COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:5500H.02P Bill No.:Perfected HCS for HB 2634 Subject:Health Care; Abortion; Medicaid/MO HealthNet Type:Original Date:February 28, 2024Bill Summary:This proposal modifies provisions relating to public funding of abortion
facilities and affiliates and provisions relating to MO HealthNet providers.
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUNDFUND AFFECTEDFY 2025FY 2026FY 2027Total Estimated Net
Effect on General
Revenue $0$0$0
ESTIMATED NET EFFECT ON OTHER STATE FUNDSFUND AFFECTEDFY 2025FY 2026FY 2027Total Estimated Net
Effect on Other State
Funds $0$0$0
Numbers within parentheses: () indicate costs or losses. L.R. No. 5500H.02P
Bill No. Perfected HCS for HB 2634
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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 2027Total 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 2025FY 2026FY 2027Local Government$0$0$0 L.R. No. 5500H.02P
Bill No. Perfected HCS for HB 2634
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FISCAL ANALYSIS
ASSUMPTION
§§188.015, 188.207, 188.220, 208.152, 208.153, 208.164, and 208.659 - Relating to public
funding of abortion facilities and affiliates
In response to a previous version, officials from the Office of Attorney General (AGO)
assumed any potential litigation costs arising from this proposal could 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.
In response to a previous version, officials from the Office of Administration - Budget &
Planning (B&P) stated this bill had no direct impact on B&P or on general and total state
revenues. The B&P states it will not impact the calculation pursuant to Article X, Section 18(e).
Officials from the Department of Commerce and Insurance, the Department of Social
ServicesNewton County Health Department
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 Department of Health and Senior
ServicesDepartment of Mental Health, the Office of the State Courts Administrator
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.
Oversight only reflects the responses received from state agencies and political subdivisions;
however, other local public health agencies and hospitals were requested to respond to this
proposed legislation but did not. A general listing of political subdivisions included in
Oversight’s database is available upon request.
House Amendment 1 - §188.207 – Removes the words "or associate"
Oversight assumes this is a technical change only and will not change the fiscal impact of the
bill. L.R. No. 5500H.02P
Bill No. Perfected HCS for HB 2634
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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) note
many bills considered by the General Assembly include provisions allowing or requiring
agencies to submit rules and regulations to implement the act. The Secretary of State's office 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 Secretary of State's office for
Administrative Rules is less than $5,000. The Secretary of State's office recognizes that this is a
small amount and does not expect that additional funding would be required to meet these costs.
However, they also recognize 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 their office can sustain with
their core budget. Therefore, they reserve 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 2025FY 2026FY 2027$0$0$0FISCAL IMPACT – Local GovernmentFY 2025FY 2026FY 2027$0$0$0
FISCAL IMPACT – Small Business
No direct fiscal impact to small businesses would be expected as a result of this proposal.
FISCAL DESCRIPTION
The proposed legislation appears to have no direct fiscal impact.
This bill has an emergency clause.
This legislation is not federally mandated, would not duplicate any other program and would not
require additional capital improvements or rental space. L.R. No. 5500H.02P
Bill No. Perfected HCS for HB 2634
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SOURCES OF INFORMATION
Attorney General’s Office
Department of Commerce and Insurance
Department of Health and Senior Services
Department of Mental Health
Department of Social Services
Joint Committee on Administrative Rules
Office of Administration
Budget and Planning
Administrative Hearing Commission
Office of the Secretary of State
Office of the State Courts Administrator
Newton County Health Department
Julie MorffRoss StropeDirectorAssistant DirectorFebruary 28, 2024February 28, 2024