COMMITTEE ON LEGISLATIVE RESEARCH OVERSIGHT DIVISION FISCAL NOTE L.R. No.:4028H.06T Bill No.:Truly Agreed To and Finally Passed CCS No. 2 for SS for HB 2149 Subject:Professional Registration and Licensing; Health Care Professionals; Dentists; Physical Therapists; Compacts Type:Original Date:June 2, 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.06T Bill No. Truly Agreed To and Finally Passed CCS No. 2 for SS for HB 2149 Page 2 of June 2, 2022 KC:LR:OD ESTIMATED NET EFFECT ON FEDERAL FUNDSFUND AFFECTEDFY 2023FY 2024FY 2025Federal Funds*Total 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.06T Bill No. Truly Agreed To and Finally Passed CCS No. 2 for SS for HB 2149 Page 3 of June 2, 2022 KC:LR:OD FISCAL ANALYSIS ASSUMPTION Sections 345.015- 345.240 – 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. 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 have 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. SEQ CHAPTER \h 1SEQ CHAPTER \h 1SEQ CHAPTER \h 1SEQ CHAPTER \h 1SEQ CHAPTER \h 1Bill as a whole: Officials from the Office of Administration - Administrative Hearing Commission, the Department of Health and Senior Services, the Department of Revenue, the Department of Public Safety (Fire Safety and Directors Office), the Missouri Department of Agriculture and the 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 Officials from the Joint Committee on Administrative Rules assume this proposal is not anticipated to cause a fiscal impact beyond its current appropriation. Officials from the Office of the Secretary of State (SOS) note 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 L.R. No. 4028H.06T Bill No. Truly Agreed To and Finally Passed CCS No. 2 for SS for HB 2149 Page 4 of June 2, 2022 KC:LR:OD 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 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 would enact provisions related to professional licensing. 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 Office of Administration - Administrative Hearing Commission Department of Commerce and Insurance Department of Health and Senior Services Department of Revenue Department of Revenue Department of Public Safety – Fire Safety L.R. No. 4028H.06T Bill No. Truly Agreed To and Finally Passed CCS No. 2 for SS for HB 2149 Page 5 of June 2, 2022 KC:LR:OD Department of Public Safety – Director’s Office Missouri Department of Agriculture Missouri Department of Conservation Office of the Secretary of State Joint Committee on Administrative Rules Julie MorffRoss StropeDirectorAssistant DirectorJune 2, 2022June 2, 2022