COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:0202S.20P Bill No.:Perfected SS No. 2 for 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:March 21, 2023Bill Summary:This proposal establishes 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.20P
Bill No. Perfected SS No. 2 for 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.20P
Bill No. Perfected SS No. 2 for SCS for SB Nos. 49, 236 & 164
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FISCAL ANALYSIS
ASSUMPTION
Officials from the Attorney General’s Office, the Office of Administration - Administrative
Hearing Commission, the Department of Elementary and Secondary Education, the
Department of Public Safety - Missouri Highway Patrol, the Missouri Consolidated Health
Care Plan, the Missouri Department of Transportation and the Department of Commerce
and Insurance each assume the proposal will have no fiscal impact on their respective
organizations.
In response to a previous version, officials from the Missouri Department of Conservation, the
Department of Social Services, the Missouri Office of Prosecution Services and the Office of
the State Courts Administrator 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.
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.
FISCAL DESCRIPTION
The proposed legislation appears to have no direct fiscal impact. L.R. No. 0202S.20P
Bill No. Perfected SS No. 2 for SCS for SB Nos. 49, 236 & 164
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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
Office of Administration - Administrative Hearing Commission
Department of Elementary and Secondary Education
Department of Public Safety
Missouri Highway Patrol
Missouri Department of Transportation
Department of Commerce and Insurance
Department of Social Services
Missouri Department of Conservation
Missouri Consolidated Health Care Plan
Missouri Office of Prosecution Services
Office of the State Courts Administrator
Julie MorffRoss StropeDirectorAssistant DirectorMarch 21, 2023March 21, 2023