COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:2102H.01I Bill No.:HB 845 Subject:Hospitals; Health Care; Department of Health and Senior Services Type:Original Date:February 28, 2025Bill Summary:This proposal creates provisions relating to specialty hospitals.
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. 2102H.01I
Bill No. HB 845
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February 28, 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$0$0$0 L.R. No. 2102H.01I
Bill No. HB 845
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February 28, 2025
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FISCAL ANALYSIS
ASSUMPTION
§ 192.2521 - Specialty hospital forensic examinations of victims of sexual offenses
Officials from the Department of Health and Senior Services (DHSS) state § 192.2521 of the
proposed legislation exempts specialty hospitals from §§ 192.2520 and 197.135, RSMo, which
set forth the mandatory forensic exams and evidence collection for sexual assaults and being part
of the Sexual Assault Network tele-reporting. Specialty hospitals would be exempt only if they
had a policy to transfer those patients to an acute care hospital with an Emergency Department.
The Division of Regulation and Licensure’s (DRL) Section for Health Standards and Licensure
(HSL) is responsible for conducting inspections of hospitals. Should the proposed legislation
become law, HSL would make review of this policy part of the inspection protocol. Adding this
component to the inspection protocol would be within the normal ebb and flow of work scope.
It is assumed that the Department can absorb the costs of this bill with current resources.
However, if the workload significantly increased or other legislation was enacted, additional
resources would be requested through the appropriation process.
Oversight does not have any information to the contrary. Therefore, Oversight assumes the
DHSS will be able to perform any additional duties required by this proposal with current staff
and resources and will reflect no fiscal impact to the DHSS for fiscal note purposes.
Officials from the University of Missouri System 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.
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$0 L.R. No. 2102H.01I
Bill No. HB 845
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February 28, 2025
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FISCAL 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.
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 Health and Senior Services
University of Missouri System
Julie MorffJessica HarrisDirectorAssistant DirectorFebruary 28, 2025February 28, 2025