Bill Summary: This proposal adds the inoculation for human papilloma virus to the list of required immunizations for school attendance.

ESTIMATED NET EFFECT ON GENERAL REVENUE FUND
FUND AFFECTED	FY 2008	FY 2009	FY 2010
General Revenue	($8,333 to $180,000)	($10,000 to $180,000)	($10,000 to $180,000)

Total Estimated Net Effect on General Revenue Fund	($8,333 to $180,000)	($10,000 to $180,000)	($10,000 to $180,000)

ESTIMATED NET EFFECT ON OTHER STATE FUNDS
FUND AFFECTED	FY 2008	FY 2009	FY 2010


Total Estimated Net Effect on Other State Funds	$0	$0	$0

ESTIMATED NET EFFECT ON FEDERAL FUNDS
FUND AFFECTED	FY 2008	FY 2009	FY 2010


Total Estimated Net Effect on All Federal Funds	$0	$0	$0

ESTIMATED NET EFFECT ON FULL TIME EQUIVALENT (FTE)
FUND AFFECTED	FY 2008	FY 2009	FY 2010


Total Estimated Net Effect on FTE	0	0	0

☐ Estimated Total Net Effect on All funds expected to exceed $100,000 savings or (cost).

☒ Estimated Net Effect on General Revenue Fund expected to exceed $100,000 (cost).

ESTIMATED NET EFFECT ON LOCAL FUNDS
FUND AFFECTED	FY 2008	FY 2009	FY 2010
Local Government	Unknown	Unknown	Unknown

Officials from the Department of Insurance, Financial Institutions and Professional Registration assume the proposal would have no fiscal impact on their agency.

Officials from the Parkway School District assume the proposal would have a $700 per year fiscal impact on their agency.

Officials from the Office of the Secretary of State (SOS) state many bills considered by the General Assembly include provisions allowing or requiring agencies to submit rules and regulations to implement the act. The SOS is provided with core funding to handle a certain amount of normal activity resulting from each year’s legislative session. The fiscal impact for this fiscal note to the SOS for Administrative Rules is less than $2,500. The SOS recognizes that this is a small amount and does not expect that additional funding would be required to meet these costs. However, the SOS also recognizes that many such bills may be passed by the General Assembly in a given year and that collectively the costs may be in excess of what the office can sustain with the core budget. Therefore, the SOS reserves the right to request funding for the cost of supporting administrative rules requirements should the need arise based on a review of the finally approved bills signed by the governor.

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.

Officials from the Department of Elementary and Secondary Education (DESE) assume the proposal would have no impact on their agency.

Fall enrollment for girls in grade six for 2004-2005 school year was 34,466. DESE assumes this proposal will result in unknown administrative costs to local school districts for tracking the immunizations, corresponding with doctors and parents, and retaining necessary records. DESE cannot determine the fiscal impact, but assume it would be significant.

Officials from the Department of Social Services - Division of Medical Services (DMS) assume there would be 12,000 females entering grade 6 each year. DMS assumes that for each child, the vaccine would be given 3 times over a six-month period, as indicated in the HPV vaccine literature. DMS also assumes an administration fee of $5.00, which is the current Medicaid allowable for VCF administration. 12,000 recipients x $5 per administration x 3 vaccines = $180,000.

Since this legislation does not mandate the Department of Health and Senior Services to promulgate rules and regulations regarding the HPV vaccine and allows the parent to decide not to get their daughter immunized, it is possible that not all Medicaid recipients would receive this vaccine, therefore DMS expect a fiscal impact in the range of $0 to $180,000.

Officials from the Department of Health and Senior Services (DHSS) state this proposal does not require HPV vaccination for girls entering sixth grade. The Department is unable to estimate the demand for increased HPV vaccination due to this legislation. However, since the vaccination is not required for entrance into sixth grade, DHSS is not showing a cost associated with the purchase of additional vaccine. The only cost to the Department for this version of the proposal is an estimated $10,000 for development and distribution of educational materials.

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

The Department of Health and Senior Services is required to provide information to parents or guardians of female students regarding the connection between human papilloma virus and cervical cancer. Female students enrolling in grade six, may be immunized for the human papilloma virus. This legislation adds reporting requirements for schools to prepare and send to the Department of Health and Senior Services.

This legislation is not federally mandated, would not duplicate any other program and would not require additional capital improvements or rental space.

FISCAL IMPACT - State Government	FY 2008 (10 Mo.)	FY 2009	FY 2010

GENERAL REVENUE

Costs - Department of Social Services: Division of Medical Services HPV Vaccines	$0 to ($180,000)	$0 to ($180,000)	$0 to ($180,000)

Costs - Department of Health and Senior Services Educational Materials	($8,333)	($10,000)	($10,000)

NET EFFECT ON GENERAL REVENUE FUND	($8,333 to $180,000)	($10,000 to $180,000)	($10,000 to $180,000)

FISCAL IMPACT - Local Government	FY 2008 (10 Mo.)	FY 2009	FY 2010

POLITICAL SUBDIVISIONS

Costs - School Districts Administrative Costs	(Unknown)	(Unknown)	(Unknown)

ESTIMATED NET EFFECT ON POLITICAL SUBDIVISIONS	(Unknown)	(Unknown)	(Unknown)