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 13, 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 2219 by House Committee on Health and Human
Services
In accordance with KSA 75-3715a, the following fiscal note concerning HB 2219 is
respectfully submitted to your committee.
HB 2219 would enact the Physician Assistant Licensure Compact. The purpose of the
compact would be to strengthen access to medical services. The bill would make definitions and
list requirements for participating states, as well as requirements and privileges for licensees. The
bill would establish a Physician Assistant Licensure Compact Commission and detail the powers
and responsibilities of the Commission. The bill would specify all other requirements and
operations related to participation in the Compact.
According to the Kansas State Board of Healing Arts, enactment of HB 2219 would
increase agency fee fund expenditures by $65,500 beginning in FY 2025, which would include
$55,000 for 1.00 licensing staff position. The agency also estimates $8,000 to $10,000 for office
and computer expenses. Most of the expenses would be ongoing. The agency reports this position
would be necessary as the bill includes new requirements for the agency with set timelines for
completion of tasks. The agency reports they have absorbed costs for similar requirements in the
past but are now at capacity and cannot continue to do so. The agency stated physician assistants
that participate in the compact would continue to pay a state fee for their license but there is no
mechanism to measure the number of licensees that would utilize the Compact for a Kansas
license. The Compact would allow for the Compact Commission to levy fees for participating
states; however, the agency notes the Compact would be new and not fully active at this time so it The Honorable Will Carpenter, Chairperson
Page 2—HB 2219
is unclear if states would be charged and what the fee would be. Any fiscal effect associated with
HB 2219 is not reflected in The FY 2026 Governor’s Budget Report.
Sincerely,
Adam C. Proffitt
Director of the Budget
cc: Susan Gile, Board of Healing Arts