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.



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





SPONSOR: SPAC DATE TYPED: 02/23/01 HB
SHORT TITLE: Gross Receipts Tax Deduction for Podiatrists SB 195/SPACS
ANALYST: Eaton


REVENUE



Estimated Revenue
Subsequent

Years Impact

Recurring

or Non-Rec

Fund

Affected

FY01 FY02
$ (74.0) $ (81.0) Recurring General Fund
$ (53.0) $ (58.0) Recurring Local Govt.



(Parenthesis ( ) Indicate Revenue Decreases)



Duplicates/Conflicts with/Companion to/Relates toHB-253 proposes a 50% GRT deduction for receipts of licensed health practitioners; SB-5 is a three-year phased-in deduction for licensed health practitioners; SB-191 provides a GRT credit for hospitals; HB-94 is the "TRICARE" deduction for active duty military and military retirees and their families; HB-202 gives an immediate deduction for licensed health practitioners; HB-227 is a proposal for a three-year phased-in deduction for doctors and osteopaths only, where the deduction is applied after the Medicare B deduction (as in HB-253); HB-326 is a proposal for a deduction for receipts of nursing homes.



SOURCES OF INFORMATION



Taxation and Revenue Department (TRD)

State Agency on Aging



SUMMARY



Synopsis of Committee Substitute



The SPAC substitute bill changes the deduction to an exemption. This does not change the fiscal impact of the bill. The osteopaths will simply no longer have to report the gross receipts from Medicare B services at all.



The Taxation and Revenue Department (TRD) would prefer the way it was from the standpoint that with an exemption, they lose sight of the taxpayer completely for Medicare B type transactions, losing information going forward that may someday be useful to TRD and policymakers.







Synopsis of Bill



The bill extends 1998's Medicare B deduction for doctors and osteopaths and 2000's expansion to Medicare B receipts of hospices to podiatrists.



Significant Issues



1997 Census of Healthcare Industries reports 45 podiatrists establishments with 162 employees and $10,968,000 in sales.



FISCAL IMPLICATIONS



The estimated full year impact on the general fund is an estimated seventy-four thousand dollars. Local government revenues are estimated to be lower by fifty-eight thousand dollars.



The Taxation and Revenue Department (TRD) estimate assumes 17.8% of podiatrist's receipts are derived from Medicare, and reports the actual percentage might be higher.



ADMINISTRATIVE IMPLICATIONS



Minimal.



JBE/ar