REVISED
STATEMENT OF PURPOSE
RS27496 / H0436
This legislation transfers the responsibilities for the health care directive registry from the Secretary of State to
the Department of Health and Welfare, including the existing records.
FISCAL NOTE
The cost to design, build, and implement an advanced care directive database system in the Department of
Health and Welfare is estimated at about $250,000 onetime. The design and buildout can be funded at a 90%
federal share using HITECH funds and 10% state match.
It will cost $500,000 ongoing for operation. The ongoing operations will be a mix of 75% federal share and
25% state match for Medicaid eligible participants and 100% General Fund for non-Medicaid, which averages
out to an approximate 50/50 fund split for ongoing operations in a full year.
Design and buildout: $25,000 General Fund; $225,000 federal funds
Ongoing operations, outreach, and trainings: $250,000 General Fund; $250,000 federal funds
Contact:
Representative Rick D. Youngblood
(208) 332-1000
Senator Steve Bair
(208) 332-1000
Elke Shaw-Tulloch
Department of Health and Welfare
(208) 334-5950
DISCLAIMER: This statement of purpose and fiscal note are a mere attachment to this bill and prepared by a proponent
of the bill. It is neither intended as an expression of legislative intent nor intended for any use outside of the legislative
process, including judicial review (Joint Rule 18).
Statement of Purpose / Fiscal Note Bill SOP/FN REVISED: 02/14/2020, 8:13 AM


Statutes affected:
Bill Text: 39-4510, 39-4514, 39-4515, 74-106