COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:0141H.01P Bill No.:Perfected HB 397 Subject:Professional Registration and Licensing; Compacts; Health Care Professionals;
Licenses - Miscellaneous
Type:Original Date:March 25, 2025Bill Summary:This proposal creates provisions relating to dietitians.
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. 0141H.01P
Bill No. Perfected HB 397
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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. 0141H.01P
Bill No. Perfected HB 397
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FISCAL ANALYSIS
ASSUMPTION
Section 324.218 – Dietitian Licenses
Officials from the Department of Commerce and Insurance (DCI) assume this proposal
allows the State Committee of Dietitians to issue a nonrenewable temporary license to applicants
who have not taken or passed an examination recognized by the Committee who meet the
qualifications for licensure. This temporary license is good for 180 days or less if the temporary
license employment is ceased.
The Committee of Dietitians believes it will be able to issue the temporary licenses without an
additional FTE.
Temporary License Revenue
42 Estimated Temporary licenses (Annually)
$20 Temporary license fee
FY 2027 Total - $840
• Projected revenue reflects fees collected for all categories of licensure
• A 3% growth rate has been estimated
• It is estimated that the collection of initial license fees will begin in FY 2027.
• If the number of licensees largely vary from the number estimated above, the licensure fees will
be adjusted accordingly
In summary, DCI assumes a cost of $1,015 (Licensure System updates/Printing and Postage) in
FY 2026, a revenue of $756 ($840 Temporary Licenses Issued - $84 Printing and Postage) and
$776 in FY 2028 ($860 Temporary Licenses Issued - $84 Printing and Postage) as a result of the
implementation of the changes in this proposal.
Oversight assumes the fiscal impact of this proposal would ultimately net to $0 or be
immaterial; therefore, Oversight will not reflect an impact in the fiscal note. Oversight assumes
DCI could absorb the costs related to this proposal.
Section 324.1800
DCI assumes this section would make the Committee a member of the Dietitian Licensure
Compact Commission. It is uncertain if the compact would be enacted in FY 26, FY 27 or FY
28. Once the compact is enacted the State Committee of Dietitians could be required to pay fees
charged to member states. Costs are unknown. L.R. No. 0141H.01P
Bill No. Perfected HB 397
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Oversight notes in response to similar legislation from 2023 (SB 70) (the Counseling Interstate
Compact), DCI estimated a cost of $3,000 - $6,000 in annual fees to participate in the compact if
the compact were to be enacted.
Oversight assumes the fiscal impact of this proposal would ultimately net to $0 or be
immaterial; therefore, Oversight will not reflect an impact in the fiscal note. Oversight assumes
DCI could absorb the costs related to this proposal.
Officials from the Office of Administration - Administrative Hearing Commission 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.
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
A direct fiscal impact to small businesses that employs dietitians would be expected as a result of
this proposal.
FISCAL DESCRIPTION
This bill establishes the "Dietitian Licensure Compact", which is an interstate agreement that
allows the practice of dietetics across state lines within other states that are a part of the
Compact.
The bill outlines the licensing requirements, education requirements for the dietitians, and the
duties of the member states. The bill further proposes to establish a joint government agency
known as the "Dietitian Licensure Compact Commission", which will administer and enforce the
Compact, adopt rules and bylaws, maintain a data system, investigate complaints, report
complaints to home states of dietitians, and perform other functions necessary or appropriate to
achieve the purposes of the Compact. Provisions of the bill ensure the Compact will not affect
Missouri's license reciprocity laws. L.R. No. 0141H.01P
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This bill specifies that, a first time applicant who has not previously taken or passed an
examination may obtain without examination a nonrenewable temporary license by paying a
temporary license fee and submitting an agreement-to-supervise form that is signed by a licensed
dietitian who has agreed to supervise the applicant. Such temporary licensee may practice
dietetics, but any such practice must be under the supervision of a dietitian licensed in this State.
The supervising dietitian must have an unencumbered license to practice and he or she cannot be
an immediate family member of the temporary licensee. The temporary license obtained by an
applicant will expire the date the licensee's employment with the supervising dietitian has ceased
or within 180 days of its issuance, whichever occurs first.
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
Office of Administration - Administrative Hearing Commission
Julie MorffJessica HarrisDirectorAssistant DirectorMarch 25, 2025March 25, 2025