, including electronic mail.



DESCRIPTION (continued)



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

Department of Economic Development

Division of Professional Registration

Department of Public Safety

Missouri State Highway Patrol











Mickey Wilson, CPA

Acting Director

May 8, 2002