SESSION OF 2023
SUPPLEMENTAL NOTE ON HOUSE BILL NO. 2260
As Amended by Senate Committee on Public
Health and Welfare

Brief*
HB 2260, as amended, would amend law regarding the
State Medical Student Loan Program and the Medical
Residency Bridging Program (loan programs). The bill would
also establish a obstetrics and gynecology medical loan
repayment program. The bill would also make technical
changes.
[Note: Under continuing law, the University of Kansas
Medical Center (KUMC) administers the two loan programs to
incentivize the practice of medicine in certain areas of the
state and in certain facilities of the state. The Kansas Medical
Student Loan program provides tuition and a stipend to
undergraduate students enrolled in or admitted to the
University of Kansas School of Medicine who have entered
into agreements to practice primary care medicine or
psychiatry in areas of need in the state.]

University of Kansas School of Medicine Residencies
The bill would increase the number of medical student
loan agreements available under the loan program at the
university from 6 to up to 12.
The bill would also add a provision specifying the
University of Kansas School of Medicine could not prohibit or
create substantial impediment to students in the loan program
____________________
*Supplemental notes are prepared by the Legislative Research
Department and do not express legislative intent. The supplemental
note and fiscal note for this bill may be accessed on the Internet at
http://www.kslegislature.org
from switching between approved postgraduate residency
training programs.

Medical Residency Training Programs in Obstetrics and
Gynecology
The bill would include medical residency training
programs in OBGYN as part of the postgraduate medical
residency programs a person could enter into in order to
qualify for state medical student and medical residency loan
assistance.

Exemptions
The bill would exempt a person, or a person’s spouse,
who is unable to satisfy their obligations due to active military
service from paying the 15 percent annual interest rate on
any moneys received under such programs. Similarly, the bill
would allow a person participating in a health-related
fellowship to postpone the obligation to engage in the practice
of medicine and surgery for not more than one year.
[Note: Under current law, any person who fails to
complete an approved residency training program or fails to
satisfy the obligation to engage in the full-time practice of
medicine and surgery within a service commitment area for
the required period of time must repay all money received
from the loan programs, plus accumulated interest at an
annual rate of 15 percent.]

Restrictions on Practice during Service Requirement
The bill would prohibit a person who completed an
approved OBGYN residency training program from
performing or inducing, or attempting to perform or induce, an
abortion, or work for or create a clinic that performs or
induces abortions during the time such person is satisfying
the service requirement under the loan programs. A person
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who fails to satisfy the service requirement due to the
performance or inducement, or attempt at such, of an
abortion would be required to repay all money received
pursuant to the loan, plus accumulated interest at an annual
rate of 15 percent.
[Note: A person who performs or induces, or attempts to
perform or induce, an abortion in the case of a medical
emergency or in the case of a pregnancy resulting from rape
or incest would not be deemed to have failed to complete the
service requirement.]

Funds and Scholarships
The bill would also establish the OBGYN Medical Loan
Repayment Fund and the OBGYN Medical Residency
Bridging Fund to be used for OBGYN residency training
programs.
The bill would authorize the Kansas Board of Regents to
award osteopathic medical service scholarships to Kansas
residents who are undergraduate students enrolled in or
admitted to pre-accredited schools of osteopathic medicine.
Background
The bill was introduced in the House Committee on
Health and Human Services at the request of Representative
Clifford on behalf of the Association of Community Mental
Health Centers (CMHCs) of Kansas. The Senate Committee
on Public Health and Welfare amended the bill to add the
contents of SB 98, as amended by the Senate Committee on
Education.


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HB 2260 (University of Kansas School of Medicine
Residencies)
House Committee on Health and Human Services
In the House Committee hearing on February 6, 2023,
proponent testimony was provided by representatives of the
Association of CMHCs of Kansas, Kansas Mental Health
Coalition, and The Guidance Center. The proponents stated
the Kansas Medical Student Loan program is one means of
addressing workforce shortages, particularly in mental health
care, and attracting primary care and psychiatric physicians
to underserved areas.
Written-only proponent testimony was provided by a
representative of the Kansas Medical Society.
No other testimony was provided.
Senate Committee on Public Health and Welfare
In the Senate Committee hearing on March 23, 2023,
proponent testimony was provided by a representative of the
Association of CMHCs of Kansas, Inc., who provided
substantially similar testimony as in the House Committee
hearing.
Written-only proponent testimony was provided by
representatives of Association of CMHCs of Kansas, Inc. and
Kansas Medical Society.
No other testimony was provided.
The Senate Committee amended the bill by adding the
contents of SB 98, as amended by the Senate Committee on
Education.


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SB 98 Medical Residency Training Programs in
Obstetrics and Gynecology (OBGYN)
Senate Committee on Education
In the Senate Committee hearing on February 20, 2023,
proponent testimony was provided by representatives of the
Kansas Health Science Center - Kansas College of
Osteopathic Medicine and the Kansas Section of the
American College of Obstetricians and Gynecologists, and a
private citizen. Written-only proponent testimony was
provided by the Executive Director of the Kansas Medical
Society and two representatives of the Kansas College of
Osteopathic Medicine. The proponents testified generally that
the bill would help to ensure that Kansans who live in rural
areas of the state have access to quality OBGYN services.
Neutral testimony was provided by a representative of
KUMC, who provided general information on the Medical
Student Loan Program and the Medical Residency Bridging
Program.
No other testimony was provided.
The Senate Committee amended the bill to:
● Remove the 15 percent annual interest rate penalty
during the time period a person is unable to satisfy
their obligations under the programs due to active
military service;
● Extend scholarship eligibility to Kansas students
who attend pre-accredited schools of osteopathic
medicine; and
● Postpone the obligation to engage in the practice
of medicine and surgery for not more than one year
during which a person participates in a health-
related fellowship program.

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Fiscal Information

HB 2260 (University of Kansas School of Medicine
Residencies)
According to the fiscal note prepared by the Division of
the Budget on the bill, as introduced, the KUMC indicates
enactment would have no fiscal effect on state revenues or
expenditures.

SB 98 Medical Residency Training Programs in
Obstetrics and Gynecology (OBGYN)
According to the fiscal note prepared by the Division of
the Budget on the bill, as introduced, KUMC indicates the bill
would require an additional $57,327 per OBGYN medical
student loan agreement and $10,000 per OBGYN medical
residency bridging loan agreement annually; however,
payments would be subject to appropriations. KUMC
indicates that without additional state appropriation, the
expansion could reduce available awards that would have
otherwise gone to students enrolled in primary care
programs. KUMC estimates the bill would increase annual
expenditures by $27,000, for an additional 0.4 FTE position to
administer the program.
Medical Student Loan Program; mental health; OBGYN medical loan repayment
fund; osteopathic medical service scholarship; residency training program; service
commitment area; University of Kansas School of Medicine


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Statutes affected:
As introduced: 76-382
As Amended by Senate Committee: 74-3265, 74-3268, 76-381, 76-711, 76-382, 76-383, 76-385, 76-386, 76-387