COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 4574-02
Bill No.: HB 1990
Subject: Health Care; Health Care Professionals; Hospitals; Physicians
Type: Original
Date: March 10, 2008
Bill Summary: This legislation prohibits health care professionals from billing for anatomic pathology services not personally rendered.
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUND |
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FUND AFFECTED |
FY 2009 |
FY 2010 |
FY 2011 |
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Total Estimated Net Effect on General Revenue Fund |
$0 |
$0 |
$0 |
ESTIMATED NET EFFECT ON OTHER STATE FUNDS |
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FUND AFFECTED |
FY 2009 |
FY 2010 |
FY 2011 |
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Total Estimated Net Effect on Other State Funds |
$0 |
$0 |
$0 |
Numbers within parentheses: ( ) indicate costs or losses.
This fiscal note contains 4 pages.
ESTIMATED NET EFFECT ON FEDERAL FUNDS |
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FUND AFFECTED |
FY 2009 |
FY 2010 |
FY 2011 |
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Total Estimated Net Effect on All Federal Funds |
$0 |
$0 |
$0 |
ESTIMATED NET EFFECT ON FULL TIME EQUIVALENT (FTE) |
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FUND AFFECTED |
FY 2009 |
FY 2010 |
FY 2011 |
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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 |
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FUND AFFECTED |
FY 2009 |
FY 2010 |
FY 2011 |
Local Government |
$0 |
$0 |
$0 |
FISCAL ANALYSIS
ASSUMPTION
Officials from the Department of Mental Health, Department of Public Safety, Missouri Consolidated Health Care Plan, Department of Conservation, Department of Health and Senior Services and the Department of Insurance, Financial Institutions & Professional Registration each assume the proposal would have no fiscal impact on their respective agencies.
Officials from the Department of Social Services assume the proposal would have no fiscal impact on their agency. These provisions are already included in federal regulations regarding sanctions for false or fraudulent claims for Title XIX services. Also, the Medicaid Physician’s Provider Manual contains policy that anatomical and surgical pathology services must be performed by a physician.
In response to a similar proposal from this year (SB817), officials from the Department of Highways & Transportation and the Missouri State Highway Patrol each assume the proposal would have no fiscal impact on their respective agencies.
FISCAL IMPACT - State Government |
FY 2009 (10 Mo.) |
FY 2010 |
FY 2011 |
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$0 |
$0 |
$0 |
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FISCAL IMPACT - Local Government |
FY 2009 (10 Mo.) |
FY 2010 |
FY 2011 |
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$0 |
$0 |
$0 |
FISCAL IMPACT - Small Business
No direct fiscal impact to small businesses would be expected as a result of this proposal.
FISCAL DESCRIPTION
The proposed legislation appears to have no fiscal impact.
This legislation is federally mandated by 13 CSR 70-3.030(3)a(26).
This legislation would not duplicate any other program and would not require additional capital improvements or rental space.
SOURCES OF INFORMATION
Department of Social Services
Missouri Consolidated Health Care Plan
Department of Conservation
Department of Highways and Transportation
Department of Health and Senior Services
Department of Public Safety
Department of Insurance, Financial Institutions & Professional Registration
Department of Mental Health
Missouri State Highway Patrol
Mickey Wilson, CPA
Director
March 10, 2008