COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:0977H.01P Bill No.:Perfected HB 313 Subject:Emergencies; Health Care; Health Care Professionals; Fire Protection; Nurses;
Hospitals
Type:Original Date:March 25, 2025Bill Summary:This proposal modifies provisions relating to the state advisory council on
emergency medical services.
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. 0977H.01P
Bill No. Perfected HB 313
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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. 0977H.01P
Bill No. Perfected HB 313
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FISCAL ANALYSIS
ASSUMPTION
§ 190.101 - Provisions relating to the State Advisory Council on Emergency Medical Services
Officials from the Department of Commerce and Insurance, the Department of Health and
Senior Services, the Department of Social Services, the Office of the Governor and the City
of Kansas City 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, other cities, fire protection districts, ambulance and EMS districts 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.
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.
FISCAL DESCRIPTION
The proposed legislation appears to have no direct fiscal impact. L.R. No. 0977H.01P
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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 Social Services
Office of the Governor
University of Missouri Health Care
City of Kansas City
Julie MorffJessica HarrisDirectorAssistant DirectorMarch 25, 2025March 25, 2025