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
February 19, 2025
The Honorable Will Carpenter, Chairperson
House Committee on Health and Human Services
300 SW 10th Avenue, Room 112-N
Topeka, Kansas 66612
Dear Representative Carpenter:
SUBJECT: Fiscal Note for HB 2193 by House Committee on Health and Human
Services
In accordance with KSA 75-3715a, the following fiscal note concerning HB 2193 is
respectfully submitted to your committee.
HB 2193 would enact the Every Mom Matters Act and would establish the Every Mom
Matters Program within the Kansas Department of Health and Environment (KDHE). The purpose
of the Act would be to give pregnant women and parents access to support services and resources
to promote healthy pregnancies and childbirths, provide information on adoption, and increase
access to resources that promote family and child development. The bill would make definitions
and outline requirements of the program, including requirements for contractors providing
program services. The bill would also create the Every Mom Matters Program Fund for allowable
program contractor costs.
According to KDHE, enactment of HB 2193 would require additional expenditures totaling
$6.3 million in FY 2026 and $6.9 million in FY 2027 from the State General Fund. Expenditures
would be ongoing as long as the new program would be reauthorized by future appropriations.
The agency also estimates an additional 5.00 positions would be necessary to fulfill bill
requirements, including 1.00 Program Manager, 2.00 Program Coordinators, 1.00 Training and
Education Coordinator, and 1.00 fiscal staff position. The total estimate for salaries and wages is
$363,150 in FY 2026 and $381,308 in FY 2027. The total for set-up and other administrative costs
is $361,000 in FY 2026 and $313,000 in FY 2027. This would include equipment, marketing,
professional development, travel, program evaluation, a program data system, and software
licensing. The agency estimates $5.6 million for local programs in FY 2026 and $6.2 million in
FY 2027 and assumes the program would be administered like other agency programs.
The Honorable Will Carpenter, Chairperson
Page 2—HB 2193
For potential beneficiaries, KDHE estimates 15.0 percent, or 8,048 of approximately
53,652 eligible children and families, would utilize the resources of the program established by
the bill. This total was determined based on the total pregnancies reported in the 2023 Kansas
Annual Summary and broad eligibility requirements as detailed in the bill. To estimate the
program costs reported above, the agency utilized data from the Universal Home Visiting Program
(UHV) coupled with the broadest eligibility requirements. In FY 2024, the UHV program had
4,470 clients and a total of 8,359 home visits spread across 45 agencies. The agency used a
baseline of $1,660,924, adjusted to account for the estimate of 8,048 potential beneficiaries, and
included a multiplier to account for the additional year of services proposed within the bill
language, which is not covered under the current UHV program.
The State Treasurer’s Office reports that enactment of HB 2193 would require the agency
to contract with nonprofit organizations to provide services as specified in the bill. The bill would
not appropriate funds for the program and does not contemplate a specific amount of funding to
be provided to program contractors subject to appropriations. The total fiscal effect would depend
on the final terms of the program management contract developed through the procurement process
and would be subject to appropriations. The agency assumes the only role in implementing the
program would be periodically developing request for proposals for program management
contracts, formally entering program management contracts on behalf of the State of Kansas, and
accounting for and distributing moneys upon direction from KDHE and the Director of Accounts
and Reports. The agency further assumes that KDHE would be responsible for all other aspects
of other contract administration, program management, auditing and reconciling contractor
invoices and expense reports, and other contractor oversight. The agency states that using these
assumptions, contracting duties required of the State Treasurer could be performed using existing
agency resources. The State Treasurer’s Office would account for receipts and disbursements in
connection with this bill using existing systems and procedures, with minor modifications and
anticipates that any additional accounting workload could be accommodated using existing agency
resources. Any fiscal effect associated with HB 2193 is not reflected in The FY 2026 Governor’s
Budget Report.
Sincerely,
Adam C. Proffitt
Director of the Budget
cc: Amy Penrod, Department of Health & Environment
John Hedges, Office of the State Treasurer