COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:3338H.01I Bill No.:HB 1706 Subject:Professional Registration and Licensing; Sexual Offenses; Health Care
Professionals; Social Workers; Nurses; Crimes and Punishment; Victims of Crime
Type:Original Date:January 11, 2024Bill Summary:This proposal modifies provisions relating to human trafficking.
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUNDFUND
AFFECTED
FY 2025FY 2026FY 2027Fully
Implemented
(FY 2028)
General RevenueCould exceed
($157,506)
Could exceed
($75,276)
Could exceed
($76,481)
Could exceed
($243,425)
Total Estimated
Net Effect on
General
Revenue
Could exceed
($157,506)
Could exceed
($75,276)
Could exceed
($76,481)
Could exceed
($243,425)
ESTIMATED NET EFFECT ON OTHER STATE FUNDSFUND
AFFECTED
FY 2025FY 2026FY 2027Fully
Implemented
(FY 2028)
Human
Trafficking and
Sexual
Exploitation
Fund* $0$0$0$0
Total Estimated
Net Effect on
Other State
Funds $0$0$0$0
*Revenue and disbursements net to zero. Numbers within parentheses: () indicate costs or losses. L.R. No. 3338H.01I
Bill No. HB 1706
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January 11, 2024
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ESTIMATED NET EFFECT ON FEDERAL FUNDSFUND
AFFECTED
FY 2025FY 2026FY 2027Fully
Implemented
(FY 2028)
Total Estimated
Net Effect on
All Federal
Funds $0$0$0$0
ESTIMATED NET EFFECT ON FULL TIME EQUIVALENT (FTE)FUND
AFFECTED
FY 2025FY 2026FY 2027Fully
Implemented
(FY 2028)
General Revenue1 FTE1 FTE1 FTE1 FTETotal Estimated
Net Effect on
FTE 1 FTE1 FTE1 FTE1 FTE
☐ 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
AFFECTED
FY 2025FY 2026FY 2027Fully
Implemented
(FY 2028)
Local
Government
$0 or
(Unknown)
$0 or
(Unknown)
$0 or
(Unknown)
$0 or
(Unknown)
FISCAL ANALYSIS L.R. No. 3338H.01I
Bill No. HB 1706
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January 11, 2024
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ASSUMPTION
§190.142 – Ambulance services and emergency personnel
Officials from the Department of Health and Senior Services (DHSS) state section
190.142.2(5) of the proposed legislation requires emergency medical technicians (EMTs),
including paramedics, to receive five hours of sex and human trafficking training as part of the
continuing education requirements for re-licensure with the DHSS every five years. The Division
of Regulation and Licensure’s Bureau (DRL) of Emergency Medical Services will have the
ability to verify the sex and human trafficking continuing education requirement during the EMT
and paramedic re-licensure process.
DHSS assumes they can absorb the costs of this section with current resources. However, if the
workload significantly increased or other legislation was enacted, additional resources would be
requested through the appropriation process.
§198.082 – Nursing homes
DHSS states §198.082.9 of the proposed legislation states “each certified nursing assistant shall
annually complete one hour of sex and human trafficking awareness training.” The department
assumes the intent of the proposed legislation is to require the training as a condition of a nurse
aide certification remaining in good standing.
As a result of the proposed legislation, the Department’s Division of Regulation and Licensure,
Section for Long Term Care Regulation (SLCR) will have to create rules to outline the
requirements for nurse aides, track and monitor compliance, and provide continual education and
outreach to nurse aides to ensure compliance and minimize disruption to access of care. The
department will need the following staff to carry out the provisions outlined in the proposed
legislation.
One full-time Administrative Support Assistant ($35,132) to perform tracking, monitoring,
education, outreach and compliance reviews.
In addition, the provisions in the proposed legislation will require the department, in consultation
with the Information Technology Services Division (ITSD), to create a tracking system to
monitor compliance among the 42,107 certified nurse aides in Missouri. It is assumed that every
new IT project/system will be bid out because all ITSD resources are at full capacity. ITSD
estimates it will cost $81,648 (777.60 hours x $105 per hour) for the IT consultants.
Oversight does not have any information contrary to that provided by DHSS. Therefore,
Oversight will reflect DHSS’s impact for fiscal note purposes.
§§566.151 and 567.030 – Criminal offenses involving a child L.R. No. 3338H.01I
Bill No. HB 1706
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January 11, 2024
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Officials from the Department of Corrections (DOC) state this proposal modifies provisions
relating to human trafficking. Sections 566.151 and 567.030 expand the applicability of the
offenses of enticement of a child and patronizing prostitution, respectively. Section 566.151
changes the age of the victim from any person who is less than fifteen to seventeen years of age.
Section 567.030 changes the age of the victim from less than eighteen years of age but older than
fourteen to older than fifteen years of age. The bill changes the existing class D felony to a class
B felony.
Regarding section 566.151, the increase in the minimum age under which a person can be
considered to be enticed as a child could create additional instances in which a person could be
charged with a crime under this section. However, there is no available data to determine the
number of 16 and 17 year olds to whom this could have potentially applied. Therefore, the
impact for this section is an unknown cost.
There were three new court commitments to prison and five new probation cases under section
567.030 during FY 2023. These offenses would be changed from class D felonies to class B
felonies. The average sentence length for a class D felony sex and child abuse offense is 6.6
years, with 5.3 years spent in prison. Changing this to a class B felony would extend the sentence
length to 9.0 years, with 7.2 years spent in prison.
The estimated cumulative impact on the department could be an additional 15 offenders in prison
and an additional 4 offenders on field supervision by FY 2033.
C
hange in prison admissions and probation openings with legislation-Class B Felony
F
Y2025
F
Y2026
F
Y2027
F
Y2028
F
Y2029
F
Y2030
F
Y2031
F
Y2032
F
Y2033
F
Y2034
N
ew Admissions
C
urrent Law
8 8 8 8 8 8 8 8 8 8
A
fter Legislation
8 8 8 8 8 8 8 8 8 8
P
robation
C
urrent Law
0 0 0 0 0 0 0 0 0 0
A
fter Legislation
0 0 0 0 0 0 0 0 0 0
C
hange (After Legislation - Current Law)
A
dmissions
0 0 0 0 0 0 0 0 0 0
P
robations
0 0 0 0 0 0 0 0 0 0
C
umulative Populations
P
rison
0 0 0 0 0 6 1
4
1
5
1
5
1
5
P
arole
0 0 0 0 0 -
6
-
10
-
4
4 4
P
robation
0 0 0 0 0 0 0 0 0 0
I
mpact
P
rison Population
0 0 0 0 0 6 1
4
1
5
1
5
1
5
F
ield Population
0 0 0 0 0 -
6
-
10
-
4
4 4
P
opulation Change
0 0 0 0 0 0 4 1
1
1
9
1
9 L.R. No. 3338H.01I
Bill No. HB 1706
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January 11, 2024
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# to
prison
Cost per
year
Total Costs for
prison
Change in
probation
& parole
officers
Total cost
for
probation
and
parole
# to
probation
& parole
Grand Total -
Prison and
Probation
(includes 2%
inflation)
Year 10($9,689)$00$00$0Year 20($9,689)$00$00$0Year 30($9,689)$00$00$0Year 40($9,689)$00$00$0Year 50($9,689)$00$00$0Year 66($9,689)($64,185)0$0(6)($64,185)Year 714($9,689)($152,759)0$0(10)($152,759)Year 815($9,689)($166,944)0$0(4)($166,944)Year 915($9,689)($170,283)0$04($170,283)Year 1015($9,689)($173,689)0$04($173,689)
If this impact statement has changed from statements submitted in previous years, it could be due
to an increase/decrease in the number of offenders, a change in the cost per day for institutional
offenders, and/or an increase in staff salaries.
If the projected impact of legislation is less than 1,500 offenders added to or subtracted from the
department’s institutional caseload, the marginal cost of incarceration will be utilized. This cost
of incarceration is $26.545 per day or an annual cost of $9,689 per offender and includes such
costs as medical, food, and operational E&E. However, if the projected impact of legislation is
1,500 or more offenders added or removed to the department’s institutional caseload, the full
cost of incarceration will be used, which includes fixed costs. This cost is $99.90 per day or an
annual cost of $36,464 per offender and includes personal services, all institutional E&E,
medical and mental health, fringe, and miscellaneous expenses. None of these costs include
construction to increase institutional capacity.
DOC’s cost of probation or parole is determined by the number of P&P Officer II positions that
are needed to cover its caseload. The DOC average district caseload across the state is 51
offender cases per officer. An increase/decrease of 51 cases would result in a cost/cost avoidance
equal to the salary, fringe, and equipment and expenses of one P&P Officer II.
Increases/decreases smaller than 51 offender cases are assumed to be absorbable.
In instances where the proposed legislation would only affect a specific caseload, such as sex
offenders, the DOC will use the average caseload figure for that specific type of offender to
calculate cost increases/decreases.
Oversight notes, from information provided by the State Courts Administrator, the following
number of felony convictions under §566.151 and §567.030: L.R. No. 3338H.01I
Bill No. HB 1706
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January 11, 2024
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FY 2019 FY 2020 FY 2021 FY 2022 FY 2023
§566.151 felonies 15 19 25 22 24
§567.030 felonies 1 0 2 3 10
Oversight notes the felony convictions under §566.151 are a class F felony. Oversight will
reflect DOC’s impact as an unknown impact to the General Revenue Fund. Oversight notes it
would take roughly 26 additional prisoners to reach the $250,000 cost threshold. Oversight will
assume a fiscal impact of less than $250,000.
§§566.203, 566.206, 566.209, 566.210, 566.211, 566.215, and 589.700 – Human trafficking
offenses
Oversight notes the provisions of this bill state in addition to any fine imposed, the court shall
enter a judgment of restitution in the amount of $5,000 payable to the Human Trafficking and
Sexual Exploitation Fund established under section 589.700, upon a plea of guilty or a finding of
guilt for a violation of this section. The moneys will be distributed to the county where the
offense occurred and allocated 50% toward local rehab services for victims of human trafficking
and 50% towards local efforts to prevent human trafficking.
Oversight notes OSCA reported the following number of guilty convictions in 2019 – 2023:
2019 2020 2021 2022 2023
§566.203 0 0 0 0 0
§566.206 0 0 0 0 0
§566.209 1 0 0 0 1
§566.210 0 0 0 1 0
§566.211 3 1 1 2 3
§566.215 0 0 0 0 0
Oversight notes with the low number of guilty convictions reflected above, we will assume a
minimal amount of restitution proceeds (average of approximately three guilty dispositions per
year x $5,000 = $15,000) collected into the new Human Trafficking and Sexual Exploitation
Fund.
§590.050 – Continuing education requirements
Officials from the Department of Public Safety - Office of the Director (DPS) notes OA-ITSD
services will be required at a cost of $9,072 in FY 2025 (86.40 hours x $105 per hour).
Oversight assumes DPS is provided with core funding to handle a certain amount of computer
programming activity each year. Oversight assumes DPS could absorb the programming costs
related to this proposal. If multiple bills pass which require additional staffing and duties at
substantial costs, could request funding through the appropriation process. L.R. No. 3338H.01I
Bill No. HB 1706
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January 11, 2024
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Responses regarding the proposed legislation as a whole
Officials from the Office of Attorney General (AGO)
arising from this proposal can be absorbed with existing resources. However, the AGO may seek
additional appropriations if the proposal results in a significant increase in litigation or
investigation.
Oversight does not have any information to the contrary. Therefore, Oversight assumes the
AGO will be able to perform any additional duties required by this proposal with current staff
and resources and will reflect no fiscal impact to the AGO for fiscal note purposes.
Officials from the Office of State Courts Administrator (OSCA) state there may be some
impact but there is no way to quantify that currently. Any significant changes will be reflected in
future budget requests.
Officials from the St. Louis County Police Department state the proposed legislation would
have a fiscal impact. If passed, the Department would be required to update policy and conduct
training to inform officers of the changes in law.
Policy creation and updating would require 8 hours of policy research and 4 hours of policy
authoring. The average hourly wage of the policy development position is $46.69. The total cost
of policy development is $560.28. The training development would require 8 hours at the same
hourly wage of $46.69. The total cost of training development is $373.52.
All 820 commissioned officers would be required to attend the two-hour training. The average
rate of a police officer is $53.03. The total cost of attending training is $86,969. This cost does
not include covering shifts for officers at the training, which will likely result in required
overtime.
Oversight notes the fiscal impact for the St. Louis County Police Department; however,
Oversight is unable to project a statewide cost. Oversight assumes some annual training of
officers is conducted regardless of this bill, and this change could be incorporated into that
training. Oversight will reflect a potential $0 or (Unknown) cost to local police and sheriff’s
departments from this proposal to update policies and conduct training.
Officials from the Department of Commerce and Insurance, the Department of Mental
Health, the Department of Public Safety - Missouri Highway PatrolDepartment of
Social Services, the Office of Administration, the Missouri Office of Prosecution Services,
the Office of the State Public DefenderOffice of the State Treasurer, the Phelps County
Sheriff’s Department, and the Kansas City Police Department 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. L.R. No. 3338H.01I
Bill No. HB 1706
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FISCAL IMPACT – State
Government
FY 2025
(10 Mo.)
FY 2026FY 2027Fully
Implemented
(FY 2028)
GENERAL REVENUE
Costs – DHSS (§198.082) p. 3
Could
exceed…
Personnel Service($29,277)($35,835)($36,551)($36,551) Fringe Benefits($23,863)($28,909)($29,186)($29,186) Expense & Equipment($22,718)($10,533)($10,743)($10,743)OA-ITSD Services($81,648)$0$0$0Total Costs - DHSS($157,506)($75,276)($76,481)($76,481)FTE Change - DHSS1 FTE1 FTE1 FTE1 FTECosts – DOC (§§566.151 and
567.030) Increased incarceration
costs(Unknown)(Unknown)(Unknown)
Could
exceed
($166,944)
ESTIMATED NET EFFECT
ON GENERAL REVENUE
Could
exceed
($157,506)
Could
exceed
($75,276)
Could
exceed
($76,481)
Could
exceed
($243,425)
Estimated Net FTE Change on
General Revenue1 FTE1 FTE1 FTE1 FTE
HUMAN TRAFFICKING
AND SEXUAL
EXPOITATION FUND
Revenue - (§§566.203, 566.206,
566.209, 566.210, 566.211,
566.215) Potential fine revenue
$0 or
Minimal
$0 or
Minimal
$0 or
Minimal
$0 or
Minimal
Transfer Out – To Counties $0 to
(Minimal)
$0 to
(Minimal)
$0 to
(Minimal)
$0 to
(Minimal)
ESTIMATED NET EFFECT
ON THE HUMAN
TRAFFICKING AND
SEXUAL EXPOITATION
FUND $0$0$0$0 L.R. No. 3338H.01I
Bill No. HB 1706
Page 9 of
January 11, 2024
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FISCAL IMPACT – Local
Government
FY 2025
(10 Mo.)
FY 2026FY 2027Fully
Implemented
(FY 2028)
LOCAL POLITICAL
SUBDIVISIONS
Transfer In – Counties - from
Human Trafficking and Sexual
Exploitation Fund
$0 or
Minimal
$0 or
Minimal
0 or
Minimal
0 or
Minimal
Costs – Police and Sheriff’s
Departments – Increased cost to
train and develop policy
$0 or
(Unknown)
$0 or
(Unknown)
$0 or
(Unknown)
$0 or
(Unknown)
ESTIMATED NET EFFECT
TO LOCAL POLITICAL
SUBDIVISIONS
$0 or
(Unknown)
$0 or
(Unknown)
$0 or
(Unknown)
$0 or
(Unknown)
FISCAL IMPACT – Small Business
The proposed legislation could have an impact on long-term care facilities’ ability to employ
certified nurses aides which, in turn, could impact the delivery of care to residents.
FISCAL DESCRIPTION
This bill establishes the "Committee on Sex and Human Trafficking Training", which will be
composed of six members, including, among others, a representative of the Attorney General's
Office, a representative of the Department of Public Safety, and a juvenile officer. The
committee must annually evaluate and establish guidelines for required sex and human
trafficking training. The committee will dissolve on August 28, 2029.
The Department of Health and Senior Services will require each EMT, including each
paramedic, to receive five hours of sex and human trafficking training as part of continuing
education requirements for relicensure every five years. Each certified nursing assistant,
registered nurse, licensed practical nurse, advanced practice registered nurse, and juvenile officer
must complete one hour of sex and human trafficking training annually. Social workers will be
required to complete two hours of sex and human trafficking training for license renewal. Lastly,
each peace officer will be required to receive two hours of sex and human trafficking training
within the law enforcement continuing education one-year reporting period.
Currently, under certain circumstances, a statement made by a child under the age of 14 or by a
vulnerable person, or the visual and aural recording of a verbal or nonverbal statement of such L.R. No. 3338H.01I
Bill No. HB 1706
Page 10 of 10
January 11, 2024
DD:LR:OD
child or vulnerable person, is admissible into evidence in criminal proceedings as substantive
evidence to prove the truth of the matter asserted. This bill increases the age to a child under the
age of 18 and it amends the definition of "vulnerable person" to include a person whose
developmental level does not exceed that of an ordinary child of 17 years of age, increased from
14 years of age.
Currently, a person 21 years old or older commits the offense of enticement of a child if he or
she satisfies the elements of the offense and the child is under 15 years old. This bill increases
the age of the child to under 17 years old.
The bill also provides that a person who pled guilty to or was found guilty of certain sexual
offenses, specified in the bill, will be required to pay $5,000 in restitution payable to the state to
be deposited into the Human Trafficking and Sexual Exploitation Fund. Upon receipt of money
from the Fund, a county must allocate disbursement of the funds according to the requirements in
the bill.
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 Corrections
Department of Health and Senior Services
Department of Mental Health
Department of Public Safety
Department of Social Services
Missouri Office of Prosecution Services
Office of Administration
Office of the State Courts Administrator
Office of the State Public Defender
Office of the State Treasurer
Phelps County Sheriff’s Department
Kansas City Police Department
St. Louis County Police Department
Julie MorffRoss StropeDirectorAssistant DirectorJanuary 11, 2024January 11, 2024