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 C. Proffitt, Director Laura Kelly, Governor Division of the Budget January 29, 2024 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 2547 by House Committee on Health and Human Services In accordance with KSA 75-3715a, the following fiscal note concerning HB 2547 is respectfully submitted to your committee. HB 2547 would allow certain school personnel to administer albuterol or epinephrine to students who are displaying respiratory distress anaphylaxis. The bill would allow pharmacists to distribute a stock supply of these medicines to a school upon a prescription from a physician or mid-level practitioner. The bill would also provide a level immunity from liability for a pharmacist, physician, or a mid-level practitioner who would prescribe the medicines for the school, as well as the school personnel who would administer the drugs under specific circumstances. The Department of Education indicates that the enactment of the bill would have no fiscal effect on state aid to school districts. The Kansas Association of School Boards and the Department notes that the cost of any emergency medications would be borne by local school districts; however, the Department notes that a school would be able to accept monetary gifts, grants, and donations to implement provisions of the bill, as well as being able to accept medication gifts from a manufacturer or wholesaler. The Board of Healing Arts indicates that any resulting actionable complaints could be managed with its existing budget authority. The Board of Nursing indicates that the agency would communicate information to its licensees if the bill becomes law; however, the enactment of the bill would have no fiscal effect for the agency outside of normal The Honorable Brenda Landwehr, Chairperson Page 2—HB 2547 administrative functions. The Board of Pharmacy indicates the enactment of the bill would have no fiscal effect for the agency. Sincerely, Adam C. Proffitt Director of the Budget cc: Susan Gile, Board of Healing Arts Jill Simons, Board of Nursing Gabrielle Hull, Department of Education Angie Stallbaumer, Kansas Association of School Boards Alexandra Blasi, Board of Pharmacy