COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:1661H.01I Bill No.:HB 605 Subject:Insurance - Health; Health Care; Department of Health and Senior Services Type:Original Date:January 8, 2025Bill Summary:This proposal establishes the "End Organ Harvesting Act of 2025".
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. 1661H.01I
Bill No. HB 605
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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. 1661H.01I
Bill No. HB 605
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January 8, 2025
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FISCAL ANALYSIS
ASSUMPTION
§ 376.1593 - End Organ Harvesting Act of 2025
Officials from the Department of Commerce and Insurance, the Department of Health and
Senior Services, the Department of Social Services, the Missouri Consolidated Health Care
Plan, the Missouri Department of Conservation and the Missouri Department of
Transportation 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 Department of Public Safety (DPS), Missouri Highway Patrol (MHP)
defer to the Missouri Department of Transportation for the potential fiscal impact of this
proposal.
Oversight notes DPS/MHP’s deferral to MODOT for a statement of fiscal impact; for fiscal note
purposes, Oversight assumes no fiscal impact for DPS/MHP.
Oversight only reflects the responses received from state agencies and political subdivisions;
however, other 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 L.R. No. 1661H.01I
Bill No. HB 605
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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.
SOURCES OF INFORMATION
Department of Commerce and Insurance
Department of Health and Senior Services
Department of Public Safety, Missouri Highway Patrol
Department of Social Services
Missouri Consolidated Health Care Plan
Missouri Department of Conservation
Missouri Department of Transportation
Julie MorffJessica HarrisDirectorAssistant DirectorJanuary 8, 2025January 8, 2025