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
February 13, 2023
The Honorable Beverly Gossage, Chairperson
Senate Committee on Public Health and Welfare
300 SW 10th Avenue, Room 142-S
Topeka, Kansas 66612
Dear Senator Gossage:
SUBJECT: Fiscal Note for SB 233 by Senate Committee on Federal and State Affairs
In accordance with KSA 75-3715a, the following fiscal note concerning SB 233 is
respectfully submitted to your committee.
SB 233 would create the Kansas Child Mutilation Prevention Act. On or after July 1, 2023,
the Act would authorize civil actions against physicians that performed a childhood gender
reassignment service. The bill would define childhood gender reassignment service as performing,
or causing to be performed, certain acts listed in the bill upon a child under 18 years of age for the
purpose of attempting to affirm the child’s perception of the child’s sex or gender if that perception
is inconsistent with the child’s sex. Provisions of the bill would not apply if the child was born
with a medically verifiable disorder of sex development. Actions could be brought by individuals
who had the service performed on them as a child and would be required to be brought against the
physician not more than three years after the date the individual turned 18. The bill would also
amend the Kansas Healing Arts Act to require revocation of a physician’s license for any physician
that performs a childhood reassignment service as defined in the bill.
According to the Kansas State Board of Healing Arts, enactment of SB 233 could result in
actionable complaints, which would increase the staff workload of the Board. The total fiscal
effect cannot be estimated. The Office of Judicial Administration states enactment of SB 233
could increase the number of cases filed in district court because it allows for a civil suit to be filed
against a physician who performed a childhood gender reassignment service, which could result
in more time spent by district court judicial and nonjudicial personnel in processing, researching,
and hearing these cases. The Office estimates enactment of the bill could result in the collection
of docket fees assessed in those cases filed under the bill’s provisions. According to the Office, a The Honorable Beverly Gossage, Chairperson
Page 2—SB 233
fiscal effect cannot be estimated. Any fiscal effect associated with SB 233 is not reflected in The
FY 2024 Governor’s Budget Report.
Sincerely,
Adam Proffitt
Director of the Budget
cc: Susan Gile, Board of Healing Arts
Vicki Jacobsen, Judiciary