COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:1080H.08C Bill No.:HCS for SS for SB 24 Subject:Mental Health; Emergencies; Ambulances And Ambulance Districts; Employees -
Employers
Type:Original Date:April 11, 2023Bill Summary:This proposal creates the “Missouri First Responder Mental Health Initiative
Act”.
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. 1080H.08C
Bill No. HCS for SS for SB 24
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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 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. 1080H.08C
Bill No. HCS for SS for SB 24
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FISCAL ANALYSIS
ASSUMPTION
§§190.1010 and 320.400 – Provision of resources to first responders for mental health;
§287.245 – Voluntary critical illness benefit pools
Officials from the Department of Commerce and Insurance, the Department of Health and
Senior Services, the Department of Mental Health, the Department of Corrections, the
Department of Labor and Industrial Relations, the Department of Public Safety, Divisions
of: Alcohol and Tobacco Control, Fire Safety, Director’s Office and Missouri Highway
Patrol, the Phelps County Sheriff, and the Joint Committee on Administrative Rules 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 the previous version of this proposal, officials from the City of Kansas City, the
City of Springfield, the Kansas City Police Department and the Cole Camp Ambulance
District each assumed 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.
Oversight notes creating or contributing to a pool is voluntary; therefore, Oversight will not
reflect a fiscal impact for the changes to Sections 287.245 & 320.400.
Officials from the Branson Police Department
fiscal impact. Therefore, Oversight assumes no fiscal impact for this organization.
Oversight only reflects the responses received from state agencies and political subdivisions;
however, other cities, various county officials, sheriffs and police departments, fire protection
districts, ambulance and EMS 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 (MOLIS) database is available upon request. L.R. No. 1080H.08C
Bill No. HCS for SS for SB 24
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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.
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. 1080H.08C
Bill No. HCS for SS for SB 24
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SOURCES OF INFORMATION
Department of Commerce and Insurance
Department of Health and Senior Services
Department of Mental Health
Department of Corrections
Department of Labor and Industrial Relations
Department of Public Safety –
Alcohol and Tobacco Control
Fire Safety
Director’s Office
Missouri Highway Patrol
City of Kansas City
City of Springfield
Phelps County Sheriff
Branson Police Department
Kansas City Police Department
Cole Camp Ambulance District
Joint Committee on Administrative Rules
Julie MorffRoss StropeDirectorAssistant DirectorApril 11, 2023April 11, 2023