Missouri 2024 2024 Regular Session

Missouri House Bill HB1713 Introduced / Fiscal Note

Filed 05/08/2024

                    COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:2950S.03A Bill No.:SS for HB 1713 with SA1 Subject:Veterans; Boards, Commissions, Committees, and Councils; Suicide; Military 
Affairs; Taxation and Revenue - Income; Education, Higher; Department of 
Mental Health
Type:Original  Date:May 8, 2024Bill Summary:This proposal modifies provisions relating to military affairs. 
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUNDFUND AFFECTEDFY 2025FY 2026FY 2027
General RevenueCould exceed 
($3,663,746)
Could exceed 
($7,666,854 to 
$10,666,854)
Could exceed 
($677,389) 
Total Estimated Net 
Effect on General 
Revenue
Could exceed 
($3,663,746)
Could exceed 
($7,666,854 to 
$10,666,854)
Could exceed 
($677,389) 
ESTIMATED NET EFFECT ON OTHER STATE FUNDSFUND AFFECTEDFY 2025FY 2026FY 2027Veterans Commission 
Capital Improvements 
Trust Fund (0304)Less than ($73,000)Less than ($73,000)Less than ($73,000)
College & University 
Funds $0
$0 or Up to 
($2,467,590)
$0 or Up to 
($2,467,590)
Veterans Traumatic 
Brain Injury 
Treatment and 
Recovery Fund*$0$0$0
Missouri Veterans Job 
Opportunity Grant 
Program Fund*$0$0$0
Various State Funds(Could exceed 
$50,000)
(Could exceed 
$50,000)
(Could exceed 
$50,000) L.R. No. 2950S.03A 
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ESTIMATED NET EFFECT ON OTHER STATE FUNDSFUND AFFECTEDFY 2025FY 2026FY 2027Total Estimated Net 
Effect on Other State 
Funds
Greater than or less 
than ($123,000)
Greater than or less 
than ($2,590,590)
Greater than or less 
than ($2,590,590)
*Income and costs net to zero.
Numbers within parentheses: () indicate costs or losses.
ESTIMATED NET EFFECT ON FEDERAL FUNDSFUND AFFECTEDFY 2025FY 2026FY 2027Total Estimated Net 
Effect on All Federal 
Funds $0$0$0
ESTIMATED NET EFFECT ON FULL TIME EQUIVALENT (FTE)FUND AFFECTEDFY 2025FY 2026FY 2027General Revenue 
(DED) 2 FTE2 FTE2 FTE
Veterans Traumatic 
Brain Injury 
Treatment and 
Recovery Fund 
(MVC) 4 FTE4 FTE4 FTE
Total Estimated Net 
Effect on FTE6 FTE6 FTE6 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 AFFECTEDFY 2025FY 2026FY 2027Local Government$0 to (Unknown)$0 to (Unknown)$0 to (Unknown) L.R. No. 2950S.03A 
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FISCAL ANALYSIS
ASSUMPTION
Senate Amendment 1 - Section 37.1310 - Missouri Geospatial Advisory Council
In response to a similar proposal in 2024 (HCS for SB 1039), officials from the Office of 
Administration (OA) - Facilities Management, Design and Construction (FMDC) stated, at 
the time, it is believed that the additional staff time and resources, mentioned in Section 37.1300-
23 can be absorbed by FMDC.  However, if there are multiple pieces of legislation passed where 
FMDC has responded that the costs can be absorbed, FMDC would need to reevaluate to see if 
additional staff and associated expenses would then be required. FMDC assumes the 
responsibilities of the Missouri Geospatial Advisory Council created under this proposed 
legislation can be absorbed with existing resources. However, if multiple pieces of legislation 
pass which warrant additional expense and equipment, FMDC may request additional resources 
through the appropriation process.
Oversight assumes OA is provided with core funding to handle a certain amount of activity each 
year. Oversight assumes OA could absorb the costs related to this proposal. If multiple bills pass 
which require additional staffing and duties at substantial costs OA could request funding 
through the appropriation process.
In response to a similar proposal in 2024 (HCS for SB 1039), officials from the Missouri 
Department of Agriculture (MDA) assumed this legislation would require the Director of the 
Missouri Department of Agriculture to travel a 300 mile round trip (MDA office to Kansas City, 
MO) for 12 meetings.  Fiscal impact would include mileage ($0.66 per mile) and a $48 meal per 
diem per day.  MDA would incur a total fiscal impact of $2,952 in FY 2025, $3,011 in FY 2026 
and $3,071 in FY 2027 to implement the changes in this proposal.
In response to a similar proposal in 2024 (HCS for SB 1039), officials from the Missouri 
National Guard stated that a codified council may result in additional statutory 
requirements/due outs that may result in increased FTE time/effort spent on required council 
business. Adding future statutory or data requirements/responsibilities to the Department could 
lead to increased staffing requirements. It is possible that a codified council will result in 
additional direct or indirect costs through increased travel. A codified council charged with this 
duty would most likely result in increased geospatial data development across the state, 
potentially reducing reliance on third party contracted data/imagery for Missouri Air National 
Guard (MOARNG) sites. Actual cost increase or avoidance will depend on the scope and 
direction the council would take.
In response to a similar proposal in 2024 (HCS for SB 1039), officials from the Missouri Senate 
anticipated a negative fiscal impact to reimburse one Senator for travel to Geospatial Advisory 
Council meetings. In summary, it will cost approximately $2,012.16 per year.  L.R. No. 2950S.03A 
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Oversight notes the new council will consist of roughly 34 members, meets monthly and the 
members will be reimbursed for actual and necessary expenses.  Oversight assumes this proposal 
will require roughly $50,000 in expense reimbursement to the 34 members for 12 meetings (34 
members x 12 meetings per year x $122 in expenses (mileage, meals, etc.)).  Oversight will 
reflect the cost to various state funds as could exceed $50,000.
Section 41.092 - COVID-19 Vaccinations
In response to a similar proposal from 2023 (SB 542), officials from the Missouri National 
Guard and the Office of the Governor assumed the proposal will have no fiscal impact on their 
organizations. Oversight does not have any information to the contrary. Therefore, Oversight 
will reflect a zero impact in the fiscal note for these agencies.  
Section 42.022 – Missouri Veterans Commission
In response to a similar proposal from 2024 (SCS for SB 734), officials from the Department of 
Public Safety - Missouri Veterans Commission (MVC) stated for the suicide awareness 
program, the MVC is already appropriated an increase of $80K per year for salary and $40K per 
year for operations of a Veteran Suicide Awareness and prevention coordinator. That is what 
MVC determined to be the fiscal impact previously, but given that this is already appropriated 
and currently not being spent, the MVC sees no further fiscal impact. At the present time, the 
MVC has not filled this position because of cash flow concerns of the funding source (VCCITF 
Fund 0304). The Commission is concerned that distributions from the fund may be more than 
appropriations.
Oversight notes per the MVC, in the FY 2024 budget, MVC requested and received an 
appropriation of $120,000 ($80,000 PS; $40,000 E&E) for a prevention coordinator and the 
operation of a Veteran Suicide Awareness program. This was a new program within MVC, 
designed to oversee the statewide policy development, implementation, and operation of Veteran 
Suicide prevention, awareness, and education. The program includes coordinating with the 
Department of Veterans Affairs (VA), state agencies and community programs to ensure the 
stakeholders have access to timely, quality services. The FTE will administer national grants and 
represent the MVC as a subject matter expert on a national platform to inform program policy. 
The program will utilize data analysis to develop strategies to decrease Veteran suicide in this 
state.
Per discussion with MVC officials, it is assumed the funding for the program authorized last year 
will cover any fiscal impact the provisions of this proposal may have on the MVC.  Therefore, 
Oversight will not reflect an additional fiscal impact from this part of the proposal.
Section 42.312 – Operation Enduring Freedom, Operation Freedom’s Sentinel and 
Operation Allies Refuge Program L.R. No. 2950S.03A 
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In response to a similar proposal from 2024 (SCS for SB 734), officials from the Missouri 
National Guard (MONG) estimated there are 73,000 veterans eligible to receive this award. 
The bill will have an approximate $1,000 - $1,095,000 fiscal impact to the Veterans Recognition 
program, which is funded by the Veterans Commission Capital Improvement Trust Fund (0304). 
The wide range of estimated fiscal impact is due to the uncertainty of how many veterans will 
apply and be approved for the award. The estimated cost per award (medal, medallion, and 
certificate), including postage, is $15. The total estimated cost would be an accumulated cost, 
spanning future fiscal years over the life of the program.
There are several other programs currently in place to recognize veterans of previous conflicts. A 
summary of program activity is contained in the table below:
Conflict
Year Program 
Began
Number of Awards 
Issued to Date
WWII 200047,115Korea200318,635Vietnam 200632,275Operation Desert Storm/Shield& Operation Iraqi 
Freedom/New Dawn20191,779
Oversight contacted the MNG to inquire how many personnel were deployed to Operation 
Enduring Freedom, Operation Freedom’s Sentinel, and Operation Allies Refuge Program. 
However, Oversight did not receive that information. Therefore, using MNG’s estimate of 
73,000 current Missouri veterans, Oversight will assume approximately 40 percent of those 
served during this timeframe (10/7/2001 – 8/30/2021). Oversight also assumes approximately 
half or 14,600 (73,000 * 0.40 * 50%) service members and registered veterans will apply for the 
medal.  14,600 x $15 = $219,000
Based on the implementation of other similar programs, Oversight will reflect this cost spread 
over three years ($219,000 / 3 = $73,000) of the fiscal note to the Veterans Commission Capital 
Improvement Trust Fund. Oversight notes the ending balance in the Veterans Commission 
Capital Improvement Trust Fund (0304) as of February 27, 2024, was $25,909,949.
Sections 143.174 & 143.175 – Income Tax Deduction for Members of the Armed Forces
Officials from the Department of Revenue (DOR) note members of the military can deduct 
100% of the income they receive as salary or compensation if that income is taxable at the 
federal level from the calculation of their Missouri adjusted gross income when calculating their 
taxable income.  This is the military income deduction.  Additionally, they can receive the 
deduction for income received from certain training programs.  This proposal is adding to this 
Missouri military income deduction, income they receive from signing bonuses.   L.R. No. 2950S.03A 
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The Department found that the military does issue signing bonuses to soldiers based on their 
branch of service, length of enlistment and specific job specialties.  The more specialized the job 
the more likely to be issued a signing bonus.  DOR also found that signing bonuses are often 
paid out over a number of years rather than a single lump sum.
The federal government designates certain military pay and benefits as taxable.  Information 
found by the Department, indicates that all income received by members of the military serving 
in a combat zone is tax free at the federal level, which includes their signing bonuses.  
Additionally, depending on their rank a portion of non-combat pay may be tax exempt. 
 
The Department notes that while Missouri is home to Whiteman Air Force Base, Fort Leonard 
Wood and Fort Crowder DOR is unable to determine how many of the soldiers stationed there 
are eligible for signing bonuses.  DOR is also not able to determine how many of them actually 
file returns as a Missouri resident.
DOR is unable to locate any single source that can tell how much is paid to soldiers filing 
Missouri individual income tax returns and the amount of signing bonuses they receive that 
would be taxable.  DOR assumes that should a soldier filing a Missouri return receive a taxable 
signing bonus they would qualify for this deduction and that income would be excluded from tax 
per this proposal.  DOR notes this proposal could result in an unknown loss to general revenue 
but assume it would be minimal.  
In response to a similar proposal from 2024 (SCS for SB 734), officials from the Office of 
Administration (OA) - Budget and Planning (B&P) stated §§173.174 and 173.175 clarifies 
that military signing/reenlistment bonuses are to be included within the definition of 
"compensation" for both active duty, reserve, and National Guard income tax exemptions. Based 
on information from the Department of Revenue, such bonuses should already be included under 
the existing income tax deductions.
If this proposal extends the deductions to additional bonuses not already excluded, this proposal 
could result in an unknown, likely minimal loss to TSR and GR.
Oversight notes the amount of military sign on bonuses varies by service branch, education 
level, civilian experience, specific job specialty, and length of enlistment contract. Oversight 
notes the following bonus amounts:
BranchEnlistment BonusNavy$5,000 to $50,000ArmyUp to $50,000Air Force$3,000 to $20,000National GuardUp to $20,000 L.R. No. 2950S.03A 
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Coast Guard $15,000 to $50,000Marines$5,000 to $9,000
Oversight notes that according to U.S. Army Recruiting Command 16,512 army recruits 
received an average bonus of $14,100 and  6,943 army reserve with an average bonus of $9,800 
in fiscal year 2022. 
Oversight notes according to the Department of Defense, only 1.3% of the 15,000 active-duty 
military members of Missouri reside in the state. 
Oversight is unable to determine the number of recruits who file a Missouri income tax return 
and further the amount of the bonus received. Based on the number of potential qualifiers of the 
bill and based on information provided by DOR, the majority of such bonuses should already be 
included under the existing income tax deductions; Oversight assumes the fiscal impact will not 
reach the $250,000 threshold. 
Section 173.239 - Tuition Waiver for Eligible Missouri National Guard Members  
In response to a similar proposal from 2024 (SB 1322), officials from the University of 
Missouri System (UM or University) stated the University has determined that 120 credit hours 
tuition cost $51,472 in academic year 2024. This fiscal impact would be this amount multiplied 
by the number of students who were eligible to receive this waiver, which the University cannot 
estimate at this time.
Oversight notes the University of Missouri’s response indicates an average cost per credit hour 
of $429 ($51,472/ 120 hours) for academic year 2024. 
In response to a similar proposal from 2024 (SB 1322), officials from Northwest Missouri State 
University (Northwest) stated the fiscal impact of this proposal will be contingent on the 
number of individuals who would qualify and enroll at Northwest. For estimation purposes, it is 
assumed there would be an estimated cost of $32,000 annually per individual to an estimated 
$160,000 per individual per degree. The exact cost is unknown.
In response to a similar proposal from 2024 (SB 1322), officials from the University of Central 
Missouri (UCM) stated this proposal would have an unknown fiscal impact. Possible positive 
fiscal impact could result from students accepting the assistance and attending UCM. Possible 
negative fiscal impact depending on the definition of the fees applied. 
Oversight obtained information from the Missouri National Guard (MONG). The MONG stated 
there are currently 10,638 active MONG members and that during FY 2023, 991 members 
utilized the state tuition assistance program. In addition, the MONG reimburses members up to 
$346 per undergraduate credit hour completed. The proposal will have no fiscal impact on the 
MONG as it would continue to provide tuition assistance up to their maximum amount. L.R. No. 2950S.03A 
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Oversight assumes this proposal could negatively impact UM and other qualifying colleges and 
universities by up to $83 ($429 - $346) per credit hour or $9,960 per undergraduate degree. If all 
991 MONG members received a waiver of fees above those reimbursed by the MONG, the fees 
lost could total up to $9,870,360. It is further assumed that 120 credit hours will take the average 
student 4 years to complete. Therefore, Oversight assumes College and University Funds could 
lose fees up to $2,467,590 per year ($9,870,360 / 4 years) starting in FY 2026 and be fully 
implemented in FY 2029.  Oversight notes the language in the substitute proposal indicates that 
the tuition and fee waiver shall be only for tuition and fees that remain after all other forms of 
tuition assistance from the National Guard, Army, or Air Force; additional federal military 
tuition assistance; GI Bill educational entitlements, awarded external scholarships; and federal 
financial grants, including the Pell grant. 
In addition, the tuition and fee waiver shall not be available in any fiscal year in which the total 
program costs covered by state appropriations has decreased compared to the previous fiscal 
year.  Therefore, Oversight will reflect a $0 fiscal impact (tuition and fee waiver program not 
funded) to a maximum amount of $2,467,590 per fiscal year (approximate maximum amount to 
be reimbursed).
Community colleges would also be impacted by this proposal. However, since no community 
colleges responded to Oversight’s fiscal note request, Oversight will reflect a $0 fiscal impact 
(tuition and fee waiver program not funded) to an “Unknown” loss of fees to Local Governments 
– Community Colleges.
In response to a similar proposal from 2024 (SB 1322), officials from the Department of 
Higher Education and Workforce Development and the Missouri National Guard each 
assumed the proposal would 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.  
Sections 191.479, 191.480 and 630.1170 - Alternative Therapies
In response to a similar proposal from 2024 (SCS for SB 768), officials from the Department of 
Mental Health (DMH) state the proposed legislation modifies provisions relating to alternative 
therapies and treatments. This version of the bill adds §630.1170. DMH, in collaboration with a 
hospital operated by an institute of higher learning or contract research organizations conducting 
trials approved by the U.S. Food and Drug Administration (USFDA), will conduct a study on the 
efficacy of using alternative medicine and therapies. These therapies shall be studied on 
individuals who suffer from posttraumatic stress disorder, major depressive disorder, substance 
abuse disorders, or patients who require end-of life care. Subject to appropriations, DMH shall 
prepare and submit reports on any information collected by DMH on implementation and 
outcomes of the use of psilocybin.
DMH would contract this service out to be conducted in collaboration with a hospital operated 
by an institute of higher education in Missouri. The costs for this study would include treatment  L.R. No. 2950S.03A 
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costs, therapists, research time, indirect rate for the institution of higher education, storage and 
tracking of medications, and other study related costs. Costs for DMH to conduct a three to 
five year study for would be $0 for FY25, $7 million to $10 million dollars for FY26, and $0 
for FY27 in General Revenue funding. 
Oversight does not have information to the contrary and therefore, Oversight will reflect the 
estimates as provided by DMH.
Oversight notes the provisions of §191.479.5 allows DMH to provide grants for $3,000,000, 
subject to appropriation, which shall be made from the Opioid Addiction Treatment and 
Recovery Fund (0705). For fiscal note purposes, Oversight assumes costs of $0 to ($3,000,000) 
to the Opioid Addiction Treatment and Recovery Fund (0705) for the research grants. Oversight 
notes that the proposal specifies a total of $3,000,000 for grants. 
In response to a similar proposal from 2024 (SCS for SB 768), officials from the Office of 
Administration, Budget and Planning (B&P) state §191.479 provides that certain individuals 
who acquire, use, produce, posses, transfer, or administer psilocybin shall not be subject to civil 
fines, penalties, or sanctions if certain conditions are met. To the extent that this provision will 
reduce the number of fines or penalties collected due to the acquisition, use, production, transfer, 
or administration of psilocybin, total state revenue may decrease by an unknown amount.
Oversight notes that §191.479 could result in certain individuals not being fined or penalized. 
Oversight also notes per Article IX Section 7 of the Missouri Constitution fines and penalties 
collected by counties are distributed to school districts. Fines vary widely from year to year and 
are distributed to the school district where the violation occurred. Oversight will reflect a 
negative fiscal impact of $0 to Unknown to local school districts. For simplicity, Oversight will 
not reflect the possibility that fine revenue paid to school districts may act as a subtraction in the 
foundation formula.
In response to a similar proposal from 2024 (SB 768),  officials from the Office of Attorney 
General (AGO) assumed any additional litigation costs arising from this proposal can be 
absorbed with existing personnel and resources. However, the AGO may seek additional 
appropriations if there is a significant increase in litigation.
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.
In response to a similar proposal from 2024 (SCS for SB 768), officials from the Department of 
Public Safety (DPS), Missouri Veterans Commission (MVC) state that their care plans and 
records are inspected by the U.S. Department of Veterans Affairs annually and upon request. 
While there may not be a fiscal impact, there is a conflict. MVC officials do not believe MVC 
would be able to house a Veteran taking part in these studies. L.R. No. 2950S.03A 
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Oversight does not have any information to the contrary. Therefore, Oversight will reflect a zero 
impact in the fiscal note.  
Sections 191.2600 to 191.2630 - Alternative Therapies for Veterans with PTSD and 
Traumatic Brain Injuries
In response to a similar proposal from 2024 (HCS for HB 1490), officials from the Department 
of Public Safety (DPS) - Missouri Veterans Commission (MVC) stated this proposal would 
have a significant fiscal impact on the Missouri Veterans Commission.
This would be a new program owned by the Missouri Veterans Commission as defined in 
§191.2600 (2) definition of Commission. Section 191.2610 provides compliance and eligibility 
under the program which is increased responsibilities of MVC, outside of its existing operational 
structure. Section 191.2615 creates the new fund “Veterans Traumatic Brain Injury Treatment 
and Recovery fund” and further defines how monies are granted and reimbursed. Section 
191.2620 defines responsibility of the recipient and the oversight, data analysis, and reporting 
responsibility of MVC.
The MVC assumes this bill would require MVC to review, preapprove, obligate, pay, report, and 
audit the program on behalf of the Veterans in any authorized facility throughout the state. This 
work would require the creation of a new section within the Missouri Veterans Commission 
consisting of technicians with medical knowledge and staff familiar with accounting that does 
not currently exist. 
The MVC makes the following assumptions:





currently have available - $103,000

MVC is not certain how many of these therapies exist today and defer to the Department of 
Health and Senior Services regarding these therapies and related information. 
Since the provisions of this proposal would be effective January 1, 2025, the MVC anticipates a 
6-month impact for 2025 of $363,293; an impact of $363,420 for FY 2026; and an impact of 
$369,487 for FY 2027.
Oversight has no information to the contrary. Therefore, Oversight will present the fiscal impact 
of this proposal as provided by DPS-MVC. Oversight assumes all costs incurred by the MVC 
and the DHSS, plus reimbursements for therapy/treatment will be paid for through the Veterans  L.R. No. 2950S.03A 
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Traumatic Brain Injury Treatment and Recovery Fund authorized by §191.2615. Funding for this 
program will consist of any appropriation, gifts, bequests and donations. Therefore, Oversight 
assumes, for fiscal note purposes, total funding and expenditures will net to $0.
In response to a similar proposal from 2024 (HCS for HB 1490), officials from the Department 
of Health and Senior Services (DHSS) stated §§191.2600 to 191.2630 of the proposed 
legislation, establishes the “Veterans Traumatic Brain Injury Treatment and Recovery Act” and 
the “Veterans Traumatic Brain Injury Treatment and Recovery Fund” creating provisions 
relating to alternative therapies (including, but not limited, to hyperbaric oxygen therapy) for 
veterans with Post Traumatic Stress Disorder (PTSD) or Traumatic Brain Injuries (TBI). 
The Veteran’s Commission would determine if entities are eligible for reimbursement for 
providing alternative therapies to veterans diagnosed with PTSD or TBI and reimbursing those 
entities from the fund. Under section 191.2615 subsection 7, the DHSS would be responsible for 
awarding funds (via contract(s)) to entities to conduct research on the effectiveness of the 
therapies as treatment. DHSS would also be responsible for analyzing the report prepared by the 
Commission, as well as information from the studies and research conducted by the entities 
contracted by DHSS. This information would be used by DHSS to prepare a report outlining 
findings, efficacies of alternative treatment, and recommendations on budgetary, legislative, or 
regulatory changes required to expand access to alternative treatment for the target population. 
Per section 191.2625 subsection 3 of the proposed legislation, the DHSS report would be 
submitted to the Governor before January thirtieth each year. Section 191.2630 of the proposed 
legislation, states that DHSS and the Veteran’s Commission will jointly promulgate rules and 
regulations related to the legislation.
The estimated fiscal impact of the research and reporting responsibilities assigned to DHSS as 
set forth in the proposed legislation (Sections 191.2615 subsection 7 and 191.2625 subsection 3) 
is $50,000 annually. This is based on a research contract quote from one of DHSS’ current 
partners.
The legislation proposes to fund these costs from the newly established Veterans Traumatic 
Brain Injury Treatment and Recovery Fund. The Veterans Traumatic Brain Injury Treatment and 
Recovery Fund would consist of any appropriations, gifts, bequests, or public or private 
donations. This fiscal note assumes all costs would be made from the Veterans Traumatic Brain 
Injury Treatment and Recovery Fund and an equivalent General Revenue transfer would be 
necessary to support the new fund.
Section 191.2605(3) defines facility as “a public or private health clinic, outpatient health clinic, 
community health center, hospital, or other facility authorized under rules of the department of 
health and senior services to provide hyperbaric oxygen therapy under sections 191.2600 to 
191.2615.” As a result of the proposed legislation, DHSS’ Division of Regulation and Licensure, 
Section for Health Standards and Licensure may experience minor additional work in terms of 
receiving and processing complaints regarding this program and whether a hospital is carrying 
out all of the requirements properly. L.R. No. 2950S.03A 
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It is assumed that the DHSS duties listed above will be performed by current DHSS staff. 
Therefore, no additional FTE will be required or requested. However, if the workload 
significantly increased or other legislation was enacted, additional resources would be requested 
through the appropriation process.
Oversight has no information to the contrary.  Therefore, Oversight will present the fiscal 
impact of this proposal to the Veterans Traumatic Brain Injury Treatment and Recover Fund as 
provided by DHSS.
In response to similar legislation from 2024 (HB 2215), officials from the University of 
Missouri Health Care (MU Health) stated they had reviewed this proposed legislation and has 
determined that, as written, it should not create expenses in excess of $100,000 annually.
Oversight has no information to the contrary. Oversight assumes the additional expenses that 
may be incurred as a result of this proposal is absorbable within the current funding levels MU 
Health  and will present no fiscal impact for this organization.
In response to a similar proposal from 2024 (HCS for HB 1490), officials from the Department 
of Commerce and Insurance, DPS – Division of Fire Safety, the Department of Social 
ServicesMissouri National Guard 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 a similar proposal from 2024 (HCS for HB 1490), officials from the Office of the 
State Treasurer assumed the proposal would have no fiscal impact on their organization.
Section 301.3061- Disabled American Veterans License Plates
Officials from the Department of Revenue (DOR) assume the following regarding this 
proposal:
Administrative Impact
The Department anticipates that by removing the layout restrictions, the Disabled American 
Veterans organization will want to redesign the plate.
The release of the new plate will start with the sale of the new plate to customers and allow 
current Disabled Vets the ability to surrender old configurations for the new one.
To implement the proposed changes, the Department will:
• Update procedures, correspondence letters, forms, and the Department website;
• Update the Missouri Titling manual; L.R. No. 2950S.03A 
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• Send communications to stakeholders as applicable; and
• Train Staff.
FY 2025 – Motor Vehicle Bureau
Lead Administrative Support Assistant 10 hrs. @ 18.54 per hr. = $185
Research/Data Assistant 60 hrs. @ $27.00 per hr. = $1,620
Administrative Manager 20 hrs. @ $29.31 per hr. = $586
FY 2026 – Strategy and Communications Office
Associate Research/Data Analyst 30 hrs. @ $21.64 per hr. = $649
Total Costs = $3,040
The Department anticipates that they will be able to absorb these costs. If multiple bills are 
passed that require Department resources, funding/FTE may be requested through the 
appropriations process.
Oversight assumes DOR will use existing staff and will not hire additional FTE to conduct these 
activities; therefore, Oversight will not reflect the administrative costs DOR has indicated on the 
fiscal note.
Officials from the Missouri Department of Transportation assume 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.  
Sections 301.3181 and 301.3182 - License Plates for Certain Veterans
Officials from the Department of Revenue (DOR) assume the following regarding this 
proposal:
A $15.00 fee will be collected at the time of application and registration. The new design would 
include both stock and personalized for specialty plates. There will be a $125 design fee and an 
additional $45 fee when creating a new plate design.
Administrative Impact
To implement the proposed legislation, the Department will be required to:
• Update charts, procedures and the Department website;
• Update the Application for Missouri Personalized and Special License Plate (DOR-1716, and 
DOR-4601); and
• Complete programming and user acceptance testing for identified systems.
FY 2025 – Motor Vehicle Bureau
Associate Research/Data Analyst 53 hrs. @ $25.22 per hr. = $1,337 L.R. No. 2950S.03A 
Bill No. SS for HB 1713 with SA1 
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Research/Data Analyst 13 hrs. @ $27.00 per hr. = $351
Administrative Manager 7 hrs. @ $29.31 per hr. = $205
FY 2025– Strategy and Communications Office
Associate Research/Data Analyst 40 hrs. @ $21.64 per hr. = $865
Total = $2,758
The department will absorb the cost; however, if several bills pass, they will seek appropriations 
through the budget process.
Oversight assumes DOR is provided with core funding to handle a certain amount of activity 
each year. Oversight assumes DOR could absorb the costs related to this proposal. If multiple 
bills pass which require additional staffing and duties at substantial costs, DOR could request 
funding through the appropriation process.
DOR notes OA-ITSD services will be required at a cost of $14,506 in FY 2025 (138.15 hours x 
$105 per hour).
Oversight does not have any information to the contrary in regards to DOR’s assumptions; 
therefore, Oversight will reflect DOR’s OA-ITSD costs on the fiscal note.
In response to a similar proposal from 2024 (HCS for HB 1490), officials from the Missouri 
Veterans Commission and the Missouri Department of Transportation assume 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.  
Section 620.3305 – Missouri Veterans Job Opportunity Grant Program
In response to a similar proposal from 2024 (HCS for SS for SCS for SB 912), officials from the 
Department of Economic Development (DED) assumed the following regarding this proposal:
DED shall establish and administer the "Missouri Veterans and Job Opportunity Grant Program".
The fund shall consist of any appropriations to the fund and any gifts, contributions, grants, or 
bequests received from private or other sources.
DED shall determine the grant percentage annually, which shall be contingent on the available 
funds in the fund.
At least 50% of the funds available during the FY shall be reserved for eligible employers paying 
wages to a veteran. Any amount of the reserved funds that is not claimed may be disbursed for 
wages paid to a member of any other targeted group. L.R. No. 2950S.03A 
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The grant funds are subject to appropriation. DED is recommending 2 FTE to administer the 
program.
Oversight does not have information to the contrary and therefore, Oversight will reflect the 
estimates for 2 FTE as provided by DED.
Oversight is unable to determine the amount of the grants to the employers; therefore, Oversight 
will reflect a fiscal impact of $0 (program does not receive appropriations) to a fiscal impact of 
“Unknown” to DED for the disbursement of grants to employers.  Oversight will also reflect a 
“$0 or Unknown” loss to General Revenue as it is assumed the potential appropriations will be 
transferred from the General Revenue Fund. 
Responses regarding the proposed legislation as a whole
Officials from the Department of Public Safety - Highway Patrol/Fire Safety, Department of 
Social Services, Department of Commerce and InsuranceMissouri House of 
Representatives, and the Missouri Department of Transportation 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.  
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 similar proposals, officials from the Office of the Secretary of State (SOS) note 
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 2025
(10 Mo.)
FY 2026FY 2027GENERAL REVENUE FUND L.R. No. 2950S.03A 
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FISCAL IMPACT – State GovernmentFY 2025
(10 Mo.)
FY 2026FY 2027Revenue Reduction - §§143.174 & 
143.175 - Military Signing Bonus 
Income Tax Deduction - pp. (6-7)(Unknown)(Unknown)(Unknown)
Transfer-Out - §191.2615 -
Appropriations to the Veterans 
Traumatic Brain Injury Treatment and 
Recovery Fund - pp.(10-12)
$0 to Could 
exceed 
($413,293)
$0 to Could 
exceed 
($413,420)
$0 to Could 
exceed 
($419,487)
Costs - §191.479 - DMH - grants for 
research on use/efficacy of psilocybin - 
pp. (9-10)
$0 to 
($3,000,000)$0 $0 
Cost  - §§301.3181 & 301.3182 - DOR 
- OA-ITSD services - pp. (13-14)($14,506)$0$0
Costs - §630.1170 - DMH - Study on 
the efficacy of using alternative 
medicine - pp. (9-10)$0
($7,000,000 to 
$10,000,000)$0
Transfer Out - §620.3305 - DED - 
appropriations for the Missouri 
Veterans Job Opportunity Grant 
Program - pp. (8-9)
$0 to 
(Unknown)
$0 to 
(Unknown)
$0 to 
(Unknown)
Cost - §620.3305 - DED - pp. (14-15)Personnel($124,440)($152,315)($155,361)Fringe Benefits($73,265)($89,075)($90,256)Expense and Equipment($38,242)($12,044)($12,285)Total Costs - DED($235,947)($253,434)($257,902)FTE Change – DED2 FTE2 FTE2 FTEESTIMATED NET EFFECT ON 
THE GENERAL REVENUE FUNDCould exceed 
($3,663,746)
Could exceed 
($7,666,854 to 
$10,666,854)
Could exceed 
($677,389) 
Estimated Net FTE Change to the 
General Revenue Fund2 FTE2 FTE2 FTE L.R. No. 2950S.03A 
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FISCAL IMPACT – State GovernmentFY 2025
(10 Mo.)
FY 2026FY 2027VETERANS COMMISSION 
CAPITAL IMPROVEMENTS 
TRUST FUND (0304)
Cost - §42.312 - MONG - New 
medallion program - pp. (5-6)
Less than 
($73,000)
Less than 
($73,000)
Less than 
($73,000)
ESTIMATED NET EFFECT ON 
THE VETERANS COMMISSION 
CAPITAL IMPROVEMENTS 
TRUST FUND 
Less than 
($73,000)
Less than 
($73,000)
Less than 
($73,000)
COLLEGE AND UNIVERSITY 
FUNDS
Revenue Reduction - §173.239 - 
Colleges and Universities - Reduction 
in fees collected due to tuition and 
waiver of fees for undergraduate 
MONG members - pp. (7-8)$0
$0 or Up to 
($2,467,590)
$0 or Up to 
($2,467,590)
ESTIMATED NET EFFECT ON 
COLLEGE AND UNIVERSITY 
FUNDS $0
$0 or Up to 
($2,467,590)
$0 or Up to 
($2,467,590)
VETERANS TRAUMATIC BRAIN 
INJURY TREATMENT AND 
RECOVERY FUND L.R. No. 2950S.03A 
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FISCAL IMPACT – State GovernmentFY 2025
(10 Mo.)
FY 2026FY 2027Transfer-In - §191.2615 - 
Appropriations from General Revenue 
pp. (10-12)
$0 to 
Exceeding 
$413,293
$0 to 
Exceeding 
$413,420
$0 to 
Exceeding 
$419,487
Income - §191.2615 - Reimbursements, 
gifts, bequests, & donations 
 pp. (10-12)$0 to Unknown$0 to Unknown$0 to Unknown
Costs - §§191.2610 to 191.2630 - DPS 
& MVC - Personal service (4 FTE), 
fringe benefits and equipment and 
expenses - pp. (10-12)($363,293)($363,420)($369,487)
     FTE Change - MVC4 FTE4 FTE4 FTECosts - §§191.2610 to 191.2630 - DPS 
&MVC - reimbursement to health care 
facility for providing hyperbaric oxygen 
therapy to veterans pp. (10-12)(Unknown)(Unknown)(Unknown)
Reimbursement - §§191.2610 to 
191.2630 - DPS & MVC - from the US 
Food and Drug Administration or the 
US Department of Defense pp. (10-12)UnknownUnknownUnknown
Costs - §§191.2615 and 191.2625 - 
DHSS - research and reporting 
requirements - pp. (10-12) ($50,000)($50,000)($50,000)
ESTIMATED NET EFFECT ON 
THE VETERANS TRAUMATIC 
BRAIN INJURY TREATMENT 
AND RECOVERY FUND$0$0$0
Estimated Net FTE Change on the 
Veterans Traumatic Brain Injury 
Treatment and Recovery Fund4 FTE4 FTE4 FTE L.R. No. 2950S.03A 
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FISCAL IMPACT – State GovernmentFY 2025
(10 Mo.)
FY 2026FY 2027MISSOURI VETERANS JOB 
OPPORTUNITY GRANT 
PROGRAM FUND
Transfer In - §620.3305 - DED - 
appropriations for the Missouri 
Veterans Job Opportunity Grant 
Program - pp. (14-15)$0 to Unknown$0 to Unknown$0 to Unknown
Cost - §620.3305 - DED -  
disbursement of grants to eligible 
employers for the Missouri Veterans 
Job Opportunity Grant Program - pp. 
(14-15)
$0 to 
(Unknown)
$0 to 
(Unknown)
$0 to 
(Unknown)
ESTIMATED NET EFFECT ON 
THE MISSOURI VETERANS JOB 
OPPORTUNITY GRANT 
PROGRAM FUND$0$0$0
VARIOUS STATE FUNDSCost - SA 1 - §37.1310
Reimbursement for actual and 
necessary expenses for 34 members for 
12 meetings per year pp. (3-4)
(Could exceed 
$50,000)
(Could exceed 
$50,000)
(Could exceed 
$50,000)
ESTIMATED NET EFFECT TO 
VARIOUS STATE FUNDS
(Could exceed 
$50,000)
(Could exceed 
$50,000)
(Could exceed 
$50,000) L.R. No. 2950S.03A 
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FISCAL IMPACT – Local GovernmentFY 2025
(10 Mo.)
FY 2026FY 2027LOCAL POLITICAL 
SUBDIVISIONS
Loss - §173.239 - Community Colleges 
- Reduction in fees collected  due to 
tuition and waiver of fees for 
undergraduate MONG members - pp. 
(7-8) $0$0
$0 to 
(Unknown)
Loss - §191.479 - 
Reduction of fines or penalties collected 
- pp. (9-10) 
$0 to 
(Unknown)
$0 to 
(Unknown)
$0 to 
(Unknown)
ESTIMATED NET EFFECT ON 
LOCAL POLITICAL 
SUBDIVISIONS
$0 to 
(Unknown)
$0 to 
(Unknown)
$0 to 
(Unknown)
FISCAL IMPACT – Small Business
Small businesses that are eligible employers for the new Missouri Veterans Job Opportunity 
Grant Program could be impacted as a result of this proposal.
FISCAL DESCRIPTION
This act modifies provisions relating to military affairs.
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 Economic Development
Department of Health and Senior Services
Department of Higher Education and Workforce Development
Department of Mental Health (DMH)
Department of Revenue (DOR)
Department of Social Services
Joint Committee on Administrative Rules
Missouri Department of Agriculture
Missouri Department of Conservation L.R. No. 2950S.03A 
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Missouri Department of Transportation
Missouri House of Representatives
Missouri National Guard
Missouri State Senate
Northwest Missouri State University (Northwest) 
Office of Administration (OA) 
Budget and Planning (B&P)
Office of Attorney General (AGO)
Office of the Governor
Office of the Secretary of State
Office of the State Treasurer
University of Central Missouri (UCM)
University of Missouri
Department of Public Safety
Division of Fire Safety
Highway Patrol
Missouri Veterans Commission (MVC)
Julie MorffRoss StropeDirectorAssistant DirectorMay 8, 2024May 8, 2024