Page 1 of 1 LRC 2025-BR495-SB41 COMMONWEALTH OF KENTUCKY FISCAL NOTE STATEMENT LEGISLATIVE RESEARCH COMMISSION 2025 REGULAR SESSION MEASURE 2025 BR NUMBER 495 SENATE BILL NUMBER 41 TITLE AN ACT relating to sickle cell disease. SPONSOR Senator Gerald Neal FISCAL SUMMARY STATE FISCAL IMPACT: YES NO UNCERTAIN OTHER FISCAL STATEMENT (S) THAT MAY APPLY: ACTUARIAL ANALYSIS LOCAL MANDATE CORRECTIONS IMPACT HEALTH BENEFIT MANDATE STATE EMPLOYEE HEALTH PLAN IMPACT APPROPRIATION UNIT(S) IMPACTED: FUND(S) IMPACTED: GENERAL ROAD FEDERAL RESTRICTED FISCAL ESTIMATES 2024-2025 2025-2026 ANNUAL IMPACT AT FULL IMPLEMENTATION REVENUES EXPENDITURES NET EFFECT ( ) indicates a decrease/negative PURPOSE OF MEASURE: This legislation requires each hospital licensed by the Cabinet for Health and Family Services (CHFS) to establish policies and procedures to improve care for sickle cell disease patients, develop programs to prevent and address addiction risks for sickle cell patients, and provide patients with education and resources by January 1, 2026. FISCAL EXPLANATION : Per the CHFS, this legislation does not have a fiscal impact on the agency. DATA SOURCE(S): Cabinet for Health and Family Services PREPARER: Kevin Newton NOTE NUMBER: 99 REVIEW: JMR DATE: 2/25/2025