COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:5011H.01I Bill No.:HB 2162 Subject:Office of Administration; Department of Corrections; Courts Type:Original Date:January 10, 2022Bill Summary:This proposal modifies provisions relating to the opioid addiction treatment
and recovery fund.
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. 5011H.01I
Bill No. HB 2162
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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. 5011H.01I
Bill No. HB 2162
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FISCAL ANALYSIS
ASSUMPTION
Officials from the Attorney General’s Office (AGO), Department of Mental Health,
Department of Social Services, Department of Health and Senior Services, and the
Department of Public Safety each state this proposal would not fiscally impact their respective
agencies.
Oversight notes that the above-mentioned agencies have stated the proposal would not have a
direct fiscal impact on their respective organizations. Oversight does not have any information to
the contrary. Therefore, Oversight will reflect a zero impact on the fiscal note.
Officials from the Office of Administration, the Office of Administration - Budget and Planning,
and the Office of the State Courts Administrator did not respond to Oversight’s request for fiscal
impact.
Officials from the Department of Corrections (DOC) state the bill modifies provisions relating
to the opioid addiction treatment and recovery fund.
At intake, 46% of Missouri’s prison population reported a history of prescription drug, illicit
drug and/or alcohol use. Research indicates that approximately 58% of those confined in
prisons have a substance use disorder (Connolly, 2019). It is reasonable to assume offenders
likely under-reported their use at intake and that the true incidence is much closer to 58%.
Approximately 13,340 (23,000 x 58%) of the offenders incarcerated in Missouri prisons have a
substance use disorder. Methamphetamine is still the most common drug of choice among the
Missouri offender population; however, opioid use disorders are definitely on the rise and when
paired with alcohol use disorders are conservatively estimated to affect 4,002 (13,340 x 30%)
incarcerated offenders.
This legislation could have a positive impact on the Department of Corrections and could allow
for the expansion of programs and services. However, as this fund is dependent on monetary
settlements and appropriation by the General Assembly, it is unknown how much funding will be
appropriated to the DOC for use in treatment programming and prevention.
Oversight notes the following information is provided on the AGO’s website, “The Missouri
Attorney General’s Office recently announced a term sheet and settlement with several opioid
distributors (McKesson, Amerisource Bergen, and Cardinal Health), and Johnson & Johnson,
which could total just under half a billion dollars to be spent directly on opioid abatement and
treatment. This money will go to aid those suffering from addiction and provide needed
resources to treatment centers and other support systems across the state. With this settlement, L.R. No. 5011H.01I
Bill No. HB 2162
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the Missouri Attorney General’s Office is working to fight addiction and save lives.” Also stated
on the AGO’s website “Under the term sheets that were distributed, the three distributors –
Amerisource Bergen, McKesson, Cardinal Health - collectively will pay up to $21 billion over 18
years. Johnson & Johnson will pay up to $5 billion over nine years with up to $3.7 billion paid
during the first three years. Formulas and payment structures are still being worked out, so the
exact monetary value that Missouri will receive is not final yet, although the settlement will mean
hundreds of millions for opioid abatement and treatment.”
Oversight assumes this proposal simply expands the list of state agencies that can receive
monies from the Opioid Addiction Treatment and Recovery Fund (0705) (balance of $9,687,043
at 12/31/2021) to also include the Department of Corrections, the Judiciary, and the Office of
Administration. Oversight assumes the proposal does not create a direct fiscal impact to the
state and would simply allow more flexibility during the state’s appropriations process.
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
No direct fiscal impact to small businesses would be expected as a result of this proposal.
FISCAL DESCRIPTION
The proposed provides that, in addition to those departments that currently have access, the
Department of Corrections, the Office of Administration, and the judiciary shall have access to
the "Opioid Addiction Treatment and Recovery Fund" to pay for opioid addiction treatment and
prevention services and health care and law enforcement costs related to opioid addiction
treatment and prevention..
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. 5011H.01I
Bill No. HB 2162
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SOURCES OF INFORMATION
Attorney General’s Office
Department of Corrections
Department of Public Safety
Department of Health and Senior Services
Department of Mental Health
Department of Social Services
Julie MorffRoss StropeDirectorAssistant DirectorJanuary 10, 2022January 10, 2022