Division of the Budget
Landon State Office Building Phone: (785) 296-2436
900 SW Jackson Street, Room 504 adam.c.proffitt@ks.gov
Topeka, KS 66612 http://budget.kansas.gov
Adam Proffitt, Director Laura Kelly, Governor
Division of the Budget
January 23, 2023
The Honorable Susan Concannon, Chairperson
House Committee on Child Welfare and Foster Care
300 SW 10th Avenue, Room 152-S
Topeka, Kansas 66612
Dear Representative Concannon:
SUBJECT: Fiscal Note for HB 2034 by House Committee on Child Welfare and Foster
Care
In accordance with KSA 75-3715a, the following fiscal note concerning HB 2034 is
respectfully submitted to your committee.
HB 2034 would create statutory provisions for a program currently operating within the
Kansas Department of Health and Environment (KDHE) related to the training and payment for
Child Abuse Review and Evaluation (CARE) examinations. The bill would establish definitions,
requirements, and procedures related to CARE referrals and exams, which would mean a forensic
medical evaluation of a child alleged to be a victim of abuse or neglect conducted by a CARE
provider. The bill would also create the CARE Fund to be administered by KDHE and provide
for use and restrictions of the fund.
KDHE estimates current program expenditures of $757,000 in FY 2023 and $758,317 in
FY 2024, all from the State General Fund, which is fully funded in the Governor’s recommended
budget. Enactment of HB 2034 would not generate additional expenditures in either fiscal year
but would require the addition of 2.00 FTE positions. While the positions are funded, the agency’s
position count was not increased at the time the program was funded. Costs estimated by KDHE
would be ongoing but would be determined by the number of providers needing training and
certification, as well as those needing continuing education. Reimbursements would fluctuate
based on child abuse cases in which a CARE exam would be deemed necessary. The agency notes
that the bill does not specify the revenue source for the CARE Fund and the total revenues could
not be estimated. Once an alternative revenue source is identified, the State General Fund
appropriation could be reduced or eliminated based on program revenue and expenditure estimates.
The Honorable Susan Concannon, Chairperson
Page 2—HB 2034
While the provisions of the bill would be added to the Kansas Code for Care of Children,
the Department for Children and Families reports that there would not be a fiscal effect on agency
operations and all costs for the program would be in KDHE. Expenditures for the current program
in operation at KDHE are reflected in the agency’s budget in The FY 2024 Governor’s Budget
Report.
Sincerely,
Adam Proffitt
Director of the Budget
cc: Amy Penrod, Department of Health & Environment
Kim Holter, Department for Children & Families