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 11, 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 2266 by House Committee on Health and Human
In accordance with KSA 75-3715a, the following fiscal note concerning HB 2266 is
respectfully submitted to your committee.
HB 2266 would enact the Advanced Practice Registered Nurse (APRN) Licensure
Compact to provide interstate practice privileges for APRNs.
Estimated State Fiscal Effect
FY 2025 FY 2026 FY 2027
Expenditures
State General Fund -- -- --
Fee Fund(s) -- $271,000 $56,000
Federal Fund -- -- --
Total Expenditures -- $271,000 $56,000
Revenues
State General Fund -- -- --
Fee Fund(s) -- Unknown Unknown
Federal Fund -- -- --
Total Revenues -- Unknown Unknown
FTE Positions -- 1.00 1.00
The Honorable Will Carpenter, Chairperson
Page 2—HB 2266
The Board of Nursing indicates that HB 2266 would have a fiscal effect on expenditures
and revenue for the Board beginning in FY 2026. The Board would be adding four additional
license types for APRNs (multistate license in each of the four roles of APRNs). Due to this, there
would need to be changes made to the Board’s licensing software, which must be performed by
the vendor at a one-time cost of $215,000. The Board would apply for a grant from the National
Council of State Boards of Nursing (NCSBN) for the implementation costs but is uncertain if the
grant would be awarded.
The Board states that it is unknown what the annual membership fee would be for the
APRN compact. Due to the increased work of licensing (four additional licenses and more
licensing requirements) the Board states that it would need increased expenditure authority of
$56,000 from the Board Fee Fund for 1.00 additional position for the licensing division. The total
projected expenditure estimate is $271,000 from the Nursing Board Fee Fund in the first year and
$56,000 in future years. The Board estimates that it could receive $215,000 from the NCSBN
grant which would be deposited into the Nursing Board Fee Fund. If the grant is not received, all
expenditures would be from the fee fund.
The Board states it is unable to project the reduction of revenue that would begin in FY
2026. The number of APRNs obtaining a license from the Board would decrease as more states
join the compact. Even if fees are raised for the cost of multistate APRN license, it is projected
the Board would lose revenue. Any fiscal effect associated with HB 2266 is not reflected in The
FY 2026 Governor’s Budget Report.
Sincerely,
Adam C. Proffitt
Director of the Budget
cc: Jill Simons, Board of Nursing