Kansas 2023 2023-2024 Regular Session

Kansas Senate Bill SB26 Comm Sub / Analysis

                    SESSION OF 2023
SUPPLEMENTAL NOTE ON SENATE BILL NO. 26
As Amended by House Committee on Insurance
Brief*
SB 26, as amended, would amend law relating to the 
financial documentation demonstrating fiscal soundness that 
must be submitted by a health maintenance organization 
(HMO) or a Medicare provider organization (MPO) when 
applying for a certificate of authority to provide health care in 
the state.
The bill would amend requirements pertaining to 
statements of fiscal soundness to:
●Require financial projections for a minimum of 
three years from the date of application [Note: 
Current law requires the projections for a minimum 
of three years from the anticipated date of 
certification and on a monthly basis from the date 
of certification through one year.];
●Limit the projections for each deficit year and for 
one year thereafter required when a HMO or MPO 
expects to incur a deficit to a maximum of five 
years;
●Eliminate the requirement for monthly statements 
of revenue and expense for the first year on a 
gross dollar and a per-member-per-month basis; 
and
●Change the required balance sheet for all financial 
projections from quarterly to yearly.
____________________
*Supplemental notes are prepared by the Legislative Research 
Department and do not express legislative intent. The supplemental 
note and fiscal note for this bill may be accessed on the Internet at 
http://www.kslegislature.org The bill would also make technical amendments.
The bill would be in effect upon publication in the 
Kansas Register.
Background
The bill was introduced by the Senate Committee on 
Financial Institutions and Insurance at the request of the 
Kansas Insurance Department (Department). [Note: A 
companion bill, HB 2094, has been introduced in the House.]
Senate Committee on Financial Institutions and 
Insurance
In the Senate Committee hearing, a representative of 
the Department provided proponent testimony, stating the 
bill would clarify the financial projection requirements when 
applying for a certificate of authority by changing from various 
monthly and quarterly statements to annual statements. The 
representative stated the change would create a more 
streamlined and less burdensome approach when transacting 
business in Kansas.
No other testimony was provided.
House Committee on Insurance
In the House Committee hearing, an overview of the bill 
was provided and proponent testimony submitted by the 
Department was made available.
The House Committee amended the bill to change its 
effective date to be upon publication in the Kansas Register.
2- 26 Fiscal Information
According to the fiscal note prepared by the Division of 
the Budget on the bill, as introduced, the Department, the 
League of Kansas Municipalities, and the Kansas Association 
of Counties state enactment of the bill would have no fiscal 
effect.
Insurance; health maintenance organizations; medicare provider organizations; 
certificates of authority
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