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 Division of the Budget http://budget.kansas.gov
Adam Proffitt, Director Laura Kelly, Governor

February 16, 2023


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 2283 by House Committee on Insurance
In accordance with KSA 75-3715a, the following fiscal note concerning HB 2283 is
respectfully submitted to your committee.
HB 2283 would create the Ensuring Transparency in Prior Authorizations Act. Starting no
later than January 1, 2024, a utilization review entity would accept and respond to prior
authorization requests under a pharmacy benefit through a secure electronic transmission and
would use the National Council for Prescription Drug Programs scripts standards. Also, starting
no later than January 1, 2024, a utilization review entity would accept and respond to prior
authorization requests for healthcare services and would use a secure electronic portal at no cost
to the healthcare provider. The bill also details other requirements of utilization review entities
and appeals by healthcare providers.
Kansas Department of Insurance states that any additional expenditures created by the bill
would be absorbed within existing resources. The Kansas State Board of Healing Arts states that
the bill, if enacted, could have a negligible effect on agency expenditures which could be absorbed
within its existing budget. The Judicial Branch states that the bill would not have a fiscal effect.
Any fiscal effect associated with HB 2283 is not reflected in The FY 2024 Governor’s Budget
Report.

Sincerely,

Adam Proffitt
Director of the Budget
cc: Bobbi Mariani, Insurance Department
Alexandra Blasi, Board of Pharmacy
Susan Gile, Board of Healing Arts
Vicki Jacobsen, Judiciary