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 15, 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 2453 by House Committee on Appropriations
In accordance with KSA 75-3715a, the following fiscal note concerning HB 2453 is
respectfully submitted to your committee.
HB 2453 would enact the Dentist and Dental Hygienist Compact to facilitate the interstate
practice of dentistry and dental hygiene and improve public access to services by providing dentists
and dental hygienists licensed in a participating state the ability to practice in other participating
states in which they are not licensed. The Compact would include definitions for use in the
Compact and requirements for participating states, which would include enactment of a Compact
not materially different from the Model Compact as determined in accordance with the Compact
Commission. The Commission would be a joint government agency whose membership would
consist of all participating states that have enacted the Compact, which would detail the duties,
powers, operations, and requirements of the Commission. The Commission would be required to
develop, maintain, operate, and utilize a coordinated database and reporting system for certain
information as detailed in the Compact on all licensees and applicants for licensure in all
participating states. The privileges of the Compact and the requirements to obtain such privileges
would be detailed, including allowance of a fee for licensees (which would be waived for active
military members and their spouses), as well as a fee for participating states. The Compact would
also detail adverse actions against licensees.
According to the Kansas Dental Board, enactment of HB 2453 would increase fee fund
expenditures by approximately $200,000 beginning in FY 2024. While exact costs are unknown,
the estimate includes the Compact participation fee, participation in and use of the coordinated
database, and compliance with other Compact requirements. The Board notes enactment of the The Honorable Brenda Landwehr, Chairperson
Page 2—HB 2453
Compact should be revenue neutral as the Compact allows the same fee structure for remote state
applicants as what is established for originating state applicants. Any fiscal effect associated with
HB 2453 is not reflected in The FY 2024 Governor’s Budget Report.
Sincerely,
Adam Proffitt
Director of the Budget
cc: Charity Carlat, Dental Board