COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:1600H.01I Bill No.:HB 932 Subject:Insurance - Health; Health Care; Health Care Professionals Type:Original Date:March 30, 2025Bill Summary:This proposal creates provisions relating to insurance coverage of anesthesia
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 2028
State Road Fund
(0320)*
$0 to (Unknown, Less
than $250,000)
$0 to (Unknown, Less
than $250,000)
$0 to (Unknown, Less
than $250,000)
Conservation
Commission Fund
(0609)*
$0 to (Unknown, Less
than $250,000)
$0 to (Unknown, Less
than $250,000)
$0 to (Unknown, Less
than $250,000)
Total Estimated Net
Effect on Other State
Funds
$0 to (Unknown,
Less than $250,000)
$0 to (Unknown,
Less than $250,000)
$0 to (Unknown,
Less than $250,000)
* Health benefit plans unknown cost to provide coverage for possible increase in anesthesia
services could increase health insurance costs.
Numbers within parentheses: () indicate costs or losses. L.R. No. 1600H.01I
Bill No. HB 932
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March 30, 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 or (Unknown)$0 or (Unknown)$0 or (Unknown)
* Health benefit plans unknown cost to provide coverage for possible increase in anesthesia
services could increase health insurance costs. L.R. No. 1600H.01I
Bill No. HB 932
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March 30, 2025
KC:LR:OD
FISCAL ANALYSIS
ASSUMPTION
§376.1245 – Anesthesia Services Insurance Coverage
Officials from the Missouri Department of Transportation (MoDOT) assume this bill may
increase costs for plan administrators, which will likely pass on costs to the MoDOT-MSHP
medical plan. This would have an unknown negative impact to the State Road Fund.
Officials from Kansas City state the proposed legislation has a potential negative fiscal impact
of an indeterminate amount.
Oversight assumes prohibiting policy or practices of limiting timeframes for payment of
anesthesia services and restricting or excluding anesthesia time could increase health insurance
costs for insurance plans. Oversight assumes the cost will be less than $250,000 based on
MoDOT’s response to similar legislation from this year (HB 1071). Oversight will reflect a $0
to Unknown, less than $250,000 cost to the State Road Fund, Conservation Commission Fund
(although MDC has stated no impact) and Local Political Subdivisions.
Officials from the Department of Commerce and Insurance, the Department of Social
ServicesMissouri Department of Conservation, the Missouri Consolidated Health Care
Plan, the Oversight Division and the City of O’Fallon 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 - Missouri Highway Patrol defer to the
Missouri Department of Transportation for the potential fiscal impact of this proposal. L.R. No. 1600H.01I
Bill No. HB 932
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March 30, 2025
KC:LR:OD
FISCAL IMPACT – State GovernmentFY 2026
(10 Mo.)
FY 2027FY 2028STATE ROAD FUND (0320)*
Cost – MoDOT §376.1245 p.3
Anesthesia Cost
$0 to
(Unknown, less
than $250,000)
$0 to
(Unknown, less
than $250,000)
$0 to
(Unknown, less
than $250,000)
ESTIMATED NET EFFECT TO
THE STATE ROAD FUND (0320)
$0 to
(Unknown,
less than
$250,000)
$0 to
(Unknown,
less than
$250,000)
$0 to
(Unknown,
less than
$250,000)
CONSERVATION COMMISSION
FUND (0609)*Cost – MDC §376.1245 p.3
Anesthesia Cost
$0 to
(Unknown, less
than $250,000)
$0 to
(Unknown, less
than $250,000)
$0 to
(Unknown, less
than $250,000)
ESTIMATED NET EFFECT TO
CONSERVATION COMMISSION
FUND (0609)
$0 to
(Unknown,
less than
$250,000)
$0 to
(Unknown,
less than
$250,000)
$0 to
(Unknown,
less than
$250,000)
* Health benefit plans unknown cost to provide coverage for possible increase in anesthesia
services could increase health insurance costs.
FISCAL IMPACT – Local GovernmentFY 2026
(10 Mo.)
FY 2027FY 2028LOCAL POLITICAL
SUBDIVISIONS*
Cost - Local Political Subdivisions
Anesthesia Cost §376.1553 p.3
$0 or
(Unknown)
$0 or
(Unknown)
$0 or
(Unknown)
ESTIMATED NET EFFECT TO
LOCAL POLITICAL SUBDIVISIONS
$0 or
(Unknown)
$0 or
(Unknown)
$0 or
(Unknown)
* Health benefit plans unknown cost to provide coverage for possible increase in anesthesia
services could increase health insurance costs. L.R. No. 1600H.01I
Bill No. HB 932
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March 30, 2025
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FISCAL IMPACT – Small Business
A direct fiscal impact to small business medical services and equipment providers could be
expected as a result of this proposal.
FISCAL DESCRIPTION
The bill prohibits health benefit plans that provide coverage for anesthesia services from denying
coverage for anesthesia services or imposing any cap on the reimbursement amount for
anesthesia services, on the basis that the duration of a procedure that the anesthesia services are
performed exceeds a particular time limit.
This bill contains an emergency clause.
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 Public Safety – Missouri Highway Patrol
Department of Social Services
Missouri Department of Conservation
Missouri Department of Transportation
Missouri Consolidated Health Care Plan
Oversight Division
Kansas City
City of O’Fallon
Julie MorffJessica HarrisDirectorAssistant DirectorMarch 30, 2025March 30, 2025