COMMITTEE ON LEGISLATIVE RESEARCH

OVERSIGHT DIVISION



FISCAL NOTE



L.R. No.: 1879-04

Bill No.: Perfected HS for HCS for HB 564

Subject: Economic Development Dept: Licenses - Professional

Type: Original

Date: April 17, 2003




FISCAL SUMMARY



ESTIMATED NET EFFECT ON GENERAL REVENUE FUND
FUND AFFECTED FY 2004 FY 2005 FY 2006
General Revenue (Up to $11,481) $0 $0
Total Estimated Net

Effect on General Revenue Fund

(Up to $11,481) $0 $0



ESTIMATED NET EFFECT ON OTHER STATE FUNDS
FUND AFFECTED FY 2004 FY 2005 FY 2006
Athlete Agent Fund* $0 $0 $0
Board of Registration for Healing Arts Fund $0 $19,839 ($10,146)
Missouri Real Estate Commission Fund ($18,229) ($21,875) ($21,985)
Barber Fund $0 $2,250 $500
Dietician Fund $115,800 $3,474 $116,841
Total Estimated

Net Effect on Other

State Funds

$97,571 $3,688 $85,210

*Offsetting income and costs expected to be less than $100,000



Numbers within parentheses: ( ) indicate costs or losses.

This fiscal note contains 23 pages.



ESTIMATED NET EFFECT ON FEDERAL FUNDS
FUND AFFECTED FY 2004 FY 2005 FY 2006
$0 $0 $0
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 following agencies indicated this proposal would have no fiscal impact on their agencies: Department of Elementary and Secondary Education, Department of Public Safety - Missouri State Highway Patrol, Office of the Governor, Department of Revenue, Office of State Public Defender, and the Missouri Senate.



Officials from the Office of State Courts Administrator stated this proposal would not have a fiscal impact on the Courts.



Officials from the Office of Administration - Administrative Hearing Commission assume this proposal will not significantly alter its caseload. However, if other similar bills also pass, resulting in more cases, or more complex cases, there could be a fiscal impact.



Officials from the Office of Prosecution Services assumed costs to prosecutors resulting from this proposal could be absorbed.



Officials from the Department of Correction (DOC) stated that currently, the DOC cannot predict the number of new commitments which may result from the creation of the offenses(s) outlined in this proposal. An increase in commitments depends on the utilization by prosecutors

and the actual sentences imposed by the court.



ASSUMPTION (continued)



DOC officials state that if additional persons are sentenced to the custody of the DOC due to the provisions of this proposal, the DOC will incur a corresponding increase in operational cost through supervision provided by the Board of Probation and Parole (FY02 average of $3.10 per offender, per day or an annual cost of $1,132 per offender).

In summary, supervision by the DOC through probation or incarceration would result in some additional costs, but it is assumed the impact would be $0 or a minimal amount that could be absorbed within existing resources.

Officials from the Secretary of State's Office (SOS) assumed the rules, regulations and forms issued by the Department of Economic Development - Division of Professional Registration could require as many as 120 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 the Code. These costs are estimated. The estimated cost of a page in the Missouri Register is $23. The estimated cost of a page in the Code of State Regulations is $27. The actual costs could be more or less the SOS's estimated cost of $7,380 for FY 2004. The impact of this legislation in future years is unknown and depends upon the frequency and length of rules, filed, amended, rescinded or 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.



Section 324.205 - DIETICIANS



Officials from the Department of Economic Development - Professional Registration (DPR) state this proposal creates mandatory licensure for persons who practice or offer to practice dietetics in the State of Missouri. DPR notes the Missouri Dietetic Association estimates there will be approximately 579 applicants for licensure upon passage of this proposal (effective August 28, 2003). DPR estimates a $200 application fee will be charged and a $190 biennial fee thereafter (renewals occur in odd FYs). DPR calculates a 3% growth rate. DPR assumes all costs can be covered by the board's current appropriation.



Sections 324.1200 through 324.1257 - ATHLETE AGENTS



In response to the introduced version of this section of the proposal, the following agencies, schools and universities indicated this proposal would have no effect on their agencies or ASSUMPTION (continued)



institutions: University of Missouri, Truman State University, Central Missouri State University, Department of Higher Education, and the Office of Secretary of State - Division of Corporations.



Officials from the Department of Economic Development - Division of Professional Registration (DPR) assume that since the certification and regulation of athletic agents is already established within the Secretary of State's Office (SOS), the necessary appropriation and

fund amount will be transferred from the Secretary of State to the Division of Professional Registration. The division assumes that this appropriation amount will include, at a minimum, the necessary expense and equipment to cover expenses. It is assumed that DPR can assume the personal service duties associated with the proposal. The SOS has indicated that there are currently less than 35 agents registered.



Oversight assumes, based on information from the Office of Secretary of State (SOS), that there are currently 18 active athlete agents and 25 inactive athlete agents. The maximum amount of revenue generated would be $21,500 in any year. The $500 fee is biennial but Oversight cannot estimate how much is collected in any given year. There is currently ½ FTE assigned by SOS to the duties of this program; that position would be eliminated with the transfer to Professional Registration. Oversight assumes these duties could be absorbed within existing personnel and expenses of the program would be offset with fees generated from athlete agents.



Section 328.075 & 328.080 - BARBERS



Officials from the Department of Economic Development, Division of Professional Registration (DPR) assume this proposal would allow the creation of barber apprentice and barber apprentice supervisor license programs. The State Board of Barber Examiners estimates that there will be approximately 50 apprentice applicants and 35 apprentice supervisor applicants. It is estimated that a $10 fee will be charged to the apprentice and a $50 fee charged to the supervisor. It is assumed that all costs can be covered by the board's current appropriation.



Oversight assumes there will be approximately 35 apprentice supervisor applications and 50

apprentice applications in FY 2005 when regulations for the apprenticeship program would become effective. Oversight also assumes there would be a minimal number of apprentice supervisor applicants in FY 2006 after the initial biennial registration, followed by approximately 35 new and renewal apprentice supervisor applications in FY 2007. Oversight assumes apprentice applications would be relatively the same each year, and that fees would remain unchanged through FY 2006.



ASSUMPTION (continued)



Sections 334.400 through 334.430 - ANESTHESIOLOGIST ASSISTANTS



Officials from the State Treasurer's Office (STO) note licensure fees will be deposited into the Healing Arts Fund which already exists in the Treasury. STO assumes the proposal would have no fiscal impact on their office.



Officials from the Department of Economic Development - Division of Professional Registration (DPR) noted as of September 2002, the Missouri Society of Anesthesiologists indicates there are 570 anesthesiologist assistants practicing on a national level. Based on this number, DPR estimated there is an average of 11 licensees per state. DPR assumed a fee of $3,000 will be paid for all categories of licensure with biennial renewal. DPR estimated a 3% growth rate and assumes licensure begins in FY 2005, resulting in revenue to the Board of Registration for Healing Arts Fund of $33,000 in FY 2005 and $1,500 in FY 2006.



DPR assumed all fees collected and all expenses would be deposited into and paid out of the Board of Registration for Healing Arts Fund.



DPR estimated a contract employee will be utilized by the Board of Registration for the Healing

Arts to handle the licensing program for anesthesiologist assistants. This position will be responsible for processing applications for licensure, assisting with commission meetings, as well as responding to any inquiries relating to the licensure law or rules and regulations. It is estimated that this position will only be needed for the first year. After the initial rules and regulations are established and the first group of individuals are licensed it is assumed the current

Board of Healing Arts staff will assume the responsibilities associated with this licensing group. In addition, it has been estimated that the commission will pay .50% of the current principal assistant's annual salary ($62,196). This estimation is based on an existing licensing group within the division will a similar structure and low number of licensees.



DPR assumed the five (5) member board would meet four (4) times per year for two (2) days per meeting, in Jefferson City. DPR noted the Principal Assistant, Contract Employee and an

Attorney General representative will also attend the meeting. DPR assumed there would be four (4) meetings in FY 2005 to promulgate rules and regulations. DPR estimated each board member will receive a $70 per for each day conducting board business. DPR assumed per diem, mileage, lodging, and meal expenses (for five board members and three staff) to cost approximately $8,600 the first year. DPR assumed each year thereafter, the Commission will meet once per year for one day and will conduct all other business via conference call. DPR estimated annual per diem and travel expense to be $525 and $682, respectively.



ASSUMPTION (continued)



DPR assumed one (1) complaint would be received each year. DPR estimated 100% of these complaints (1) will require field investigations, each needing 30 hours of field work and one night's lodging. Travel expenses for the investigation are estimated at $255 annually. DPR assumed complaints and investigations would not start until FY 2006.



DPR assumed there will be a cost associated with needing the services of the Attorney General's Office (AGO). DPR estimated 100% of investigations (1) would be forwarded to the AGO for further action. Assuming $5,400 cost per case, DPR estimated $5,400 annually beginning in FY 2006. DPR also estimated the AGO would provide approximately 60 hours of assistance with rules, opinions and meetings per year. Assuming an hourly rate of $60.87, these costs are estimated at $3,762 yearly beginning in FY 2005.



DPR assumed printing and postage costs will be incurred in the first year for statute and rule mailings and for startup printing of rules, applications, letterhead and envelopes. DPR estimated printing and postage costs at $6.19 per licensee in the first year, for a total cost of $68. Subsequent years' printing and postage costs are expected to continue at this amount.



DPR assumed existing staff would design, program and implement a computer licensure

program. However, if costs are higher than anticipated further monies will be required.



Oversight has done the following to calculate the fiscal impact:



(1) Adjusted travel expense related to board meeting meal allowances by $840 as a result of

Office of Administration travel guidelines which do not allow meals for state employees when they are in their official domicile; and



(2) Used DPR's estimates unless otherwise noted.



Section 337.600; 337.604; 337.633 - SOCIAL WORKERS



Officials from the Department of Social Services - Division of Family Services (DFS) assume the proposal may require changes to the personnel system if it is found that agency staff can no longer be referred to as Social Service Workers, Social Work Specialists or Social Service Supervisors. DFS states if agency titles were required to change, items including the title, such

as business cards and identification badges, would need to be replaced. In addition, changes to wording in the agency policy manuals may be required. DFS notes there is a lack of definition (in the proposal) of the forms of the title that prevent calculating an exact impact. DFS assumes the impact would be less than $100,000 annually.



ASSUMPTION (continued)



Oversight assumes any cost arising from the need to replace/update business cards, identification badges, letterhead and policy manuals could be paid from existing resources. Oversight further assumes any such cost should be incurred in fiscal years 2004 and 2005 only.



Officials from the Office of Administration - Division of Personnel (OA) assume .50 FTE would be required for six months if this proposal is enacted. OA states enactment of this proposal would likely require several job titles to be changed, resulting in some administrative costs associated with reprinting class specifications and amending affected employee records. OA states in some cases, the current qualifying educational and/or experiential requirements may have to be revised to restrict it to licensed individuals only, but further analysis is required to assess impact on those classes and some current employees. OA states there could be costs to user agencies associated with retraining some employees or assisting them in obtaining licensure. It is unclear whether any unlicensed employee affected by this legislation would be grand fathered in, or if they would have to be reassigned to a non-licensed position if they could not obtain licensure. OA states such contingencies would result in additional costs for the agencies; however, OA states they are not able to estimate the costs. OA states given the brief time frame between enactment and the January 1, 2004, deadline, it would be necessary for us to recruit, on a temporary basis of six months, an experienced classification analyst to independently review positions, draft revisions to class specifications, and to work with the affected agencies to ensure compliance with the statute. OA assumes the temporary personnel analyst would cost General Revenue $18,000 in FY 2004.



Oversight assumes any additional duties imposed on OA could be performed by existing staff. Oversight notes OA's assumption of "contingent" costs which could affect state agencies is speculative. Oversight assumes any costs to state agencies resulting from this proposal could, likewise, be absorbed.



Section 339.105 - ESCROW ACCOUNTS

Officials from the State Treasurer's Office (STO) assume passage of the proposal would require their agency to accept the deposit of disputed escrow monies. STO assumes they would need one additional FTE (an Accountant I at an annual salary of $30,204) to accept disputed

escrow funds, account for disputed escrow funds while deposited with the Treasurer, and review the resolution of the dispute to determine the proper disposition of funds on deposit. STO estimates the cost, to General Revenue, for an additional FTE including salary, fringe benefits, and expense and equipment to be approximately $45,000 annually.



ASSUMPTION (continued)



Oversight inquired of the Missouri Real Estate Commission (REC) about the number of disputed escrow cases per year and learned the REC does not keep track of these cases currently. REC estimates a maximum of $100,000 to $200,000 would be deposited in the State Treasury annually as a result of this proposal. Oversight notes the State Treasurer's Office performs a similar function with regard to unclaimed property and assumes they could devise a similar system for disputed escrow cases. Oversight assumes STO could absorb the administrative impact resulting from passage of this proposal.



Section 339.120 - REAL ESTATE COMMISSION COMPENSATION



Officials from the Department of Economic Development - Division of Professional Registration (DPR) assume the increase in per diem reimbursement for the commissioners will cost the Missouri Real Estate Commission Fund approximately $22,000 annually. DPR based their calculation on the on the number of hours billed by the seven commission members in FY 2002 which was 876 hours for the year. DPR notes license fees will not need to be increased to cover the additional cost.



Oversight notes the DPR did not reflect an increase in per diem costs for FY 2004 because the Commission would need an increased personal service appropriation which is not possible since the budget process for that year is currently in process. Oversight notes the effective date of the proposal would be August 28, 2003, and therefore shows 10 months' cost for FY 2004.



This proposal would increase total state revenue.



























FISCAL IMPACT - State Government FY 2004

(10 Mo.)

FY 2005 FY 2006
GENERAL REVENUE ( Repeal of Section 436.205)
Savings - Secretary of State
Reduction in Personal Services (½ FTE) $7,026 $0 $0
Reduction in Benefits $2,843 $0 $0
Reduction in Expense $150 $0 $0
Total Savings - Secretary of State $10,019 $0 $0
Loss - Registration Fees from Athlete Agents



(Up to $21,500)


$0


$0
ESTIMATED NET EFFECT ON GENERAL REVENUE

(Up to $11,481)


$0


$0
DIETITIAN FUND (Section 324.205)
Income - Div of Professional Registration
Licensure Fees $115,800 $3,474 $116,840
ESTIMATED NET EFFECT ON DIETITIAN FUND

$115,800


$3,474


$116,841


























FY 2004

(10 Mo)

FY 2005 FY 2006
ATHLETE AGENT FUND (Section 324.1224)
Income - Professional Registration (DPR)
Registration Fees from Athlete Agents Unknown - Expected to be less than $100,000 Unknown - Expected to be less than $100,000 Unknown - Expected to be less than $100,000
Cost - DPR
Administrative Costs (Unknown - Expected to be less than $100,000) (Unknown- Expected to be less than $100,000) (Unknown - Expected to be less than $100,000)
ESTIMATED NET EFFECT ON ATHLETE AGENT FUND



$0


$0


$0
BARBER FUND (Sections 328.075 & 328.080)
Income - DPR
Revenue from Licensure Fees
Apprentices (50 each year) $0 $500 $500
Supervisors (35 biennially) $0 $1,750 $0
$2,250 $500
ESTIMATED NET EFFECT ON BARBER FUND

$0


$2,250


$500
FY 2004

(10 Mo)

FY 2005 FY 2006



BOARD OF REGISTRATION FOR HEALING ARTS FUND (Sections 334.400 through 334.430)
Income - DPR
Revenue from Licensure Fees $0 $33,000 $1,500
Costs - DPR
Board Member Per Diem $0 ($2,800) ($525)
Contract Employee $0 ($975) $0
Personal Service (.50% of 1 FTE) $0 ($327) ($335)
Fringe Benefits $0 ($132) ($136)
Expenses $0 ($5,165) ($1,046)
AGO $0 ($3,762) ($9,604)
Total Costs - DPR $0 ($13,161) ($11,646)
ESTIMATED NET EFFECT ON BOARD OF REGISTRATION FOR HEALING ARTS FUND



$0




$19,839




($10,146)
MISSOURI REAL ESTATE COMMISSION FUND (Section 339.105)
Costs - REC
Increase in Commission Member Per

Diem



($18,229)


($21,875)


($21,875)
ESTIMATED NET EFFECT ON MISSOURI REAL ESTATE COMMISSION FUND



($18,229)




($21,875)




($21,875)







FISCAL IMPACT - Local Government FY 2004

(10 Mo.)

FY 2005 FY 2006
$0 $0 $0



FISCAL IMPACT - Small Business



Real Estate Brokers would need to familiarize themselves with the financial aspects of this proposal as it relates to them. Anesthesiologists who have assistants may incur costs to have those assistants licensed and certified. This proposal could impact existing small businesses operating barber shops and barber schools, and would authorize the creation of barber apprenticeship businesses. This proposal could affect small businesses by allowing some physical therapists to begin practicing sooner. Small businesses who employ "social workers," either in a paid or unpaid status, may realize an administrative impact resulting from ensuring such staff are accredited according to the requirements of this proposal.



DESCRIPTION



This proposal contains numerous provisions relating to the Division of Professional Registration. The provisions of the proposal include:



INTERPRETERS



Section 209.309



A person nominated by a local public school district in Missouri shall be granted a provisional public school certificate under certain conditions.



Section 209.323



Expands the authority of the division to deny license renewal of deaf interpreters for failure to provide satisfactory evidence of current certification with the Missouri Commission for the Deaf.



OCCUPATIONAL THERAPISTS



Section 324.077



Gives the Missouri Board of Occupational Therapy the authority to give licensing exams to qualified applicants upon demand.





DESCRIPTION (continued)



DIETICIANS



Sections 324.200; 324.203; 324.205; 324.210; 324.215; 214.216



Modifies provisions relating to the licensing of dietitians.



Section 324.200



Definitions for "dietetics practice" and "registered dietitian" are created.



Section 324.203



The State Committee of Dietitians is placed within the division of professional registration. The Committee shall assist the division in carrying out the provisions of the Dieticians Practice Act and shall approve the licensing examination.



Section 324.205



Certain persons are exempted from the licensure requirements of this proposal provided they do not hold themselves out as a dietitian.



Section 324.216



Licensees are allowed to let their license lapse or be put on inactive status, provided the licensee does not practice during the time the license is lapsed or inactive. The proposal creates requirements for maintaining an inactive license and for reinstating a lapsed license. A person practicing with a lapsed or inactive license shall be guilty of a Class A misdemeanor.

INTERIOR DESIGN



Section 324.409



Removes grandfathering provision for registration that expired August 28, 2000.









DESCRIPTION (continued)



TATOOING, BRANDING, BODY PIERCING



Section 324.526



Temporary licenses to practice tattooing, body piercing, or branding for shall be issued to applicants entering the state of Missouri for the sole purpose of participating in a state or national convention wherein the applicant will be practicing the profession of tattooing, body piercing, or branding. The temporary license will be valid for no longer than fourteen days and shall not be renewable. The fee for the temporary license will be $25. The applicant must be otherwise qualified for licensure pursuant to sections 324.520 to 324.526.



An applicant for temporary licensure will not be required to provide a Social Security number if the application is submitted by a citizen of a foreign country who has not been issued a Social Security number and who proveiouls has not been licensed by any other state, United States territory, or federal agency.



This Section has an emergency clause.



ATHLETE AGENTS



Sections 324.1200 through 324.1257



Requires all athlete agents operating in this state to be registered and certified by the Department of Economic Development - Division of Professional Registration (DPR). Fees for registration and renewal will be set by DPR and deposited in the Athlete Agent Fund, which is created by the proposal. Registration and certification are valid for a two-year period and may be renewed indefinitely. The DPR director may refuse to issue a certificate or may suspend or revoke a certificate in certain circumstances.



The proposal requires all agent-athlete contracts to be written and to contain certain information, including the basis for the agent's fee and a notice warning the student-athlete about possible loss of eligibility.



Sections 436.200; 436.205; 436.209; 436.212 (REPEAL)











DESCRIPTION (continued)



ARCHITECTS



Section 327.172

This proposal creates an inactive license status for architects. An inactive licensee shall not practice as an architect in this state, but may continue to use the title "architect." In order to reinstate such license to active status, the licensee must meet certain competency requirements established by the board of architects, professional engineers, professional land surveyors and landscape architects. Inactive licensees who fail to maintain a current license in any state for more than five years prior to requesting licensure reinstatement must take a licensing examination deemed appropriate by the board.



LANDSCAPE ARCHITECTS



Section 327.401



Adds the rights to practice as a landscape architect to those of a professional engineer and professional land surveyor as not being transferable.



Section 327.411



This proposal includes landscape architects in statutes concerning the right to practice and use of a personal seal. Currently, only architects, professional engineers and professional land surveyors are included in such sections.



BARBERS



Sections 328.075 & 328.080



This proposal would revise the barber license application process. A barber apprentice program would be created, with specifications for barber apprentices and for barber apprentice supervisors.



COSMETOLOGISTS AND MANICURISTS



Section 329.050



Requires manicurist apprentices to complete at least 800 hours of supervised training prior to DESCRIPTION (continued)



making application for licensure;



Section 329.070



Requires the course of study for all cosmetology apprentices not to exceed 12 hours per day and 72 hours per week.



DENTISTRY



Section 332.069



Allows for the practice of dentistry across state lines, as long as the person practicing across state lines is licensed to practice dentistry in another state and the practice is limited to the rendering of documented opinions concerning diagnosis and treatment through electronic means. When receiving consultations across state lines, the ultimate authority and responsibility for the diagnosis and treatment of the patient remains with the primary care dentist licensed in this state



Section 332.071



Expands the definition of "practices dentistry" to include the use of lasers.



Section 332.171



Authorizes the State Dental Board to issue specialist licenses to applicants who have been certified in any specialty by an examining board recognized by the American Dental Association or the Council on Dental Accreditation.



Allows for issuance of specialized licenses for dentists who hold specialty licenses in other states, as long as they are licensed in this state and the educational requirements for their specialized licenses are the same or exceed those in this state.



Gives the board the authority to create specialization committees for each specialty recognized by the American Dental Association. The committees will assist the board in establishing criteria and evaluating applicants for specialty licenses.

Provides that all specialty licenses be subject to sanctions and licensees pay fees as set forth by the board.



Section 332.181 & Section 332.261



DESCRIPTION (continued)

Requires all dentists and dental hygienists to complete all continuing education requirements prior to license renewal. Failing to do so, without reasonable cause, will result in the license

being sanctioned by the board.



Requires all dentists and dental hygienists who have allowed their licenses to lapse for more than four years to make application and take all licensing examinations required by the board.



Section 332.321



Contains provisions pertaining to the disposition of complaints brought before the Administrative Hearing Commission by the board regarding licensees who present a clear and present danger to the health and safety of the public at large.



Section 332.327



This proposal allows the State Dental Board to disclose records and information to the board's Committee on Well-Being for the purpose of assisting in the rehabilitation of impaired licensees. All information disclosed to the committee is still considered confidential and closed to the public.



Section 332.341 - (REPEAL)



PHYSICIANS AND SURGEONS



Section 334.109



A physician may collaborate and share responsibilities with a qualified person practicing independent of the physician and licensed as a health professional under the laws of this state with respect to preoperative and postoperative care for surgical patients, subject to patient approval.



ANESTHESIOLOGIST ASSISTANTS



Sections 334.400 through 334.430



Regulates the licensing and registration of anesthesiologist assistants. New definitions and authorities are provided relating to anesthesiologist assistants.



DESCRIPTION (continued)



The faculty of any anesthesiologist assistant program established in the state of Missouri shall be comprised solely of board certified or board eligible anesthesiologists.



An anesthesiologist assistant can apply for a license by filling out the appropriate application forms and paying the required application fee as promulgated by the Department of Economic Development. Upon approval of the application, the State Board of Registration for the Healing Arts shall issue a license to be valid for two years. Provisions for temporary and inactive licenses are set forth.



Upon the payment of a fee and documentation of all locations of previous practice and licensure, the Board can issue a license to any licensed out-of-state applicant without examination or additional certification. The Board shall have the authority to negotiate reciprocal compacts with licensing boards of other states for the admission of licensed anesthesiologist assistants from Missouri to practice in other states.



The Board shall promulgate rules and regulations pertaining to application forms, certification, registration, and fees. The Board shall have the authority to issue subpoenas and establish guidelines for anesthesiologist assistants. The Board may refuse to issue, suspend, or renew a certificate of registration or license or may file a complaint for any of the outlined causes in this

section. Administrative hearing procedures will apply. Upon a finding by the administrative hearing commission, the Board may censure, place on probation for up to ten years, suspend for up to seven years, or revoke a person's certificate of registration or license. Any person violating any of the provisions of Section 334.400 to Section 334.430 is guilty of a Class A misdemeanor.



Renewal provisions are outlined and delinquent fees shall be paid unless waived by the Board. An anesthesiologist assistant must meet the Board's minimum requirements for continuing

education in order to renew a certificate of registration.



All fees will be collected by the Division of Professional Registration and deposited in the Treasury to the credit of the Board of Registration for the Healing Arts Fund.



No person shall portray themselves to the public as a "licensed anesthesiologist assistant," unless they are licensed pursuant to 334.400 to 334.430. Any person found guilty of violating this section will be guilty of an infraction with a maximum fine of $200.



The Advisory Commission for Anesthesiologist Assistants is created and will guide, advise, and make recommendations to the Board. The Commission, comprised of 5 members, will take effect no later than January 1, 2004. The Commission shall be appointed by the Governor, with DESCRIPTION (continued)



the advice and consent of the Senate. The Director of the Division of Professional Registration shall establish the compensation rate for Commission Members not to exceed $70 per day for Commission business plus actual and necessary expenses. The Board shall provide all staff for the Commission.



PHYSICAL THERAPISTS



Sections 334.530 through 334.672



Provisions regarding the licensing of physical therapists and physical therapist assistants:



(1) Provides for reciprocal, provisional, and temporary licenses;



(2) Allows additional examination sittings for individuals who meet criteria established in the proposal;



(3) Requires provisional licensed physical therapists to practice under the direct supervision of a licensed physical therapist;



(4) Permits the issuance of temporary licenses to those failing the licensing exam. The duration of the first temporary license will be six months and can only be renewed once. This renewal may only be issued if the licensee, after showing good cause, fails to sit for the next scheduled

examination. Temporary licenses may be issued to students in their last semester of physical therapy school; and



(5) Requires that applicants only sit for the licensing exam three times. Upon failing the state exam for the second time, an applicant must complete a program of remediation before sitting for the third exam.



ATHLETE TRAINERS



Section 334.704 through 334.717



Changes the requirements from being "registered" to being "licensed".











DESCRIPTION (continued)



PSYCHOLOGISTS



Section 337.030



Allows the State Committee of Psychologists to issue inactive licenses.



SOCIAL WORKERS



Section 337.600



Defines "social worker" as any individual that has earned a social work degree from an accredited social work program approved by the Council on Social Work Education or that holds a current state baccalaureate or clinical social work license.



Section 337.604



Prohibits any person from holding themselves out as being a social worker or using the title of "social worker" unless the person holds a current license in baccalaureate or clinical

social work issued by the State Committee for Social Workers or holds a degree from an accredited social work program approved by the Council on Social Work Education.



Beginning January 1, 2004, no person may use the title of "social worker" for volunteer or employment positions within contracts for services, documents, manuals, or reference material unless those persons being referred to have met all educational requirements set forth by the proposal.



Section 337.633

Violation of section 337.604 shall be subject to a fine of up to $1,000.



Sections 343.010; 343.030; 343.040; 343.050; 343.060; 343.070; 343.080; 343.090; 343.100; 343.250 (REPEAL)















DESCRIPTION (continued)



REAL ESTATE AGENTS AND BROKERS



Sections 339.010 through 339.800



Section 339.010



Adds Internet web sites to the licensing exemption, when in the case of advertising real estate, the advertising is incidental to their normal business operations.



Section 339.040



Allows the commission to issue temporary work permits to individuals who have satisfied all licensing requirements prior to the final review and printing of their licenses.



Grants entities providing continuing education the authority to do so through the means of distance delivery.



Section 339.100



Gives the commission authority, when conducting investigations of complaints involving affiliated licensees, to forward copies of the information regarding the complaint to the affiliated licensee's broker.



Gives the commission authority, when a licensee fails to renew or surrender his or her license and the commission finds the licensee to be in violation of certain provisions, to cause complaints to be filed with the Administrative Hearing Commission;



Section 339.105



Requires real estate brokers holding funds belonging to another party in a real estate transaction to maintain the funds in a separate account designated as an escrow or trust account. Brokers may not commingle their own personal funds or any other moneys in this account with the exception that a broker may deposit an amount not to exceed $1,000 specifically identified for the purpose of covering service charges related to the account. When brokers decide not to maintain an escrow account, they must notify the commission. If they decide to open an escrow

account, they must notify the commission within 10 business days of doing so. In the case of disputes regarding ownership of escrow moneys, the funds must be deposited with the State Treasurer within 365 days of the initial projected closing date. The funds will be held in trust



DESCRIPTION (continued)



until the dispute can be resolved



Section 339.120



Increases the amount of compensation which each member of the commission receives from $50 to $75 for each devoted to the affairs of the commission.



Section 339.800



Requires designated brokers who have affiliated licensees to obtain a written agreement for brokerage services or other written agreement addressing compensation.



Sections 339.600; 339.603; 339.605; 339.606; 339.607; 339.608; 339.610; 339.612; 339.614; 339.617 (REPEAL)



Repeals the provisions relating to escrow agents.



ADMINISTRATIVE HEARING COMMISSION



Section 621.045



Places the Missouri Board of Occupational Therapy under the purview of the Administrative Hearing Commission.



AUCTIONEERS



Section 1



The Speaker of the House of Representatives and the President ProTem of the Senate shall appoint a joint interim study committee to review the business of auctioneers. The committee shall study and report to the General Assembly on the issues of statewide licensing, reciprocal agreements with other states, continuing education for the auctioneer industry, ethical and legal issues related to real property sales, and any other issues deemed appropriate by the committee. Any findings and recommendations shall be reported to the General Assembly no later than December 31, 2004.



This proposal 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 Economic Development

Division of Professional Registration

Office of Secretary of State

Administrative Rules Division

Corporations Division

Office of Administration

Administrative Hearing Commission

Personnel Division

Office of State Public Defender

Office of State Courts Administrator

Department of Public Safety

Missouri State Highway Patrol

Office of the Governor

Senate Administration

Department of Elementary and Secondary Education

Missouri Commission for the Deaf and Hard of Hearing

Department of Higher Education

Department of Social Services

Division of Family Services

Department of Corrections

Office of Prosecution Services

Office of State Treasurer

Truman University

University of Missouri System

Central Missouri State University











Mickey Wilson, CPA

Director

April 17, 2003