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 10, 2025
The Honorable William Sutton, Chairperson
House Committee on Insurance
300 SW 10th Avenue, Room 218-N
Topeka, Kansas 66612
Dear Representative Sutton:
SUBJECT: Fiscal Note for HB 2244 by House Committee on Insurance
In accordance with KSA 75-3715a, the following fiscal note concerning HB 2244 is
respectfully submitted to your committee.
HB 2244 would limit the authority of the Board of Pharmacy to regulate telepharmacy,
specifically regarding population, distance from other pharmacies, and network adequacy. The
bill would end the term of all Board members effective December 31, 2025 and would allow for
the appointment of seven new Board members on or after January 1, 2026. The bill would
determine the Board member composition and appointment authority.
The Board of Pharmacy indicates that enactment HB 2244 would have a fiscal effect on
the Board but is not able to determine the effect. The Board is unable to predict how many facility
owners would seek registration for telepharmacy outlets in Kansas or how regulations would
impact the volume of Kansas pharmacy registrants. An increase in the number of facility
applications, registrants, and renewals would result in increased revenue to the Board. However,
an increase in the number of facilities would also result in increased expenditures related to
licensing activities, inspections, investigations, and possible disciplinary actions. Depending on
the volume of registrants and the location of the facilities, it is possible that additional expenditure
authority and staff not included in the agency’s current budget submissions would be required in
future fiscal years. The Board is unable to estimate these costs, but they would be offset by the
additional revenue from registration fees.
While the total number of Board members remains unchanged, the Board always
experiences a fiscal effect when new Board members are appointed. Generally, these new
appointments are staggered (two members every 1-2 years), where this change would be happening The Honorable William Sutton, Chairperson
Page 2—HB 2244
at the same time. The most common change is related to the physical location of Board members
which affects mileage, per diem, and lodging expenses for Board meetings. Board member
orientation and onboarding is also a time-intensive process that includes minor expenditures. The
Board anticipates these expenses and staff workload could be absorbed in existing agency
operations and expenditure authority, but could not confirm this until the new appointments and
the appointees’ locations are provided. Any fiscal effect associated with HB 2244 is not reflected
in The FY 2026 Governor’s Budget Report.
Sincerely,
Adam C. Proffitt
Director of the Budget
cc: Alexandra Blasi, Board of Pharmacy