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 31, 2024 The Honorable Carolyn McGinn, Chairperson Senate Committee on Local Government 300 SW 10th Avenue, Room 142-S Topeka, Kansas 66612 Dear Senator McGinn: SUBJECT: Fiscal Note for SB 384 by Senate Committee on Local Government In accordance with KSA 75-3715a, the following fiscal note concerning SB 384 is respectfully submitted to your committee. SB 384 would amend the list of acceptable certifications for emergency medical service vehicle operators to include any individual licensed by the Board of Healing Arts to practice medicine and surgery. The bill would also prohibit the Emergency Medical Services Board from requiring more than one staff member to be present on emergency medical service vehicles operating in cities or counties with a population of less than 50,000. Estimated State Fiscal Effect FY 2024 FY 2025 FY 2026 Expenditures State General Fund -- -- -- Fee Fund(s) -- $290,000 $280,000 Federal Fund -- -- -- Total Expenditures -- $290,000 $280,000 Revenues State General Fund -- -- -- Fee Fund(s) -- -- -- Federal Fund -- -- -- Total Revenues -- -- -- FTE Positions -- 3.00 3.00 The Honorable Carolyn McGinn, Chairperson Page 2—SB 384 The Emergency Medical Services Board indicates that enactment of the bill would result in fee fund expenditures of $290,000 in FY 2025 and $280,000 in FY 2026 to support 3.00 new FTE program analyst positions. The Board’s estimate includes $10,000 of one-time expenditures in FY 2025 for computers, cell phones, and office supplies required for new positions. Because every Kansas ambulance service is allowed to operate in every jurisdiction within the state, the Board indicates that to comply with the provisions of the bill, it would need to manually track the routing of all ambulances to determine which transports are eligible to operate with only one staff member. The agency estimates that each new program analyst would review the eligibility of 40 transports per work hour for 2,080 hours each year. The Board of Healing Arts indicates that the bill would not have a fiscal effect on its operations. Any fiscal effect associated with SB 384 is not reflected in The FY 2025 Governor’s Budget Report. The League of Kansas Municipalities and the Kansas Association of Counties indicate that the bill could reduce emergency medical service staffing costs for local governments. Sincerely, Adam C. Proffitt Director of the Budget cc: Susan Gile, Board of Healing Arts Joe House, Emergency Medical Services Board Jay Hall, Kansas Association of Counties Wendi Stark, League of Kansas Municipalities