NOTE: As provided in LFC policy, this report is intended for use by the standing finance committees of the legislature.  The Legislative Finance Committee does not assume responsibility for the accuracy of the information in this report when used in any other situation.



The LFC is only preparing FIRs on bills referred to the Senate Finance Committee, the Senate Ways and Means Committee, the House Appropriations and Finance Committee and the House Taxation and Revenue Committee. The chief clerks are responsible for preparing and issuing all other bill analyses.



Only the most recent FIR version, excluding attachments, is available on the Intranet. Previously issued FIRs and attachments may be obtained from the LFC office in Room 416 of the State Capitol Building.





F I S C A L I M P A C T R E P O R T





SPONSOR: Dana DATE TYPED: 02/16/99 HB 586
SHORT TITLE: Parental Consent SB
ANALYST: Burkhart


APPROPRIATION



Appropriation Contained
Estimated Additional Impact
Recurring

or Non-Rec

Fund

Affected

FY99 FY2000 FY99 FY2000
$ 0.0



(Parenthesis ( ) Indicate Expenditure Decreases)



Duplicates/Conflicts with/Companion to/Relates to



SOURCES OF INFORMATION



State Department of Education



SUMMARY



Synopsis of Bill



House Bill 586 changes present sections of state statutes to require minors to obtain informed parental consent for health care services including those for sexually transmitted diseases, pregnancy examination or diagnosis, mental health services, or substance abuse treatment.



Significant Issues



House Bill 586 would repeal the present rights of adolescents to consent to health services for the above mentioned conditions or for treatment. Current provisions regarding treatment guardians remain in the proposed legislation.



FISCAL IMPLICATIONS



There is concern on the part of health care providers and others concerned with the provision of health care services that the proposed legislation would have the effect of diminishing the level of services now provided and raising the costs of health care due to increases in the incidence of sexually transmitted diseases, on the number of unwanted pregnancies, on the delay in seeking treatment of certain medical conditions and substance abuse problems and others. Requiring parental consent may have the effect of not seeking treatment or diagnosis in a timely manner and thus not addressing the problem when it could be treated at a minimal cost.



ADMINISTRATIVE IMPLICATIONS



Administration of the provisions of this proposed legislation will require health care providers to record and keep precise documentation of the parental consent. There are no additional administrative requirements to state agencies. School districts that promote or sponsor school based clinics will need assistance in securing the proper guidance to meet the requirements of this legislation.



MB/gm