Missouri 2023 2023 Regular Session

Missouri Senate Bill SB41 Introduced / Fiscal Note

                    COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:0719S.02C Bill No.:SCS for SB 41  Subject:Department of Health and Senior Services; Health Care; Pharmacy Type:Original  Date:February 10, 2023Bill Summary:This proposal modifies provisions relating to the administration of 
medications by pharmacists. 
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. 0719S.02C 
Bill No. SCS for SB 41  
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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. 0719S.02C 
Bill No. SCS for SB 41  
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FISCAL ANALYSIS
ASSUMPTION
Officials from the Department of Commerce and Insurance and the Department of Health 
and Senior Services each assume the proposal will have no fiscal impact on their respective 
organizations. 
Oversight notes that the above mentioned agencies have stated the proposal would not have a 
direct fiscal impact on their organization.  Oversight does not have any information to the 
contrary.  Therefore, Oversight will reflect a zero impact on the fiscal note.
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. 
In response to a previous version, 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.
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 L.R. No. 0719S.02C 
Bill No. SCS for SB 41  
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FISCAL IMPACT – Small Business
Small business pharmacies could be impacted by 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 Commerce and Insurance
Department of Health and Senior Services
Joint Committee on Administrative Rules
Office of the Secretary of State
Julie MorffRoss StropeDirectorAssistant DirectorFebruary 10, 2023February 10, 2023