Kansas 2025-2026 Regular Session

Kansas House Bill HB2217 Compare Versions

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11 Session of 2025
22 HOUSE BILL No. 2217
33 By Committee on Health and Human Services
44 Requested by Representative Bryce on behalf of the Attorney General's Office
55 2-3
66 AN ACT concerning the attorney general; relating to the office of the
77 inspector general and the powers, duties and responsibilities thereof;
88 expanding the power of the inspector general to investigate and audit
99 all state cash, food and health assistance programs; amending K.S.A.
1010 75-7427 and repealing the existing section.
1111 Be it enacted by the Legislature of the State of Kansas:
1212 Section 1. K.S.A. 75-7427 is hereby amended to read as follows: 75-
1313 7427. (a) As used in this section:
1414 (1) "Attorney general" means the attorney general of the state of
1515 Kansas, employees of the attorney general or authorized representatives of
1616 the attorney general.
1717 (2) "Benefit" means the receipt of money, goods, items, facilities,
1818 accommodations or anything of pecuniary value.
1919 (3) "Cash assistance" means assistance that is administered and
2020 provided by the secretary for children and families to individuals for a
2121 family's ongoing basic needs.
2222 (4) "Claim" means an electronic, electronic impulse, facsimile,
2323 magnetic, oral, telephonic or written communication that is utilized to
2424 identify any goods, service, item, facility or accommodation as
2525 reimbursable to the any state medicaid cash, food or health assistance
2626 program, or its the state's fiscal agents, the state mediKan program or the
2727 state children's health insurance program or which that states income or
2828 expense.
2929 (4)(5) "Client" means past or present beneficiaries or recipients of the
3030 any state medicaid cash, food or health assistance program, the state
3131 mediKan program or the state children's health insurance program.
3232 (5)(6) "Contractor" means any contractor, supplier, vendor or other
3333 person who, through a contract or other arrangement, has received, is to
3434 receive or is receiving public funds or in-kind contributions from the
3535 contracting agency as part of the any state medicaid cash, food or health
3636 assistance program,the state mediKan program or the state children's
3737 health insurance program, and shall include includes any subcontractor.
3838 (6)(7) "Contractor files" means those records of contractors which
3939 that relate to the any state medicaid cash, food or health assistance
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7575 program, the state mediKan program or the state children's health
7676 insurance program.
7777 (7)(8) "Fiscal agent" means any corporation, firm, individual,
7878 organization, partnership, professional association or other legal entity
7979 which that, through a contractual relationship with the state of Kansas,
8080 receives, processes and pays claims under the state medicaid program, the
8181 state mediKan program or the state children's health insurance
8282 programcash, food or medical assistance programs.
8383 (8)(9) "Food assistance" means assistance that is administered by the
8484 United States department of agriculture and provided by the secretary for
8585 children and families to individuals for eligible food products. 
8686 (10) "Health assistance" means the medicaid program, the state
8787 children's health insurance program and the state employee health
8888 benefits plan as established by K.S.A. 75-37,162, and amendments thereto.
8989 (11) "Health careHealthcare provider" means a health care healthcare
9090 provider as defined under K.S.A. 65-4921, and amendments thereto, who
9191 has applied to participate in, who currently participates in, or who has
9292 previously participated in the state medicaid program, the state mediKan
9393 program or the state children's health insurance health assistance program.
9494 (9)(12) "Managed care program" means a program which that
9595 provides coordination, direction and provision of health services to an
9696 identified group of individuals by providers, agencies or organizations.
9797 (10)(13) "Medicaid program" means the Kansas program of medical
9898 assistance for which federal or state moneys, or any combination thereof,
9999 are expended, or any successor federal or state, or both, health insurance
100100 program or waiver granted thereunder.
101101 (11)(14) "Person" means any agency, association, corporation, firm,
102102 limited liability company, limited liability partnership, natural person,
103103 organization, partnership or other legal entity, the agents, employees,
104104 independent contractors, and subcontractors, thereof, and the legal
105105 successors thereto.
106106 (12)(15) "Provider" means a person who has applied to participate in,
107107 who currently participates in, who has previously participated in, who
108108 attempts or has attempted to participate in the state medicaid program, the
109109 state mediKan program or the state children's health insurance program,
110110 cash, food or health assistance programs by providing or claiming to have
111111 provided goods, services, items, facilities or accommodations.
112112 (13)(16) "Recipient" means an individual, either real or fictitious, in
113113 on whose behalf any person claimed or received any payment or payments
114114 from the state medicaid program cash, food or health assistance programs,
115115 or its the state's fiscal agent agents, the state mediKan program or the state
116116 children's health insurance program, whether or not any such individual
117117 was eligible for benefits under the state medicaid program, the state
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161161 mediKan program or the state children's health insurance program cash,
162162 food or health assistance programs.
163163 (14)(17) "Records" means all written documents and electronic or
164164 magnetic data, including, but not limited to, medical records, x-rays,
165165 professional, financial or business records relating to the treatment or care
166166 of any recipient;, goods, services, items, facilities or accommodations
167167 provided to any such recipient;, rates paid for such goods, services, items,
168168 facilities or accommodations;, and goods, services, items, facilities or
169169 accommodations provided to nonmedicaid recipients to verify rates or
170170 amounts of goods, services, items, facilities or accommodations provided
171171 to medicaid state cash, food or health assistance recipients, as well as any
172172 records that the state medicaid cash, food or health assistance program, or
173173 its the state's fiscal agents, the state mediKan program or the state
174174 children's health insurance program require providers to maintain.
175175 "Records" shall not include any report or record in any format which is
176176 made pursuant to K.S.A. 65-4922, 65-4923 or 65-4924, and amendments
177177 thereto, and which is privileged pursuant to K.S.A. 65-4915 or 65-4925,
178178 and amendments thereto.
179179 (15)(18) "State children's health insurance program" means the state
180180 children's health insurance program as provided in K.S.A. 38-2001 et seq.,
181181 and amendments thereto.
182182 (b) (1) There is hereby established within the office of the attorney
183183 general the office of inspector general. All budgeting, purchasing, related
184184 management functions and personnel of the office of inspector general
185185 shall be administered under the direction and supervision of the attorney
186186 general. The purpose of the office of inspector general is to establish a full-
187187 time program of audit, investigation and performance review to provide
188188 increased accountability, integrity and oversight of the state medicaid
189189 program cash, food or health assistance programs, the state mediKan
190190 program and the state children's health insurance program and to assist in
191191 improving agency and program operations and in deterring and identifying
192192 fraud, waste, abuse and other illegal acts. The office of inspector general
193193 shall be independent and free from political influence and in performing
194194 the duties of the office under this section shall conduct investigations,
195195 audits, evaluations, inspections and other reviews in accordance with
196196 professional standards that relate to the fields of investigation and auditing
197197 in government.
198198 (2) (A) The inspector general shall be appointed by the attorney
199199 general with the advice and consent of the senate and subject to
200200 confirmation by the senate as provided in K.S.A. 75-4315b, and
201201 amendments thereto. Except as provided in K.S.A. 46-2601, and
202202 amendments thereto, no person appointed to the position of inspector
203203 general shall exercise any power, duty or function of the inspector general
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247247 until confirmed by the senate. The inspector general shall be selected
248248 without regard to political affiliation and on the basis of integrity and
249249 capacity for effectively carrying out the duties of the office of inspector
250250 general. The inspector general shall possess demonstrated knowledge,
251251 skills, abilities and experience in conducting audits or investigations and
252252 shall be familiar with the programs subject to oversight by the office of
253253 inspector general.
254254 (B) No former or current executive or manager of any program or
255255 agency subject to oversight by the office of inspector general may be
256256 appointed inspector general within two years of that individual's period of
257257 service with such program or agency. A former or current inspector
258258 general shall not be employed as an executive or manager for any
259259 program or agency subject to the oversight by the office of the inspector
260260 general for a period of two years after such inspector general's period of
261261 service as the inspector general has concluded. The inspector general shall
262262 hold at time of appointment, or shall obtain within one year after
263263 appointment, certification as a certified inspector general from a national
264264 organization that provides training to inspectors general.
265265 (C) A person appointed to the position of inspector general shall serve
266266 for a term which that shall expire on January 15 of each year in which the
267267 whole senate is sworn in for a new term.
268268 (D) The inspector general shall be in the unclassified service and
269269 shall receive an annual salary in an amount equal to the annual salary paid
270270 by the state to a district court judge, except that such compensation may be
271271 increased but not diminished during the term of office of the inspector
272272 general. The inspector general may shall be removed from office prior to
273273 the expiration of the inspector general's term of office by the attorney
274274 general for cause. The inspector general shall exercise independent
275275 judgment in carrying out the duties of the office of inspector general under
276276 subsection (b). Appropriations for the office of inspector general shall be
277277 made to the attorney general by separate line item appropriations for the
278278 office of inspector general. The inspector general shall report to the
279279 attorney general.
280280 (E) Subject to subsection (b)(1), the inspector general shall have
281281 general managerial control over the office of the inspector general and
282282 shall establish the organization structure of the office as the inspector
283283 general deems appropriate to carry out the responsibilities and functions of
284284 the office.
285285 (3) Within the limits of appropriations therefor, and as provided
286286 further, the attorney general may hire such employees in the unclassified
287287 service as are necessary to administer the office of the inspector general.
288288 Such employees shall serve at the pleasure of the attorney general. Subject
289289 to appropriations and to subsection (b)(1), the inspector general may
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333333 obtain the services of certified public accountants, qualified management
334334 consultants, professional auditors, or other professionals necessary to
335335 independently perform the functions of the office.
336336 (c) (1) In accordance with the provisions of this section, the duties of
337337 the office of inspector general shall be to oversee, audit, investigate and
338338 make performance reviews of the any state medicaid cash, food or health
339339 assistance program, the state mediKan program and the state children's
340340 health insurance program or their successor programs.
341341 (2) In order to carry out the duties of the office, the inspector general
342342 shall conduct independent and ongoing evaluation of such programs or
343343 their successor programs, which. This oversight includes, but is not limited
344344 to, the following:
345345 (A) Investigation of fraud, waste, abuse and illegal acts directly
346346 relating to such programs.
347347 (B) Audits of state programs, contractors, vendors and health care
348348 healthcare providers related to ensuring that appropriate payments are
349349 made for services rendered and to the recovery of overpayments.
350350 (C) Investigations of fraud, waste, abuse or illegal acts committed by
351351 clients of the programs or by consumers of services of such programs.
352352 (D) Monitoring adherence to the terms of any contract between a
353353 state agency and an organization, if any, with which the state agency has
354354 entered into a contract to make claims payments.
355355 (3) Upon finding credible evidence of significant levels of fraud,
356356 waste, abuse or other illegal acts, the inspector general shall report its the
357357 findings to the attorney general.
358358 (d) (1) The inspector general shall have access to all pertinent
359359 information, confidential or otherwise, and to all personnel and facilities of
360360 a state agency, state vendors, contractors and health care healthcare
361361 providers and any federal, state or local governmental agency that are
362362 necessary to perform the duties of the office as directly related to such
363363 programs. Access to contractor or health care healthcare provider files
364364 shall be limited to those files necessary to verify the accuracy of the
365365 contractor's or health care healthcare provider's invoices or their
366366 compliance with the contract provisions or program requirements. No
367367 health care healthcare provider shall be compelled under the provisions of
368368 this section to provide individual medical records of patients who are not
369369 clients of the a state medicaid health assistance program, the state
370370 mediKan program or the state children's health insurance program. State
371371 and local governmental agencies are authorized and directed to provide to
372372 the inspector general requested information, assistance or cooperation.
373373 (e) Except as otherwise provided in this section, the inspector general
374374 and all employees and former employees of the office of inspector general
375375 shall be subject to the same duty of confidentiality imposed by law on any
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419419 such person or agency with regard to any such information, and shall be
420420 subject to any civil or criminal penalties imposed by law for violations of
421421 such duty of confidentiality. The duty of confidentiality imposed on the
422422 inspector general and all employees and former employees of the office of
423423 inspector general shall be subject to the provisions of subsection (f), and
424424 the inspector general may furnish all such information to the attorney
425425 general, Kansas bureau of investigation or office of the United States
426426 attorney in Kansas pursuant to subsection (f). Upon receipt thereof, the
427427 attorney general, Kansas bureau of investigation or office of the United
428428 States attorney in Kansas and all assistants and all other employees and
429429 former employees of such offices shall be subject to the same duty of
430430 confidentiality with the exceptions that any such information may be
431431 disclosed in criminal or other proceedings which that may be instituted
432432 and prosecuted by the attorney general or the United States attorney in
433433 Kansas, and any such information furnished to the attorney general, the
434434 Kansas bureau of investigation or the United States attorney in Kansas
435435 under subsection (f) may be entered into evidence in any such
436436 proceedings.
437437 (f) All investigations conducted by the inspector general shall be
438438 conducted in a manner that ensures the preservation of evidence for use in
439439 criminal prosecutions, civil actions or agency administrative actions. If the
440440 inspector general determines that a possible criminal act or false claim
441441 relating to fraud in the provision or administration of such programs has
442442 been committed, the inspector general shall immediately notify the
443443 attorney general. If the inspector general determines that a possible
444444 criminal act has been committed within the jurisdiction of the office, the
445445 inspector general may request the special expertise of the Kansas bureau of
446446 investigation. The inspector general may present for prosecution the
447447 findings of any criminal investigation to the office of the attorney general,
448448 applicable district or county attorney or the office of the United States
449449 attorney in Kansas.
450450 (g) (1) To carry out the duties as described in this section, the
451451 inspector general and the inspector general's designees shall have:
452452 (A) Original jurisdiction to investigate crimes related to public
453453 assistance, including those found in K.S.A. 21-5926 through 21-5932, 39-
454454 709, 39-720 and 75-726, and amendments thereto;
455455 (B) the power to issue, serve or cause to be served subpoenas or
456456 other process of service in aid of investigations;
457457 (C) the power to compel by subpoena the attendance and testimony of
458458 witnesses and the production of books, electronic records and papers as
459459 directly related to such state cash, food or health assistance programs;
460460 (D) the power to administer oaths and take sworn statements under
461461 penalty of perjury;
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505505 (E) the power to serve and execute in any county search warrants
506506 that relate to investigations being executed by the office of the inspector
507507 general. Access to contractor files shall be limited to those files necessary
508508 to verify the accuracy of the contractor's invoices or its compliance with
509509 the contract provisions. No health care provider shall be compelled to
510510 provide individual medical records of patients who are not clients of such
511511 a program or programs.
512512 (2) Access to contractor files shall be limited to those files necessary
513513 to verify the accuracy of the contractor's invoices or its compliance with
514514 the contract provisions. No healthcare provider shall be compelled to
515515 provide individual medical records of patients who are not clients of such
516516 a program or programs.
517517 (h) The inspector general shall report all convictions, terminations
518518 and suspensions taken against vendors, contractors and health care
519519 healthcare providers to any agency contracting with or responsible for
520520 licensing or regulating those persons or entities. If the inspector general
521521 determines reasonable suspicion exists that an act relating to the violation
522522 of an agency licensure or regulatory standard has been committed by a
523523 vendor, contractor or health care healthcare provider who is licensed or
524524 regulated by an agency, the inspector general shall immediately notify
525525 such agency of the possible violation, unless such notification would
526526 jeopardize an ongoing criminal investigation.
527527 (i) The inspector general shall make annual reports, findings and
528528 recommendations regarding the office's investigations into reports of
529529 fraud, waste, abuse and illegal acts relating to any such programs to the
530530 appropriate state agency, the legislative post auditor, the committee on
531531 ways and means of the senate, the committee on appropriations of the
532532 house of representatives, the attorney general and the governor. These
533533 Such reports shall include, but not be limited to, the following information:
534534 (1) Aggregate provider billing and payment information;(2) The
535535 number and type of audits of such programs administered by the
536536 department of health and environment conducted and the dollar savings, if
537537 any, resulting from those audits;
538538 (3)(2) health carehealthcare provider sanctions, in the aggregate,
539539 including terminations and suspensions; and
540540 (4)(3) a detailed summary of the investigations undertaken in the
541541 previous fiscal year, which summaries that shall comply with all laws and
542542 rules and regulations regarding maintaining confidentiality in such
543543 programs.
544544 (j) Based upon the inspector general's findings under subsection (c),
545545 the inspector general may make such recommendations to the state agency
546546 or agencies which that administer such program or programs or the
547547 legislature for changes in law, rules and regulations, policy or procedures
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591591 as the inspector general deems appropriate to carry out the provisions of
592592 law or to improve the efficiency of such programs. The inspector general
593593 shall not be required to obtain permission or approval from any other
594594 official or department prior to making any such recommendation.
595595 (k) (1) The inspector general shall make provision to solicit and
596596 receive reports of fraud, waste, abuse and illegal acts in such programs
597597 from any person or persons who shall possess such information. The
598598 inspector general shall not disclose or make public the identity of any
599599 person or persons who provide such reports pursuant to this subsection
600600 unless such person or persons consent in writing to the disclosure of such
601601 person's identity. Disclosure of the identity of any person who makes a
602602 report pursuant to this subsection shall not be ordered as part of any
603603 administrative or judicial proceeding. Any information received by the
604604 inspector general from any person concerning fraud, waste, abuse or
605605 illegal acts in such programs shall be confidential and shall not be
606606 disclosed or made public, upon subpoena or otherwise, except such
607607 information may be disclosed if:
608608 (A) Release of the information would not result in the identification
609609 of the person who provided the information;
610610 (B) the person or persons who provided the information to be
611611 disclosed consent in writing prior to its disclosure;
612612 (C) the disclosure is necessary to protect the public health; or
613613 (D) the information to be disclosed is required in an administrative
614614 proceeding or court proceeding and appropriate provision has been made
615615 to allow disclosure of the information without disclosing to the public the
616616 identity of the person or persons who reported such information to the
617617 inspector general.
618618 (2) No person shall:
619619 (A) Prohibit any agent, employee, contractor or subcontractor from
620620 reporting any information under subsection (k) paragraph (1); or
621621 (B) require any such agent, employee, contractor or subcontractor to
622622 give notice to the person prior to making any such report.
623623 (3) Subsection (k)Paragraph (2) shall not be construed as:
624624 (A) Prohibiting an employer from requiring that an employee inform
625625 the employer as to legislative or auditing agency requests for information
626626 or the substance of testimony made, or to be made, by the employee to
627627 legislators or the auditing agency, as the case may be, on behalf of the
628628 employer;
629629 (B) permitting an employee to leave the employee's assigned work
630630 areas during normal work hours without following applicable rules and
631631 regulations and policies pertaining to leaves, unless the employee is
632632 requested by a legislator or legislative committee to appear before a
633633 legislative committee or by an auditing agency to appear at a meeting with
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677677 officials of the auditing agency;
678678 (C) authorizing an employee to represent the employee's personal
679679 opinions as the opinions of the employer; or
680680 (D) prohibiting disciplinary action of an employee who discloses
681681 information which that:
682682 (i) The employee knows to be false or which the employee discloses
683683 with reckless disregard for its truth or falsity;
684684 (ii) the employee knows to be exempt from required disclosure under
685685 the open records act; or
686686 (iii) is confidential or privileged under statute or court rule.
687687 (4) Any agent, employee, contractor or subcontractor who alleges that
688688 disciplinary action has been taken against such agent, employee, contractor
689689 or subcontractor in violation of this section may bring an action for any
690690 damages caused by such violation in district court within 90 days after the
691691 occurrence of the alleged violation.
692692 (5) Any disciplinary action taken against an employee of a state
693693 agency or firm as such terms are defined under K.S.A. 75-2973, and
694694 amendments thereto, for making a report under subsection (k) paragraph
695695 (1) shall be governed by the provisions of K.S.A. 75-2973, and
696696 amendments thereto.
697697 (l) The scope, timing and completion of any audit or investigation
698698 conducted by the inspector general shall be within the discretion of the
699699 inspector general. Any audit conducted by the inspector general's office
700700 shall adhere and comply with all provisions of generally accepted
701701 governmental auditing standards promulgated by the United States
702702 government accountability office.
703703 (m) Nothing in this section shall limit investigations by any state
704704 department or agency that may otherwise be required or permitted by law
705705 or that may be necessary in carrying out the duties and functions of such
706706 agency.
707707 (n) No contractor who has been convicted of fraud, waste, abuse or
708708 illegal acts or whose actions have caused the state of Kansas to pay fines
709709 to or reimburse the federal government more than $1,000,000 in the
710710 medicaid program shall be eligible for any state medicaid contracts
711711 subsequent to such conviction unless the attorney general finds that the
712712 contractor is the sole source for such contracts, is the least expensive
713713 source for the contract, has reimbursed the state of Kansas for all losses
714714 caused by the contractor, or the removal of the contractor would create a
715715 substantial loss of access for medicaid beneficiaries, in which case, after a
716716 specific finding to this effect, the prohibition of this subsection may be
717717 waived by the attorney general. Nothing in this section shall be construed
718718 to conflict with federal law, or to require or permit the use of federal funds
719719 where prohibited.
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763763 (o) All information and records of the inspector general that are
764764 made, maintained, kept, obtained or received under any investigation or
765765 audit under this section shall be confidential, except as required or
766766 authorized pursuant to this section.
767767 Sec. 2. K.S.A. 75-7427 is hereby repealed.
768768 Sec. 3. This act shall take effect and be in force from and after its
769769 publication in the statute book.
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