COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:4066H.02C Bill No.:HCS for HB 1722 Subject:Education, Elementary and Secondary; Emergencies; Department of Elementary
and Secondary Education; Liability
Type:Original Date:March 6, 2022Bill Summary:This proposal requires bleeding control kits in all certain areas of public
schools and charter schools.
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUNDFUND AFFECTEDFY 2023FY 2024FY 2025
General Revenue*
$0 to (Could exceed
$340,725)
$0 or (Could exceed
$100,000)
$0 or (Could exceed
$100,000)
Total Estimated Net
Effect on General
Revenue
$0 to (Could exceed
$340,725)
$0 or (Could exceed
$100,000)
$0 or (Could exceed
$100,000)
*Subject to an appropriation by the General Assembly (§160.485.7(2)).
ESTIMATED NET EFFECT ON OTHER STATE FUNDSFUND AFFECTEDFY 2023FY 2024FY 2025Total Estimated Net
Effect on Other State
Funds $0$0$0
Numbers within parentheses: () indicate costs or losses. L.R. No. 4066H.02C
Bill No. HCS for HB 1722
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ESTIMATED NET EFFECT ON FEDERAL FUNDSFUND AFFECTEDFY 2023FY 2024FY 2025Total Estimated Net
Effect on All Federal
Funds $0$0$0
ESTIMATED NET EFFECT ON FULL TIME EQUIVALENT (FTE)FUND AFFECTEDFY 2023FY 2024FY 2025Total Estimated Net
Effect on FTE 000
☒ Estimated Net Effect (expenditures or reduced revenues) expected to exceed $250,000 in any
of the three fiscal years after implementation of the act or at full implementation of the act.
☐ Estimated Net Effect (savings or increased revenues) expected to exceed $250,000 in any of
the three fiscal years after implementation of the act or at full implementation of the act.
ESTIMATED NET EFFECT ON LOCAL FUNDSFUND AFFECTEDFY 2023FY 2024FY 2025Local Government*$0$0$0
*Transfers in and costs net to zero. L.R. No. 4066H.02C
Bill No. HCS for HB 1722
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FISCAL ANALYSIS
ASSUMPTION
Officials from Department of Elementary and Secondary Education (DESE) state, subject to
appropriation, the total cost to implement the bleeding control kids would be $340,725.
The cost per bleeding control kit is estimated at $35 each. The number buildings in Missouri is
2,391. The department estimates 4 kits per building (auditorium, library, gymnasiums, and
cafeterias) at a minimum number of kits is estimated to be around 9,564. Additional kits to be
required at the career-technical centers (57) at a minimum of three per center is estimated to be
approximately 171.
Officials from the Department of Public Safety - Office of the Director and the Department
of Social Services each assume the proposal will have no fiscal impact on their respective
organizations. Oversight does not have any information to the contrary. Therefore, Oversight
will reflect a zero impact in the fiscal note for these agencies.
In response to a similar proposal, HCS HB 1991 (2020), officials from the Maries County R-1
School District assumed the cost would be approximately $69.99 per classroom: $68.99 for the
Curaplex Stop the Bleed Kit and $1.00 for the Emergency Thermal Blanket (10 for $9.95). Fifty
five spaces would need one in their school, it would cost them $3,849.45 to put them in. They
would have to replace the kits when they expire.
Oversight assumes the requirements in this proposal are subject to an appropriation by the
General Assembly that would cover all costs. Oversight notes DESE estimated the cost to
provide bleeding control kits at $340,725. Oversight assumes kits will not be used frequently, so
restocking and annual training costs will be shown as ‘could exceed ($100,000)’ in future years.
FISCAL IMPACT – State GovernmentFY 2023
(10 Mo.)
FY 2024FY 2025GENERAL REVENUETransfer Out - DESE - bleeding control
kits and school personnel training -
§160.485
$0 to (Could
exceed
$340,725)
$0 or (Could
exceed
$100,000)
$0 or (Could
exceed
$100,000)
ESTIMATED NET EFFECT ON
GENERAL REVENUE
$0 to (Could
exceed
$340,725)
$0 or (Could
exceed
$100,000)
$0 or (Could
exceed
$100,000) L.R. No. 4066H.02C
Bill No. HCS for HB 1722
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March 6, 2022
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FISCAL IMPACT – Local GovernmentFY 2023
(10 Mo.)
FY 2024FY 2025SCHOOL DISTRICTS
Transfer In - from General Revenue -
§160.485
$0 to Could
exceed
$340,725
$0 or Could
exceed
$100,000
$0 or Could
exceed
$100,000
Cost - for cost of bleeding control kits
and school personnel training -
§160.485
$0 to (Could
exceed
$340,725)
$0 or (Could
exceed
$100,000)
$0 or (Could
exceed
$100,000)
ESTIMATED NET EFFECT ON
SCHOOL DISTRICTS$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
This bill creates the "Stop the Bleed Act", defines "bleeding control kits" and requires the
Department of Elementary and Secondary Education (DESE) to develop a traumatic blood loss
protocol for school personal by January 1, 2023.
The bill outlines the specific requirements for the blood loss protocol which shall include a
bleeding control kit be placed in areas where there is likely to be high traffic or congregation,
and areas where risk of injury may be elevated. Additionally, each district must designate a
school nurse or school health care provider, or if no school nurse or school health care provider
is available, a school personnel member to receive annual training on the use of a blood control
kit.
The bill requires DESE and each school district and charter school to maintain information
regarding the traumatic blood loss protocol and the Stop the Bleed national awareness campaign
on their respective websites.
This legislation is not federally mandated, would not duplicate any other program and would not
require additional capital improvements or rental space. L.R. No. 4066H.02C
Bill No. HCS for HB 1722
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SOURCES OF INFORMATION
Department of Elementary and Secondary Education
Department of Public Safety - Office of the Director
Department of Social Services
Maries County R-1 School District
Julie MorffRoss StropeDirectorAssistant DirectorMarch 6, 2022March 6, 2022