COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.: 5050-01
Bill No.: HB 2116
Subject: Health Care; Insurance - Medical; Insurance Dept.; Chiropractors
Type: Original
Date: March 19, 2008
Bill Summary: Prohibits health carriers from designating chiropractic care as speciality care or chiropractic physicians as specialists unless they are certified as specialists by the Board of Chiropractic Examiners.
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 Insurance, Financial Institutions and Professional Registration assume the proposal will have no fiscal impact on their organization.
Officials from the Missouri Department of Conservation(MDC) state the proposal would not appear to have a fiscal impact MDC funds.
Officials from the Department of Public Safety (DPS) - Director’s Office defer to the Missouri Consolidated Health Care Plan for response regarding the potential fiscal impact of this proposal on their organization.
Officials from the DPS - Missouri State Highway Patrol (MHP) defer to the Missouri Department of Transportation for response regarding the potential fiscal impact of this proposal on their organization.
Officials from the Missouri Department of Transportation (DOT) state the proposal will not impact the DOT, Missouri Highway and Transportation Commission or the DOT/MHP medical plan because the plan is not a “health carrier” as defined in the proposal.
Officials from the Missouri Consolidated Health Care Plan (HCP) state members are currently allowed to self-refer for up to 26 chiropractic visits per year. Additional visits would require prior authorization by the Medical Plan. This legislation does not fiscally impact the HCP.
However, HCP currently defines a Specialty Care Physician or a Specialist as a physician who is not a primary care physician and provides medical services to members concentrated in a specific area of expertise. It is assumed that this legislation does not require that chiropractors shall be designated as primary care physicians.
FISCAL IMPACT - State Government |
FY 2009 (10 Mo.) |
FY 2010 |
FY 2011 |
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|
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$0 |
$0 |
$0 |
FISCAL IMPACT - Local Government |
FY 2009 (10 Mo.) |
FY 2010 |
FY 2011 |
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|
|
|
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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 not federally mandated, would not duplicate any other program and would not require additional capital improvements or rental space.
SOURCES OF INFORMATION
Missouri Department of Transportation
Department of Insurance, Financial Institutions and Professional Registration
Department of Public Safety -
Director’s Office
Missouri State Highway Patrol
Missouri Consolidated Health Care Plan
Missouri Department of Conservation
Mickey Wilson, CPA
Director
March 19, 2008