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 March 13, 2023 The Honorable Troy Waymaster, Chairperson House Committee on Appropriations 300 SW 10th Avenue, Room 112-N Topeka, Kansas 66612 Dear Representative Waymaster: SUBJECT: Fiscal Note for HB 2418 by House Committee on Appropriations In accordance with KSA 75-3715a, the following fiscal note concerning HB 2418 is respectfully submitted to your committee. HB 2418 would abolish several state and local boards, task forces, and commissions on July 1, 2023. The bill would abolish the Commission for the Consolidation of Kansas City, Kansas, and Wyandotte County, Consolidation Commission of Topeka, Kansas, and Shawnee County, Study Commission for the Consolidation in Greeley County, Podiatry Review Committee, State Board of Healing Arts Review Committee for each branch of the Healing Arts, Contact Lens Advisory Council, State Emergency Response Commission, Naturopathic Advisory Council, Transportation Vision Task Force, Special Education Funding Task Force, Persian Gulf War Veterans Health Initiative Act, Kansas Export Finance Act, Community Strategic Planning Assistance Act, Natural and Scientific Areas Advisory Board, Public Finance Transparency Board, Kansas Film Services Commission, Kansas Bioscience Authority, KAN-ED Act and Department of Health and Environment Advisory Committees. Estimated State Fiscal Effect FY 2023 SGF FY 2023 All Funds FY 2024 SGF FY 2024 All Funds Revenue -- -- -- -- Expenditure -- -- -- $710,180 FTE Pos. -- -- -- 1.00 HB 2418 would have a fiscal effect on the Board of Healing Arts and not on other state agencies listed in the bill because the boards, task forces, and commissions are no longer operational. The Board indicates HB 2418 abolishes committee and councils which the Board relies on to determine if the standard of care is met during the investigative process. Without the The Honorable Troy Waymaster, Chairperson Page 2—HB 2418 assistance of these review committees, investigations would take much longer to resolve, healthcare professionals would be waiting longer for resolutions of investigations on them, and patient safety could be in jeopardy if the Board is unable to make final determinations in a timely manner. Currently, volunteers on the committees receive $35 per day of service. However, the Board would have to recruit and train volunteer healthcare professionals for each individual investigation. The Board estimates the use of volunteer healthcare professionals could cost on average $300 per hour. The Board estimates review of the investigation could take approximately 5 hours and would utilize three professionals per investigation at a cost of $4,500 per day ($300 x 5 hours x 3 professionals = $4,500). The Board estimates twelve investigations per month costing $54,000 ($4,500 x 12) and $648,000 per year, which would be paid from the agency’s fee fund. The Board would need $53,980 from its fee fund to hire at least 1.00 Administrative Specialist FTE position, as well as $8,200 for operating expenditures in FY 2024. The costs would continue in future years as the work would be ongoing. The agency indicates it would have to increase its fees to keep up with the continued costs. Any fiscal effect associated with HB 2418 is not reflected in The FY 2024 Governor’s Budget Report. The Kansas Association of Counties and the League of Kansas Municipalities indicate HB 2418 would not have a fiscal effect. Sincerely, Adam Proffitt Director of the Budget cc: Charity Carlat, Dental Board Jill Simons, Board of Nursing Susan Gile, Board of Healing Arts Wendi Stark, League of Kansas Municipalities Jay Hall, Kansas Association of Counties Michael Neth, Office of the Adjutant General Brendan Yorkey, Department of Transportation Craig Neuenswander, Department of Education Crystal Hewitt, Commission on Veterans Affairs Amy Penrod, Department of Health & Environment Sherry Rentfro, Department of Commerce Tamara Emery, Department of Administration Terry Bruce, Department of Wildlife & Parks Matthew Chappell, Historical Society Karen Clowers, Legislative Services Josh McGinn, Office of the Governor Peter Barstad, Kansas Corporation Commission Joe House, Emergency Medical Services