COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:4353S.02I Bill No.:SB 1251 Subject:Hospitals; Pharmacy; Professional Registration and Licensing; Health Care Type:Original Date:December 29, 2023Bill Summary:This proposal modifies provisions relating to pharmacy services in hospitals.
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. 4353S.02I
Bill No. SB 1251
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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. 4353S.02I
Bill No. SB 1251
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FISCAL ANALYSIS
ASSUMPTION
§338.165 – Pharmacy services in hospitals
Officials from the Department of Health and Senior Services (DHSS) state §338.165.3
requires the DHSS to have sole authority to promulgate rules governing inpatient pharmacy
services in hospitals by a pharmacist at or within a hospital but may promulgate rules in
conjunction with the Board of Pharmacy.
Currently, the Division of Regulation and Licensure (DRL) is responsible for the promulgation
of rules in conjunction with the Board of Pharmacy governing medication distribution and the
provision of medication therapy services by a pharmacist at or within a hospital. Rule revisions
to include inpatient pharmacy services in hospitals would require minimal time and expense for
DRL.
The Department anticipates being able to absorb the costs of this bill with current resources.
However, if the workload significantly increased or other legislation was enacted, additional
resources would be requested through the appropriation process.
Oversight does not have any information to the contrary. Therefore, Oversight will reflect a zero
impact in the fiscal note for the DHSS.
Officials from the Department of Commerce and Insurance 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.
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.
Officials from the Office of the Secretary of State notes 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 within 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. L.R. No. 4353S.02I
Bill No. SB 1251
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Oversight only reflects the responses that we have received from state agencies and political
subdivisions; however, hospitals were requested to respond to this proposed legislation but did
not. A general listing of political subdivisions included in our database is available upon request.
FISCAL IMPACT –
State Government
FY 2025
(10 Mo.)
FY 2026FY 2027$0$0$0FISCAL IMPACT –
Local Government
FY 2025
(10 Mo.)
FY 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 legislation is not federally mandated, would not duplicate any other program and would not
require additional capital improvements or rental space. L.R. No. 4353S.02I
Bill No. SB 1251
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SOURCES OF INFORMATION
Department of Commerce and Insurance
Department of Health and Senior Services
Joint Committee on Administrative Rules
Office of the Secretary of State
Julie MorffRoss StropeDirectorAssistant DirectorDecember 29, 2023December 29, 2023