COMMITTEE ON LEGISLATIVE RESEARCH OVERSIGHT DIVISION FISCAL NOTE L.R. No.:1838H.02C Bill No.:HCS for HB 773 Subject:Nursing Homes and Long-Term Care Facilities; Professional Registration and Licensing Type:Original Date:April 21, 2023Bill Summary:This proposal creates provisions relating to nursing home administrators. FISCAL SUMMARY ESTIMATED NET EFFECT ON GENERAL REVENUE FUNDFUND AFFECTEDFY 2024FY 2025FY 2026Total Estimated Net Effect on General Revenue $0$0$0 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. 1838H.02C Bill No. HCS for HB 773 Page 2 of April 21, 2023 KC:LR:OD 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 2026Total 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 2024FY 2025FY 2026Local Government$0$0$0 L.R. No. 1838H.02C Bill No. HCS for HB 773 Page 3 of April 21, 2023 KC:LR:OD FISCAL ANALYSIS ASSUMPTION Officials from the Department of Health and Senior Services (DHSS) assume the proposed legislation requires the Board of Nursing Home Administrators to receive and investigate complaints concerning its licensees’ professional practices. The legislation also creates provisions related to record disclosure, as well as restrictions related to an administrator operating on an expired license. The provisions of the proposed legislation would be part of the normal ebb and flow of the Board of Nursing Home Administrators. DHSS anticipates being able to absorb the costs of this bill with current resources. However, if the workload significantly increased or other legislation was enacted, additional resources would be requested through the appropriation process. Oversight does not have any information to the contrary. Therefore, Oversight will reflect a zero impact in the fiscal note as DHSS anticipates being able to absorb the cost of the proposal. Officials from the Department of Commerce and Insurance assume the proposal will have no fiscal impact on their organization. Oversight does not have any information to the contrary. Therefore, Oversight will reflect a zero impact in the fiscal note. FISCAL IMPACT – State GovernmentFY 2024 (10 Mo.) FY 2025FY 2026$0$0$0FISCAL IMPACT – Local GovernmentFY 2024 (10 Mo.) FY 2025FY 2026$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. L.R. No. 1838H.02C Bill No. HCS for HB 773 Page 4 of April 21, 2023 KC:LR:OD 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 Commerce and Insurance Department of Health and Senior Services Julie MorffRoss StropeDirectorAssistant DirectorApril 21, 2023April 21, 2023