FISCAL NOTE
L.R. No.: 3882H.01I Bill No.: HB 1667 Subject: Abortion; Children and Minors; Health Care; Health Care Professionals Type: Original Date: January 15, 2026
Bill Summary: This proposal creates the "Born-Alive Abortion Survivors Protection Act".
FISCAL SUMMARY
ESTIMATED NET EFFECT ON GENERAL REVENUE FUND FUND AFFECTED FY 2027 FY 2028 FY 2029
Total Estimated Net Effect on General Revenue $0 $0 $0
ESTIMATED NET EFFECT ON OTHER STATE FUNDS FUND AFFECTED FY 2027 FY 2028 FY 2029
Total Estimated Net Effect on Other State Funds $0 $0 $0 Numbers within parentheses: () indicate costs or losses. L.R. No. 3882H.01I Bill No. HB 1667 Page 2 of 5 January 15, 2026
ESTIMATED NET EFFECT ON FEDERAL FUNDS FUND AFFECTED FY 2027 FY 2028 FY 2029
Total Estimated Net Effect on All Federal Funds $0 $0 $0
ESTIMATED NET EFFECT ON FULL TIME EQUIVALENT (FTE) FUND AFFECTED FY 2027 FY 2028 FY 2029
Total Estimated Net Effect on FTE 0 0 0
☐ 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 FUNDS FUND AFFECTED FY 2027 FY 2028 FY 2029
Local Government $0 $0 $0
KP:LR:OD L.R. No. 3882H.01I Bill No. HB 1667 Page 3 of 5 January 15, 2026
FISCAL ANALYSIS
ASSUMPTION
§188.035 - Born-Alive Abortion Survivors Protection Act
Officials from the Missouri Office of Prosecution Services did not respond to Oversight’s request for fiscal impact for this proposal.
Officials from the Department of Health and Senior Services (DHSS) state this proposal creates the Born-Alive Abortion Survivors Protection Act. Section 188.035.2 of the proposed legislation gives a child born alive during or after an abortion the same rights, privileges, and immunities available to other persons, citizens, and residents of this state, including any other liveborn child. The bill further adds requirements for care of the child and violation reporting, as well as allows for criminal, administrative, and civil liability for any person found in violation.
Pending the outcome of ongoing litigation, the Division of Regulation and Licensure’s (DRL) Section for Health Standards and Licensure (HSL) will be responsible for facility licensing, inspection, and complaints.
It is assumed that the Department can absorb the costs of this bill with current resources. However, if the workload significantly increased or other legislation was enacted, additional resources would be requested through the appropriation process.
Oversight does not have any information to the contrary. Therefore, Oversight assumes the DHSS will be able to perform any additional duties required by this proposal with current staff and resources and will reflect no fiscal impact to the DHSS in the fiscal note.
Officials from the Office of Attorney General (AGO) assume any potential litigation costs arising from this proposal can be absorbed with existing resources. The AGO may seek additional appropriations if the proposal results in a significant increase in litigation or investigation costs.
Oversight does not have any information to the contrary. Therefore, Oversight assumes the AGO will be able to perform any additional duties required by this proposal with current staff and resources and will reflect no fiscal impact to the AGO for fiscal note purposes.
Officials from the Department of Corrections (DOC) state although the bill repeals the potential to charge someone with murder in the second degree, which is a class A felony, department records do not allow for the identification of individuals whose convictions are based on actions outlined in the proposed legislation.
Officials from the DOC assume the proposal will have no fiscal impact on their organization.
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Oversight does not have any information to the contrary. Therefore, Oversight will reflect a zero impact in the fiscal note for this agency.
Officials from the Department of Commerce and Insurance, Department of Public Safety - Missouri Highway Patrol, Department of Social Services, Office of the State Courts Administrator and Office of the State Public Defender 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.
Oversight only reflects the responses that we have received from state agencies and political subdivisions; however, other hospitals were requested to respond to this proposed legislation but did not. Upon the receipt of additional responses, Oversight will review to determine if an updated fiscal note should be prepared and seek the necessary approval to publish a new fiscal note. A general listing of political subdivisions included in our database is available upon request.
FISCAL IMPACT – State Government FY 2027 FY 2028 FY 2029 (10 Mo.)
$0 $0 $0
FISCAL IMPACT – Local Government FY 2027 FY 2028 FY 2029 (10 Mo.)
$0 $0 $0
FISCAL IMPACT – Small Business
No direct fiscal impact on 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.
KP:LR:OD L.R. No. 3882H.01I Bill No. HB 1667 Page 5 of 5 January 15, 2026
SOURCES OF INFORMATION
Attorney General’s Office Department of Commerce and Insurance Department of Health and Senior Services Department of Corrections Department of Public Safety - Missouri Highway Patrol Department of Social Services Office of the State Courts Administrator Office of the State Public Defender
Julie Morff Jessica Harris Director Assistant Director January 15, 2026 January 15, 2026
KP:LR:OD
Statutes affected: