COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:1370H.01I Bill No.:HB 187 Subject:Hospitals; Drugs and Controlled Substances Type:Original Date:December 18, 2024Bill Summary:This proposal allows certain medications in multidose containers used by a
patient during a hospital stay to be sent with the patient at discharge.
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUNDFUND AFFECTEDFY 2026FY 2027FY 2028Total Estimated Net
Effect on General
Revenue $0$0$0
ESTIMATED NET EFFECT ON OTHER STATE FUNDSFUND AFFECTEDFY 2026FY 2027FY 2028Total Estimated Net
Effect on Other State
Funds $0$0$0
Numbers within parentheses: () indicate costs or losses. L.R. No. 1370H.01I
Bill No. HB 187
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December 18, 2024
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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$0$0$0 L.R. No. 1370H.01I
Bill No. HB 187
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December 18, 2024
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FISCAL ANALYSIS
ASSUMPTION
§ 197.180 – Multidose containers used in hospital to be sent with patient upon discharge
Officials from the Department of Commerce and Insurance, the Department of Health and
Senior Services, the Department of Mental Health and the Department of Social Services
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.
Officials from the University of Missouri Health Care (MUHC) have reviewed the proposed
legislation and determined that as written it should not create expenses in excess of $100,000
annually.
Oversight assumes the costs incurred by the MUHC related to this proposal can be absorbed
within current resource levels.
Oversight only reflects the responses received from state agencies and political subdivisions;
however, 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.
FISCAL IMPACT – State GovernmentFY 2026
(10 Mo.)
FY 2027FY 2028$0$0$0FISCAL IMPACT – Local GovernmentFY 2026
(10 Mo.)
FY 2027FY 2028$0$0$0
FISCAL IMPACT – Small Business
No direct fiscal impact to small businesses would be expected as a result of this proposal. L.R. No. 1370H.01I
Bill No. HB 187
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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.
SOURCES OF INFORMATION
Department of Commerce and Insurance
Department of Health and Senior Services
Department of Mental Health
Department of Social Services
University of Missouri Health Care
Julie MorffJessica HarrisDirectorAssistant DirectorDecember 18, 2024December 18, 2024