COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:2584H.01I Bill No.:HB 1245 Subject:Drugs and Controlled Substances; Department of Health and Senior Services;
Crimes And Punishment
Type:Original Date:April 14, 2023Bill Summary:This proposal exempts entities registered with the Department of Health and
Senior Services that distribute hypodermic needles or syringes from the
crime of unlawful delivery of drug paraphernalia.
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUNDFUND AFFECTEDFY 2024FY 2025FY 2026General Revenue($88,018)($94,646)($96,236)Total Estimated Net
Effect on General
Revenue($88,018)($94,646)($96,236)
ESTIMATED NET EFFECT ON OTHER STATE FUNDSFUND AFFECTEDFY 2024FY 2025FY 2026Total Estimated Net
Effect on Other State
Funds $0$0$0
Numbers within parentheses: () indicate costs or losses. L.R. No. 2584H.01I
Bill No. HB 1245
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ESTIMATED NET EFFECT ON FEDERAL FUNDSFUND AFFECTEDFY 2024FY 2025FY 2026Total Estimated Net
Effect on All Federal
Funds $0$0$0
ESTIMATED NET EFFECT ON FULL TIME EQUIVALENT (FTE)FUND AFFECTEDFY 2024FY 2025FY 2026General Revenue1 FTE1 FTE1 FTETotal Estimated Net
Effect on FTE1 FTE1 FTE1 FTE
☐ 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 2024FY 2025FY 2026Local Government$0$0$0 L.R. No. 2584H.01I
Bill No. HB 1245
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FISCAL ANALYSIS
ASSUMPTION
§§579.040 and 579.076 – Distributors of hypodermic needles
Officials from the Department of Health and Senior Services (DHSS) state the proposed
legislation would require any entity that possesses, distributes, or delivers hypodermic needles or
syringes for the purpose of operating a syringe access program or mitigating health risks that are
associated with unsterile drug use to register with the DHSS. The duties associated with the
administering of a syringe services program would require one (1.00) additional FTE, a Public
Health Program Specialist ($47,616 annually). The duties for this position include, but are not
limited to, the following:
• Developing, maintaining and implementing the syringe services program rules;
• Overseeing the development and implementation of the rules;
• Maintaining the registry;
• Developing, implementing and coordinating a statewide Syringe Services Program;
• Providing consultative, analytical, and administrative technical assistance and capacity building
to state staff, local health departments, community-based organizations, public and private
universities, private health care providers, local officials, community leaders, and citizens
throughout Missouri;
• Working with statewide syringe services partners to develop a statewide syringe services
strategic plan;
• Coordinating and collaborating with partners to identify and arrange training for organizations
interested in providing syringe services programs;
• Developing and maintaining a directory of syringe service programs;
• Provide syringe service education to Local Public Health Agencies (LPHAs) and community
groups.
Oversight notes, in response to similar legislation from the current session (HB 506), DHSS
officials stated that in response to previous fiscal notes, the cost was significantly lower.
However, DHSS stated based on a review of available information and technical assistance to
ensure the health and safety of Missourians, DHSS has been determined that additional support
for this effort is needed beyond just setting up a registry.
Oversight does not have any information to the contrary. Oversight assumes DHSS would not
need additional rental space for 1 new FTE for this single proposal. However, Oversight notes,
depending on the number of proposals passed during the legislative session that, cumulatively,
DHSS may need additional rental space or capital improvements as determined by the Office of
Administration, Facilities Management, Design and Construction. L.R. No. 2584H.01I
Bill No. HB 1245
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Officials from the Department of Corrections, the Department of Public Safety - Missouri
Highway PatrolKansas City Health Department, the Newton County Health
Department and the St. Louis County Health Department 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.
In response to similar legislation from the current session (HB 506), officials from the Office of
the State Courts Administrator
organization.
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
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.
Oversight only reflects the responses received from state agencies and political subdivisions;
however, other local public health agencies were requested to respond to this proposed
legislation but did not. A listing of political subdivisions included in the MOLIS database is
available upon request. L.R. No. 2584H.01I
Bill No. HB 1245
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FISCAL IMPACT – State GovernmentFY 2024
(10 Mo.)
FY 2025FY 2026GENERAL REVENUE FUNDCosts – DHSS (§§579.040 and
579.076)
Personal service($43,347)($53,047)($54,118) Fringe benefits($29,204)($35,435)($35,831) Equipment and expense($15,467)($6,164)($6,287)Total Costs - DHSS($88,018)($94,646)($96,236) FTE Change – DHSS1 FTE1 FTE1 FTEESTIMATED NET EFFECT ON
THE GENERAL REVENUE FUND
($88,018)($94,646)($96,236)
Estimated Net FTE Change on the
General Revenue Fund1 FTE1 FTE1 FTE
FISCAL IMPACT – Local GovernmentFY 2024
(10 Mo.)
FY 2025FY 2026$0$0$0
FISCAL IMPACT – Small Business
This proposal may have a minimal administrative fiscal impact on small business organizations
if they have to register with the DHSS. (§§579.040 and 579.076)
FISCAL DESCRIPTION
This bill requires the Department of Health and Senior Services to create a registration process
for organizations interested in operating a syringe access program, or similar program intended
to mitigate health risks associated with injectable drug use. No entity registered with the
Department shall be present within 500 feet of any school building if the school building was
established prior to the entity's operation. L.R. No. 2584H.01I
Bill No. HB 1245
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In addition, this bill exempts any entity registered with the Department of Health and Senior
Services that possess, distributes, delivers, or manufactures hypodermic needles or syringes for
the operation of a syringe exchange program or to otherwise mitigate health risks associated with
unsterilized injection drugs from the laws controlling the unlawful distribution, delivery, sale,
possession, and manufacturing of drug paraphernalia. (§§579.040 and 579.076)
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 Health and Senior Services
Department of Corrections
Department of Public Safety – Missouri Highway Patrol
Office of the Secretary of State
Kansas City Health Department
Newton County Health Department
St. Louis County Health Department
Office of the State Courts Administrator
Julie MorffRoss StropeDirectorAssistant DirectorApril 14, 2023April 14, 2023