COMMITTEE ON LEGISLATIVE RESEARCH
OVERSIGHT DIVISION
FISCAL NOTE
L.R. No.:2542S.01I Bill No.:SB 635 Subject:Dentists; Department of Health and Senior Services; Health Care; Health Care
Professionals; Marital and Family Therapists; Medical Procedures and Personnel;
Nurses; Pharmacy; Physicians; Psychologists; Social Workers
Type:Original Date:March 31, 2025Bill Summary:This proposal modifies the "Health Professional Student Loan Repayment
Program".
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. 2542S.01I
Bill No. SB 635
Page 2 of
March 31, 2025
KP: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. 2542S.01I
Bill No. SB 635
Page 3 of
March 31, 2025
KP:LR:OD
FISCAL ANALYSIS
ASSUMPTION
§ 191.600 to § 191.615 - Missouri State Loan Repayment Program (MOSLRP)
Officials from Department of Health and Senior Services (DHSS) state the Proposed
legislative changes to 191.600-191.615 would update the list of eligible profession types to
include all professions allowable under the federal Health Resources and Services
Administration (HRSA) state loan repayment program (SLRP) grant, expanding the eligible
professions that Missouri can offer loan repayment to under the SLRP grant.
The expansion of the eligible health professions in the proposed legislation would allow the
Department of Health and Senior Services (DHSS), Office of Rural Health and Primary Care
(ORHPC) to request additional federal funds for the SLRP program. The maximum award under
the federal SLRP grant is $1,000,000. Because the grant requires a 1:1 state match, ORHPC has
historically only been able to apply for a maximum of $425,000 in SLRP funds under the match
requirement, utilizing donated funds to meet the match requirement.
Under the proposed legislation, health professions eligible under the state SLRP statutes would
align with HRSA eligible health professions, allowing state funding received for the HPLRP
program to be used to meet the HRSA SLRP match requirement. ORPHC could then receive up
to an additional $575,000 in federal funding to award loans to health professionals under the
SLRP program, increasing the number of health professionals providing services in underserved
areas. The HPLRP eligible professions are chosen by the Director of DHSS in consultation with
the Office of Workforce Development in the Department of Higher Education and Workforce
Development and the Department of Mental Health.
In further discussions with DHSS regarding similar legislation from the current session (HB
720), officials from the DHSS stated they can absorb the state match requirement for this federal
program due to existing funding that can be used as match.
Oversight does not have any information to the contrary. Therefore, Oversight assumes the
DHSS will be able to absorb the funding requirements of this proposal with current resources
and will reflect no fiscal impact to the DHSS for fiscal note purposes.
Officials from the Department of Commerce and Insurance, the Department of Higher
Education and Workforce Development, the Department of Revenue and the Office of the
State Treasurer 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. L.R. No. 2542S.01I
Bill No. SB 635
Page 4 of
March 31, 2025
KP:LR:OD
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
This act modifies the "Health Professional Student Loan Repayment Program" to be the
"Missouri Student Loan Repayment Program" or "MOSLRP". MOSLRP shall be for persons
who practice in areas of defined need after graduating from an accredited graduate training
program in the following disciplines: allopathic medical doctor, osteopathic medical doctor,
general dentist, dental hygienist, registered nurse, physician assistant, psychologist, licensed
clinical social worker, licensed professional counselor, marital and family therapist, or
pharmacist. MOSLRP shall not include chiropractic college graduates, unlike the current "Health
Professional Student Loan Repayment Program". The standards the Department of Health and
Senior Services may establish shall not include enrollment as a full-time student in certain
courses of study as in the current program, but shall include authorization to practice certain
types of health professions. (§ 191.600 to § 191.615)
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. 2542S.01I
Bill No. SB 635
Page 5 of
March 31, 2025
KP:LR:OD
SOURCES OF INFORMATION
Department of Commerce and Insurance
Department of Higher Education and Workforce Development
Department of Health and Senior Services
Department of Revenue
Office of the State Treasurer
Julie MorffJessica HarrisDirectorAssistant DirectorMarch 31, 2025March 31, 2025