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
March 11, 2024
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 518 by Senate Committee on Ways and Means
In accordance with KSA 75-3715a, the following fiscal note concerning SB 518 is
respectfully submitted to your committee.
SB 518 would create the Complex Rehabilitation Technology Coverage Act. The bill
would establish coverage and reimbursement requirements for complex rehabilitation therapy and
wheelchair suppliers, including prior authorizations. The Insurance Department would be required
to appoint a task force to determine an appropriate rate of reimbursement. The members would
receive subsistence, mileage, and other expenses incurred to perform their duties, but members
that are employed by a state agency would be reimbursed by their agency. The bill would become
effective January 1, 2025.
The Department of Administration states that the bill is not specific on which pieces of
Medicare-classified durable medical equipment would be considered complex rehabilitation
technology. Because there is not enough information to determine what would be covered under
the bill, the agency cannot estimate a fiscal effect. The Insurance Department indicates that any
additional expenditures to appoint a task force to determine an appropriate rate of reimbursement,
as required by the bill, would be absorbed within existing resources.
The Kansas Department of Health and Environment states that the bill could have an effect
on the Kansas Medicaid program because complex rehabilitation therapy is currently a covered
service and is paid through the durable medical equipment program. However, a fiscal effect
cannot be determined because it is unknown how many services would no longer have a prior
authorization process.
The Honorable Beverly Gossage, Chairperson
Page 2—SB 518
The State Board of Healing Arts, the Board of Technical Professions, the Department for
Aging and Disability Services, and the Board of Nursing all state that enactment of the bill would
not have a fiscal effect. Any fiscal effect associated with SB 518 is not reflected in The FY 2025
Governor’s Budget Report.
Sincerely,
Adam C. Proffitt
Director of the Budget
cc: Bobbi Mariani, Insurance Department
Tamara Emery, Department of Administration
Leigh Keck, Department for Aging & Disability Services
Amy Penrod, Department of Health & Environment
Larry Karns, Board of Technical Professions
Susan Gile, Board of Healing Arts
Jill Simons, Board of Nursing