HCS SB 974 -- HOSPITAL, PUBLIC HEALTH, AND DENTAL SERVICES
SPONSOR: Bentley (Lakin)
COMMITTEE ACTION: Voted "do pass" by the Committee on Public Health by a
vote of 11 to 0 with 3 present.
This substitute authorizes, upon voter approval, funding for various
hospital and public health purposes and funding for certain public health
programs and establishes various programs pertaining to dental awareness,
dental hygienists, and dental services.
TAX LEVIES FOR HOSPITAL AND PUBLIC HEALTH PURPOSES
The substitute allows voters in Kansas City to approve an ordinance
authorizing an annual tax levy for debt service and an annual tax for
capital improvements and operating expenses for hospital, public health,
recreation, and museum purposes. The tax levies are independent of the tax
levies contained in Section 92.030, RSMo. The ordinance authorizing the tax
levies will not be affected by the levy tax limits contained in Section
The tax levy rate for capital improvements and operating expenses for
hospital, public health, recreation, and museum purposes may be increased
from the current rate, which will not exceed $1 per $100 assessed valuation
on real and tangible personal property.
HEALTH CARE PROGRAMS AND INITIATIVES
The substitute removes language prohibiting the use of general revenue
funds for certain health care programs and initiatives. Any other funds may
be used for these health care programs and initiatives.
The substitute also requires the Director of the Department of Health to
include dentists in the development and implementation of a plan to provide
a system of coordinated health care services accessible to all persons in
designated health resource shortage areas. Currently, dentists are not
included in the plan to attract health care practitioners to these areas.
DENTAL AWARENESS, DENTAL HYGIENISTS, AND DENTAL SERVICES
The substitute allows the Bureau of Child Hygiene in the Department of
Health to provide literature on the importance of routine dental care for
The substitute establishes a 5-member Advisory Commission for Dental
Hygienists. The duties of the commission include recommending educational
requirements for dental hygienist registration; annually reviewing the
practice act of dental hygienists; providing recommendations to the
Missouri Dental Board concerning the practice, licensure, examination and
discipline of dental hygienists; and assisting the board in implementing
the dental hygienist provisions of Chapter 332.
Members of the commission will be appointed by the Governor and approved
with the advice and consent of the Senate. The requirements, composition,
lengths of service, selection of commission members, and times of
commission meetings are stated in the substitute. Members of the initial
commission are required to be appointed by April 1, 2001.
Members of the commission will serve without compensation but will be
reimbursed for actual and necessary expenses. The Missouri Dental Board is
required to provide all necessary staff and support services for the
Registered and currently licensed dental hygienists who have been
practicing for at least 3 years and who practice in a public health setting
can without the supervision of a licensed dentist provide fluoride
treatments, teeth cleaning, and sealants, if appropriate, to children who
are eligible for medical assistance as contained in Chapter 208.
The Medicaid program is prohibited from reimbursing dental hygienists and
dentists who provide fluoride treatments, teeth cleaning, and sealants and
pediatricians who provide fluoride treatments to eligible children at a
rate less than 75% of the usual and customary charge as established by the
Division of Medical Services.
The public health settings where a dental hygienist can practice without
the supervision of a licensed dentist will be established jointly by the
Department of Health and the Missouri Dental Board by rule. This provision
will expire on August 28, 2005.
The substitute allows the Department of Health to contract with the
Missouri Dental Board to establish a Donated Dental Services Program in
conjunction with the provisions of Section 332.323.
Licensed volunteer dentists will provide comprehensive dental care for the
needy, disabled, elderly, and medically compromised persons. Dental care
can be provided to such persons in a licensed volunteer dentist's office.
Eligible persons are required to pay for dental laboratory costs.
The department is required to contract with the Missouri Dental Board, its
designee, or other qualified organizations to administer the program. The
substitute also contains provisions specifying the contractual
responsibilities of the organization administering the program.
FISCAL NOTE: Estimated Net Cost to General Revenue Fund of $67,142 to
$2,856,942 in FY 2001, $79,311 to $2,869,111 in FY 2002, and $81,690 to
$2,871,490 in FY 2003. Estimated Net Cost to Dental Board Fund of $8,352 in
FY 2001, $13,439 in FY 2002, and $13,736 in FY 2003.
PROPONENTS: Supporters state that this program is needed to provide dental
services to individuals unable to pay for services. Supporters also state
that a similar program is in existence in Pennsylvania.
Testifying for the bill were Senator Bentley; Department of Health; and
Missouri Dental Association. A letter of support was submitted by the Delta
Dental Plan of Missouri.
OPPONENTS: There was no opposition voiced to the committee.
Joseph Deering, Legislative Analyst