COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:5616H.02C Bill No.:HCS for HB 2727 Subject:Public Assistance; Department of Social Services Type:Original Date:April 27, 2022Bill Summary:This proposal modifies provisions for public assistance benefits.
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. 5616H.02C
Bill No. HCS for HB 2727
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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. 5616H.02C
Bill No. HCS for HB 2727
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FISCAL ANALYSIS
ASSUMPTION
§208.030 - Home care in licensed residential care facilities shall be subject to appropriation
Officials from the Department of Social Services (DSS) assume appropriations will be
sufficient to cover the Supplemental Nursing Care (SNC), Residential Care Facility (RCF) and
Assisted Living Facility (ALF) at a minimum of the 1983 levels, which is currently included in
the Medicaid state plan. Therefore, DSS assumes no impact.
The 1983 rates are as follows:
SNC: $300 (current maximum monthly grant amount is $390)
RCF I: $120 (current maximum monthly grant amount is $156)
RCF II/ALF: $225 (current maximum monthly grant amount is $292)
Oversight notes the DSS Supplemental Nursing Care (SNC) Manual
Supplemental Nursing Care (SNC) program is to provide individuals who meet certain
requirements with reasonable subsistence compatible with decency and health in accordance
with the standards developed by the Family Support Division (FSD). Cash benefits are granted to
certain eligible adults residing in licensed skilled, intermediate care, residential care, or assisted
living facilities.”
In discussions with DSS, Oversight learned the 1983 levels of assistance are part of the total
state plan agreement with the Centers for Medicare and Medicaid Service (CMS). Although the
current monthly SNC rate is $156, the 1983 rate is $120. Should appropriations be insufficient to
support 1983 levels, there could be an unknown negative fiscal impact to federal funds.
However, although this legislation removes the 1983 language for total state payment for home
care in licensed residential care facilities, Oversight assumes appropriations will continue to be
sufficient to support the 1983 levels of assistance; therefore, Oversight assumes a zero impact in
the fiscal note for this agency.
Officials from the Office of Administration - Budget & Planning (B&P) state this bill has no
direct impact on B&P or on general and total state revenues. The B&P states it will not impact
the calculation pursuant to Article X, Section 18(e).
Officials from the Department of Health and Senior Services, the Department of Mental
Health and the Hermann Area Hospital District 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. L.R. No. 5616H.02C
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Oversight only reflects the responses received from state agencies and political subdivisions;
however, other nursing homes and hospitals 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.
FISCAL IMPACT – State
Government
FY 2023
(10 Mo.)
FY 2024FY 2025$0$0$0FISCAL IMPACT – Local
Government
FY 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
Currently, the amount of total state payments for home care in licensed residential care facilities
cannot exceed $156 a month. This bill takes out the dollar limit and the language regarding 1983
total payment levels, and subjects payments to appropriation” (§208.030).
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. 5616H.02C
Bill No. HCS for HB 2727
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SOURCES OF INFORMATION
Department of Health and Senior Services
Department of Mental Health
Department of Social Services
Office of Administration - Budget and Planning
Hermann Area Hospital District
Julie MorffRoss StropeDirectorAssistant DirectorApril 27, 2022April 27, 2022