COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:5094H.02P Bill No.:Perfected HCS for HB 2381 Subject:Emergencies; Medical Procedures and Personnel Type:Original Date:April 21, 2022Bill Summary:This proposal modifies provisions relating to emergency medical
dispatchers.
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. 5094H.02P
Bill No. Perfected HCS for HB 2381
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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. 5094H.02P
Bill No. Perfected HCS for HB 2381
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FISCAL ANALYSIS
ASSUMPTION
Due to time constraints, Oversight was unable to receive some agency responses in a timely
manner and performed limited analysis. Oversight has presented this fiscal note on the best
current information that we have or on information regarding a similar bill(s). Upon the receipt
of agency responses, Oversight will review to determine if an updated fiscal note should be
prepared and seek approval to publish a new fiscal note.
§§67.145, 70.631, 170.310, 190.091, 190.100, 650.320, 650.330, and 650.340 – Emergency
medical dispatchers
Officials from the Department of Health and Senior Services, the Department of Public
Safety – (Office of the Director and Missouri Highway Patrol), the St. Louis County Police
Department, the Phelps County Sheriff’s Department, and Gordon Parks Elementary each
assume the proposal will have no fiscal impact on their respective organizations.
In response to a previous version (HCS HB 2381), officials from the Department of Labor and
Industrial Relations, the Office of Administration, the Kansas City Police Department, the
Springfield Police Department, and the St. Joseph Police Department each assumed the
proposal will have no fiscal impact on their respective organizations.
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 (HCS HB 2381), 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 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.
In response to a previous version (HB 2381), officials from the Department of Public Safety -
Fire Safety assumed the proposal will have no fiscal impact on their organization.
In response to similar legislation from 2022 (HB 1676), officials from the Department of
Elementary and Secondary Education assumed the proposal will have no fiscal impact on
their organization. L.R. No. 5094H.02P
Bill No. Perfected HCS for HB 2381
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Oversight does not have any information to the contrary. Therefore, Oversight will reflect a zero
impact in the fiscal note.
Oversight only reflects the responses received from state agencies and political subdivisions;
however, other police and sheriff’s departments, EMS/ambulance, fire protection districts,
schools, and LAGERS were requested to respond to this proposed legislation but did not. A
listing of political subdivisions included in the Missouri Legislative Information System database
is available upon request.
House Amendment 1, AA
Based on agency responses, Oversight assumes House Amendment 1, as amended, will have no
fiscal impact on state or local governments.
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 legislation appears to have no direct fiscal impact.
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 Elementary and Secondary Education
Department of Health and Senior Services
Department of Labor and Industrial Relations
Department of Public Safety
Joint Committee on Administrative Rules
Office of Administration L.R. No. 5094H.02P
Bill No. Perfected HCS for HB 2381
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Office of the Secretary of State
Kansas City Police Department
Springfield Police Department
St. Joseph Police Department
St. Louis County Police Department
Phelps County Sheriff’s Department
Gordon Parks Elementary
Julie MorffRoss StropeDirectorAssistant DirectorApril 21, 2022April 21, 2022