COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:0202S.02C Bill No.:SCS for SB Nos. 49, 236 & 164 Subject:Children and Minors; Health Care Professionals; Medical Procedures and
Personnel; Nurses; Physicians; Professional Registration and Licensing; Civil
Penalties
Type:Original Date:February 22, 2023Bill Summary:This proposal stablishes the "Missouri Save Adolescents From
Experimentation (SAFE) 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. 0202S.02C
Bill No. SCS for SB Nos. 49, 236 & 164
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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. 0202S.02C
Bill No. SCS for SB Nos. 49, 236 & 164
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FISCAL ANALYSIS
ASSUMPTION
§191.1720 - "Missouri Save Adolescents from Experimentation (SAFE) Act" and gender
transition procedures
Officials from the Attorney General’s Office, the Department of Commerce and Insurance,
the Department of Elementary and Secondary EducationDepartment of Public Safety -
Missouri Highway PatrolDepartment of Social Services, the Missouri Department of
Conservation and the Missouri Department of Transportation
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 a previous version, officials from the Office of Administration - Administrative
Hearing Commission, the Office of the State Courts Administrator and the Missouri
Consolidated Health Care Plan each assumed 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
Small business health care providers could, under circumstance outlined in the proposal, be
subject to administrative discipline or taken to court if they do not adhere to this proposal. L.R. No. 0202S.02C
Bill No. SCS for SB Nos. 49, 236 & 164
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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
Attorney General’s Office
Department of Commerce and Insurance
Department of Elementary and Secondary Education
Department of Public Safety - Missouri Highway Patrol
Department of Social Services
Missouri Department of Conservation
Missouri Department of Transportation
Missouri Consolidated Health Care Plan
Office of the State Courts Administrator
Julie MorffRoss StropeDirectorAssistant DirectorFebruary 22, 2023February 22, 2023