COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:0797H.01P Bill No.:Perfected HB 121 Subject:Children and Minors; Public Health Type:Original Date:February 26, 2025Bill Summary:This proposal establishes the "Safe Place for Newborns Fund" for the
installation of newborn safety incubators.
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUNDFUND AFFECTEDFY 2026FY 2027FY 2028General $0 to (Unknown)$0 to (Unknown)$0 to (Unknown)Total Estimated Net
Effect on General
Revenue*$0 to (Unknown)$0 to (Unknown)$0 to (Unknown)
*Oversight is uncertain how much would be appropriated and transferred into the Safe Place for
Newborns Fund, if any, but notes the total amount available to the fund from state sources under
such a match program shall be up to $10,000 for each newborn safety incubator installed.
Therefore, Oversight assumes the fiscal impact of “$0 to Unknown” for the transfer from
General Revenue is not likely to exceed the $250,000 threshold annually.
ESTIMATED NET EFFECT ON OTHER STATE FUNDSFUND AFFECTEDFY 2026FY 2027FY 2028Safe Place for
Newborns Fund*$0$0$0
Total Estimated Net
Effect on Other State
Funds $0$0$0
*Oversight assumes funds in the Safe Place for Newborns Fund will be disbursed in the same
year it is received. Therefore, Oversight will reflect the income and expenses to the fund as “$0
to Unknown” and net to $0. Because the total amount available to the fund from state sources
and donations under such a match program shall be up to $10,000 for each newborn safety
incubator installed, Oversight assumes income and expenses of under $250,000 annually.
Numbers within parentheses: () indicate costs or losses. L.R. No. 0797H.01P
Bill No. Perfected HB 121
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February 26, 2025
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ESTIMATED NET EFFECT ON FEDERAL FUNDSFUND AFFECTEDFY 2026FY 2027FY 2028Total Estimated Net
Effect on All Federal
Funds $0$0$0
ESTIMATED NET EFFECT ON FULL TIME EQUIVALENT (FTE)FUND AFFECTEDFY 2026FY 2027FY 2028Total 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 2026FY 2027FY 2028Local Government
Entities*$0 to Unknown$0 to Unknown$0 to Unknown
Local Government$0 to Unknown$0 to Unknown$0 to Unknown
*Because the total amount available to the fund from state sources and donations under such a
match program shall be up to $10,000 for each newborn safety incubator installed, Oversight
assumes income to local government entities of under $250,000 annually. L.R. No. 0797H.01P
Bill No. Perfected HB 121
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February 26, 2025
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FISCAL ANALYSIS
ASSUMPTION
§ 210.950 - "Safe Place for Newborns Fund"
Officials from the Fruitland Area Fire Protection District state that, although this legislation
would have no serious fiscal impact to their organization, it could assist agencies to offset the
costs involved with installation of these devices and get more of these lifesaving devices in the
State.
Oversight does not have any information to the contrary. Therefore, Oversight assumes the
Fruitland Area Fire Protection District will not require any additional staff or resources and will
reflect no fiscal impact to the Fruitland Area Fire Protection District for fiscal note purposes.
Officials from the Department of Health and Senior Services, the Department of Social
ServicesOffice of the State Treasurer, the Phelps County Sheriff’s Department, the
Branson Police DepartmentKansas City Police Department and the St. Louis County
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.
Oversight only reflects the responses received from state agencies and political subdivisions;
however, other sheriffs’ departments, police departments, fire protection districts, emergency
services agencies and hospitals were requested to respond to this proposed legislation but did
not. A listing of political subdivisions included in the Missouri Legislative Information System
(MOLIS) database is available upon request.
Oversight notes that, according to an article by Anna Claire Vollers published in the Missouri
Independent
In Missouri, a newborn girl was anonymously surrendered to a drop-off box two weeks
ago [February 2024] at a Mehlville Fire Protection District station in St. Louis County…
It was the first time a drop-off box was used in Missouri since a law legalizing them was
passed in 2021.
The initial cost of a baby box is about $20,000. That price includes the leasing of the box
from Safe Haven Baby Boxes, which owns the patent and contracts with a manufacturer,
as well as costs for installation, electrical and alarm system hookups, and staff training
on how to use it. There’s also a $500 annual service fee, paid to Safe Haven Baby Boxes,
to ensure the box continues working properly. L.R. No. 0797H.01P
Bill No. Perfected HB 121
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February 26, 2025
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Oversight is uncertain how much would be appropriated and transferred into the Safe Place for
Newborns Fund, if any, but notes the total amount available to the fund from state sources under
such a match program shall be up to ten thousand dollars for each newborn safety incubator
installed. Oversight assumes a fiscal impact of “$0 to Unknown” for the transfer from General
Revenue and assumes the transfer is not likely to exceed the $250,000 threshold annually.
Oversight assumes funds in the Safe Place for Newborns Fund will be disbursed in the same
year it is received. Therefore, Oversight will reflect the income and expenses to the fund as “$0
to Unknown” and net to $0.
FISCAL IMPACT – State GovernmentFY 2026
(10 Mo.)
FY 2027FY 2028GENERAL REVENUETransfer Out – to the Safe Place for
Newborns Fund (§ 210.950) p. 3
$0 to
(Unknown)
$0 to
(Unknown)
$0 to
(Unknown)
ESTIMATED NET EFFECT ON
GENERAL REVENUE
$0 to
(Unknown)
$0 to
(Unknown)
$0 to
(Unknown)
SAFE PLACE FOR NEWBORNS FUNDTransfer In - (§ 210.950) From General
Revenue Fund p. 3
$0 to
Unknown
$0 to
Unknown
$0 to
Unknown
Income – (§ 210.950) From Gifts,
Contributions, Grants, Bequests, etc. p. 3
$0 to
Unknown
$0 to
Unknown
$0 to
Unknown
Transfer Out - (§ 210.950) Disbursed to
entities that install incubators p. 3
$0 to
(Unknown)
$0 to
(Unknown)
$0 to
(Unknown)
ESTIMATED NET EFFECT ON THE
SAFE PLACE FOR NEWBORNS FUND$0$0$0 L.R. No. 0797H.01P
Bill No. Perfected HB 121
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FISCAL IMPACT – Local GovernmentFY 2026
(10 Mo.)
FY 2027FY 2028LOCAL GOVERNMENT ENTITIESTransfer In - (§ 210.950) Reimbursement
from the Safe Place for Newborns Fund to
install incubators p. 3
$0 to
Unknown
$0 to
Unknown
$0 to
Unknown
ESTIMATED NET EFFECT TO LOCAL
GOVERNMENT ENTITIES
$0 to
Unknown
$0 to
Unknown
$0 to
Unknown
FISCAL IMPACT – Small Business
No direct fiscal impact to small businesses would be expected as a result of this proposal.
FISCAL DESCRIPTION
The bill creates the "Safe Place for Newborns Fund" and provides that the state of Missouri will
match moneys from the General Revenue Fund, in the amount of up to $10,000 per installation
of newborn safety incubators. (§ 210.950)
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. 0797H.01P
Bill No. Perfected HB 121
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February 26, 2025
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SOURCES OF INFORMATION
Department of Health and Senior Services
Department of Social Services
Office of the State Treasurer
Phelps County Sheriff’s Department
Branson Police Department
Kansas City Police Department
St. Louis County Police Department
Fruitland Area Fire Protection District
Julie MorffJessica HarrisDirectorAssistant DirectorFebruary 26, 2025February 26, 2025