COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:4028S.04A Bill No.:SS for HB 2149, as amended Subject:Dentists; Department of Health and Senior Services; Health Care; Health Care
Professionals; Military Affairs; Physical Therapists; Professional Registration and
Licensing
Type:Original Date:April 13, 2022Bill Summary:This proposal modifies provisions relating to professional licensing.
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUNDFUND AFFECTEDFY 2023FY 2024FY 2025Total Estimated Net
Effect on General
Revenue $0$0$0
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. 4028S.04A
Bill No. SS for HB 2149, as amended
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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 L.R. No. 4028S.04A
Bill No. SS for HB 2149, as amended
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FISCAL ANALYSIS
ASSUMPTION
Sections 345.015 to 345.085 – Audiology and Speech-Language Pathology Interstate Compact
Oversight assumes proposal adopts the Audiology and Speech-Language Pathology Interstate
Compact. The compact creates a joint public agency known as the Audiology and Speech-
Language Pathology Compact Commission. The Department of Commerce and Insurance (DCI)
has powers and duties as listed in the compact and shall enforce the provisions and rules of the
compact. DCI shall provide for the development, maintenance, and utilization of a coordinated
database and reporting system containing licensure, adverse action, and investigative information
on all licensed individuals in member states.
Officials from the Department of Commerce and Insurance (DCI) state that it is uncertain if
the compact (Sections 345.015 – 345.085) would be enacted in FY23, FY24 or FY25. Once the
compact is enacted the Division would a fiscal impact of $3,000 to $6,000 estimated annual fees
to participate in the compact.
Oversight assumes DCI is provided with core funding to handle a certain amount of activity
each year. Oversight assumes DCI could absorb the stated anticipated costs related to this
proposal. If multiple bills pass which require additional staffing and duties at substantial costs,
DCI could request funding through the appropriation process.
Oversight notes that the above mentioned agencies have stated the proposal would not have a
direct fiscal impact on their organization. Oversight does not have any information to the
contrary. Therefore, Oversight will reflect a zero impact on the fiscal note.
Senate Amendment 1
Oversight notes Senate Amendment 1 removes Section 334.036 from the bill and will have no
fiscal impact on state or local government.
Senate Amendment 3 (as amended) – Section 340.201
Officials from the Department of Commerce and Insurance assume the proposal will have no
fiscal impact on their organization. Oversight does not have any information to the contrary.
Therefore, Oversight will reflect a zero impact in the fiscal note.
In response to a similar proposal from this year (SB 1058), officials from the Department of
Health and Senior Services and the Missouri Department of Conservation each assumed 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. L.R. No. 4028S.04A
Bill No. SS for HB 2149, as amended
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In response to similar legislation from this year, HB 1586, officials from the Missouri
Department of Agriculture
organization. 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 from this year (SB 1058), officials from the City of Kansas
City and the each assumed 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 similar legislation from this year, HB 1586, officials from the City of O’Fallon
assumed the proposal will have no fiscal impact on their organization. Oversight does not have
any information to the contrary. Therefore, Oversight will reflect a zero impact in the fiscal note.
Senate Amendment 5 – Sections 334.100 & 338.055
Officials from the Department of Commerce and Insurance assumed the proposal will have
no fiscal impact on their respective organization. Oversight does not have any information to the
contrary. Therefore, Oversight will reflect a zero impact in the fiscal note.
Bill as a whole:
Officials from the Department of Revenue, the Department of Public Safety (Fire Safety and
the Directors Office) 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.
Officials from the Department of Health and Senior Services assume the proposal will have no
fiscal impact on their organization. Oversight does not have any information to the contrary.
Therefore, Oversight will reflect a zero impact in the fiscal note.
Rule Promulgation
Officials from the Joint Committee on Administrative Rules assume this proposal is not
anticipated to cause a fiscal impact beyond its current appropriation.
In response to a previous version, officials from the Office of the Secretary of State (SOS)
noted 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
$5,000. 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 L.R. No. 4028S.04A
Bill No. SS for HB 2149, as amended
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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 its 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.
FISCAL IMPACT – State GovernmentFY 2023
(10 Mo.)
FY 2024FY 2025$0$0$0FISCAL IMPACT – Local GovernmentFY 2023
(10 Mo.)
FY 2024FY 2025$0$0$0
FISCAL IMPACT – Small Business
Certain professional licensees could be impacted by this proposal.
FISCAL DESCRIPTION
The proposed legislation appears to have no direct fiscal impact.
This proposal has an emergency clause.
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
Department of Commerce and Insurance
Department of Health and Senior Services
Office of the Secretary of State
Joint Committee on Administrative Rules
Department of Public Safety
Fire Safety
Directors Office
Missouri Department of Conservation
Department of Revenue L.R. No. 4028S.04A
Bill No. SS for HB 2149, as amended
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Missouri Department of Agriculture
Kansas City
Springfield
O’Fallon
Julie MorffRoss StropeDirectorAssistant DirectorApril 13, 2022April 13, 2022