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 April 14, 2023 The Honorable Brenda Landwehr, Chairperson House Committee on Health and Human Services 300 SW 10th Avenue, Room 112-N Topeka, Kansas 66612 Dear Representative Landwehr: SUBJECT: Fiscal Note for HB 2337 by House Committee on Health and Human Services In accordance with KSA 75-3715a, the following fiscal note concerning HB 2337 is respectfully submitted to your committee. HB 2337 would establish the Kansas Telehealth Advisory Committee, which would be required to advise and make recommendations regarding telemedicine quality care practices. The Committee would consist of 22 voting members and three non-voting members from various health and insurance related professions, entities, state agencies, and the Legislature. The bill would include requirements for the Committee and would add and amend definitions within the Kansas Telemedicine Act. The bill would specify that telemedicine could be used by an in-state practitioner to refer a patient to a specialty service healthcare provider to the extent that such services are consistent with the standard of care for an in-state practitioner. The bill would also contain specifications for use of audio-only communication by practitioners. Accident and health insurance plans and policies would be prohibited from requiring the use of any specific information technology application by an in-state practitioner and the bill would include new requirements for coverage of certain telemedicine services. HB 2337 would be effective upon publication in the Kansas Register. According to Legislative Administrative Services, enactment of HB 2337 would increase expenditures for the Legislature by $17,367, all from the State General Fund, in FY 2024. This estimate assumes the minimum four meetings of the Advisory Committee created by the bill and uses salary and subsistence rates currently in place. The estimate includes $14,628 for the pay of six Legislators, $2,499 for a Committee Assistant, and $240 for publication in the Kanas Register. The Honorable Brenda Landwehr, Chairperson Page 2—HB 2337 The Kansas State Board of Healing Arts states that enactment of the bill would have a negligible fiscal effect on the agency and any additional workload would be handled within existing resources. The Kansas State Board of Nursing also anticipates a negligible fiscal effect. According to the Kansas Department of Health and Environment, the Kansas Insurance Department, and the Behavioral Sciences Regulatory Board, enactment of HB 2337 would not result in a fiscal effect on the operations of any of the respective agencies. Any fiscal effect associated with HB 2337 is not reflected in The FY 2024 Governor’s Budget Report. Sincerely, Adam Proffitt Director of the Budget cc: Karen Clowers, Legislative Services Gordon Self, Revisor of Statutes J.G. Scott, Legislative Research Susan Gile, Board of Healing Arts Amy Penrod, Department of Health & Environment Bobbi Mariani, Insurance Department David Fye, Behavioral Sciences Regulatory Board Jill Simons, Board of Nursing