COMMITTEE ON LEGISLATIVE RESEARCH OVERSIGHT DIVISION FISCAL NOTE L.R. No.:1080S.01I Bill No.:SB 26 Subject:Children and Minors; Health Care Professionals; Health Care; Medical Procedures and Personnel Type:Original Date:February 9, 2025Bill Summary:This proposal modifies provisions relating to gender transition. 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. 1080S.01I Bill No. SB 26 Page 2 of February 9, 2025 KC:LR:OD 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. 1080S.01I Bill No. SB 26 Page 3 of February 9, 2025 KC:LR:OD FISCAL ANALYSIS ASSUMPTION Officials from the Attorney General’s Office, the Office of Administration - Administrative Hearing Commission, the Department of Commerce and Insurance, the Department of Elementary and Secondary Education, the Department of Public Safety - Missouri Highway Patrol, the Department of Social Services, the Missouri Department of Conservation, the Missouri Department of Transportation, the Office of the State Courts Administrator and the Missouri Consolidated Health Care Plan each assume the proposal will have no fiscal impact on their respective organizations. Oversight notes that the above mentioned agencies have stated the proposal would not have a direct fiscal impact on their organization. Oversight does not have any information to the contrary. Therefore, Oversight will reflect a zero impact on 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 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. L.R. No. 1080S.01I Bill No. SB 26 Page 4 of February 9, 2025 KC:LR:OD SOURCES OF INFORMATION Attorney General’s Office Office of Administration - Administrative Hearing Commission Department of Commerce and Insurance Department of Elementary and Secondary Education Department of Public Safety - Missouri Highway Patrol Department of Social Services Missouri Department of Conservation Missouri Department of Transportation Missouri Consolidated Health Care Plan Office of the State Courts Administrator Julie MorffJessica HarrisDirectorAssistant DirectorFebruary 9, 2025February 9, 2025