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 20, 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 2247 by House Committee on Health and Human Services In accordance with KSA 75-3715a, the following fiscal note concerning HB 2247 is respectfully submitted to your committee. HB 2247 would require any review, audit, or investigation by a nonprofit dental service corporation concerning healthcare provider claims that results in the recoupment or setoff of funds previously paid to the healthcare provider to be completed not more than six months after the completed claims were initially paid. The bill would specify that certain reviews, audits, or investigations would not be restricted by the six-month requirement. The bill would prohibit a dental benefit plan or utilization review entity from denying a claim submitted by a dentist for procedures outlined in an approved prior authorization, with certain limitations. The bill would prohibit a contract between an insurer and a dentist from including certain fees, services, or billing limitations. The Division of State Employee Health Benefits Program in the Department of Administration indicates enactment of the bill would not have a fiscal effect on the Department. However, the Department notes that the services affected by the bill are not covered services under the State Employee Health Plan and enactment of the bill would only affect the amount that members pay. Based on 2024 claims data, the Department estimates that enactment of the bill would subject plan members to an additional $3,332,411 annually for dental services with no increase in dental benefits. These costs would be paid by plan members and not the Department. The Honorable William Sutton, Chairperson Page 2—HB 2247 The Department of Insurance and the Dental Board indicate enactment of the bill would not have a fiscal effect. Any fiscal effect associated with HB 2247 is not reflected in The FY 2026 Governor’s Budget Report. Sincerely, Adam C. Proffitt Director of the Budget cc: Samir Arif, Department of Administration Kyle Strathman, Insurance Department Charity Carlat, Kansas Dental Board