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 5, 2025
The Honorable Beverly Gossage, Chairperson
Senate Committee on Public Health and Welfare
300 SW 10th Avenue, Room 142-S
Topeka, Kansas 66612
Dear Senator Gossage:
SUBJECT: Fiscal Note for SB 82 by Senate Committee on Public Health and Welfare
In accordance with KSA 75-3715a, the following fiscal note concerning SB 82 is
respectfully submitted to your committee.
SB 82 would require the Kansas Department for Aging and Disability Services (KDADS)
to provide a physical waiver to any rural emergency hospitals that meet the criteria contained in
the bill, allowing them to transition up to ten beds from swing beds to Skilled Nursing Facility
(SNF) beds. Eligible hospitals would be required to be registered rural emergency hospitals and
to have been registered hospitals before being registered rural emergency hospitals. Eligible
hospitals would also be required to have previously provided SNF treatments or swing beds.
KDADS indicates that enactment of SB 82 would have a negligible fiscal effect on the
agency. KDADS is aware of only one Rural Emergency Hospital that meets the criteria to request
the physical environment waiver. The bill would have no impact on providers unless the Centers
for Medicare and Medicaid Services would allow for this newly created entity to be certified for
Title 18 and Title 19 services. The bill could increase Medicare or Medicaid payments for these
ten skilled nursing facility beds. KDADS has not had regulatory oversight over this facility and
does not have information on the utilization of the long-term beds in the facility before the
transition to Rural Emergency Hospital. Granting the waiver from the physical environment
standards for a facility that meets the requirements of SB 82 would allow the provider to continue
providing long-term care services as it did before the transition from a Critical Access Hospital to
a Rural Emergency Hospital.
Sincerely,
Adam C. Proffitt
Director of the Budget
cc: Leigh Keck, KDADS