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 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 148 by Senate Committee on Public Health and Welfare
In accordance with KSA 75-3715a, the following fiscal note concerning SB 148 is respectfully
submitted to your committee.
SB 148 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 SB 148 is not reflected in The FY 2024 Governor’s Budget Report.


Sincerely,

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