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
February 28, 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 2792 by House Committee on Health and Human
Services
In accordance with KSA 75-3715a, the following fiscal note concerning HB 2792 is
respectfully submitted to your committee.
HB 2792 would prohibit gender transition surgeries on minors and a violation would be
considered unprofessional conduct under KSA 65-2837. The bill would make related definitions.
In addition, the bill would require transgender care services and treatments to be conducted
according to the clinical practice guidelines specified in Wylie C. Hembree et al., “Endocrine
Treatment of Gender-Dysphoric/Gender-Incongruent Person: An Endocrine Society Clinical
Practice Guidelines.”
According to the Kansas State Board of Healing Arts, enactment of HB 2792 could increase
actionable complaints, but a total fiscal effect cannot be estimated. The agency anticipates
handling any additional complaints within existing resources. The Kansas Attorney General’s
Office states that enactment of the bill would not result in a fiscal effect for the agency. The agency
notes that the bill could be challenged in court, but a related fiscal effect cannot be estimated.
The Behavioral Sciences Regulatory Board states that if there were additional disciplinary
complaints related to enactment of the bill, it would necessitate additional staff time to investigate
these complaints, however the agency is unable to estimate the increase in staff time and anticipates
these investigations could be absorbed in existing resources. The Kansas State Board of Nursing
indicates that passage of HB 2792 would not result in additional expenditures or revenues for the
agency. The agency notes that any required regulation revisions would be absorbed in existing The Honorable Brenda Landwehr, Chairperson
Page 2—HB 2792
resources and communication to licensees about any changes would occur through current means.
Any fiscal effect associated with HB 2792 is not reflected in The FY 2025 Governor’s Budget
Report.
Sincerely,
Adam C. Proffitt
Director of the Budget
cc: Susan Gile, Board of Healing Arts
William Hendrix, Office of the Attorney General
Jill Simons, Board of Nursing
David Fye, Behavioral Sciences Regulatory Board