COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:4028H.05S Bill No.:CCS for SS for HB 2149 Subject:Professional Registration and Licensing; Health Care Professionals; Dentists;
Physical Therapists; Compacts
Type:Original Date:May 3, 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. 4028H.05S
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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. 4028H.05S
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FISCAL ANALYSIS
ASSUMPTION
Sections 197.400 and 197.445 – Home health licensing
In response to a similar proposal from this year (HB 1565), officials from the Department of
Commerce and Insurance and the Department of Health and Senior Services 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.
Section 324.005– Professional registration of active duty or reserve members:
In response to a similar proposal (SB 1153), officials from the Department of Commerce and
Insurance and the Department of Health and Senior Services each assumed the proposal will
have no fiscal impact on their respective organizations.
Section 332.325 – Pilot projects to extend care to underserved populations:
In response to a similar proposal (SB 993), officials from the Department of Commerce and
Insurance and the Department of Health and Senior Services each assumed the proposal will
have no fiscal impact on their respective organizations.
Sections 345.015, 345.022, 345.050, 345.052, 345.085 – Audiology and Speech-Language
Pathology Interstate Compact
Oversight assumes the 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.
In response to a previous version, officials from the Department of Commerce and Insurance
(DCI)
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. L.R. No. 4028H.05S
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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.
Sections 327.312, 327.313, 327.314, 327.331 – land surveyors
In response to a similar proposal (HB 2191), officials from the Department of Commerce and
Insurance 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.
Sections 334.530 & 334.655 – Physical Therapist & Physical Therapist Assistants Provisions
In response to a previous version, officials from the Department of Commerce and Insurance
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.
Sections 338.055 – COVID-19 Medications
In response to a previous version, officials from the Department of Commerce and Insurance
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.
In response to a similar proposal from this year (SB 1242), officials from the Office of
Administration - Administrative Hearing Commission 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.
SEQ CHAPTER \h 1SEQ CHAPTER \h 1SEQ CHAPTER \h 1Bill as a whole:
Officials from the Department of Revenue, the Department of Public Safety - Fire Safety and
the Missouri Department of Agriculture 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.
Rule Promulgation
In response to a previous version, 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
such bills may be passed by the General Assembly in a given year and that collectively the costs L.R. No. 4028H.05S
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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 for section 324.005.
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
Missouri Department of Agriculture
Kansas City L.R. No. 4028H.05S
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Springfield
O’Fallon
Julie MorffRoss StropeDirectorAssistant DirectorMay 3, 2022May 3, 2022