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 January 25, 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 6 by Senator Steffen In accordance with KSA 75-3715a, the following fiscal note concerning SB 6 is respectfully submitted to your committee. SB 6 would remove the authority of the Secretary of Health and Environment to designate infectious or contagious diseases by rules and regulations. The Secretary would be required to submit a report to the Legislature on such diseases and would be authorized to recommend to the public and educate them in ways to prevent the spread and dissemination of diseases injurious to the public health. In addition, SB 6 would state that the Secretary could not carry out provisions of KSA 65-101 in a manner that conflicts with any other statute or otherwise expands the authority of the Secretary. The bill would amend various KSA sections pertaining to the issuance of orders by the Secretary, county or joint boards of health, and local health officers related to infectious and contagious diseases and removing authority to issue certain orders to allow only recommendations. SB 6 would remove current requirements for teachers and school administrators to report knowledge or information related to individuals suffering from or a death from a reportable infectious or contagious disease. In addition, the bill would also remove the authority of a county or joint board of health or local health officer from prohibiting public gatherings when necessary for the control of any and all infectious or contagious disease. According to the Kansas Department of Health and Environment enactment of SB 6 could increase costs related to public health investigations and response due to a potential increase in cases and contacts of infectious diseases. The agency is unable to estimate a fiscal effect but stated this could include increased costs for local governments and insurance companies, including the state Medicaid program. The Honorable Beverly Gossage, Chairperson Page 2—SB 6 The Kansas State Department of Education reported that enactment of SB 6 would not result in a fiscal effect for school districts or the agency. Any fiscal effect associated with SB 6 is not reflected in The FY 2024 Governor’s Budget Report. The Kansas Association of Counties stated the bill could affect counties and local health departments, but a fiscal effect could not be estimated. Sincerely, Adam Proffitt Director of the Budget cc: Amy Penrod, Department of Health & Environment Jay Hall, Kansas Association of Counties Craig Neuenswander, Department of Education