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


April 14, 2023


The Honorable Brenda Landwehr, Chairperson
House Committee on Health and Human Services
300 SW 10th Avenue, Room 112-N
Topeka, Kansas 66612
Dear Representative Landwehr:
SUBJECT: Fiscal Note for HB 2337 by House Committee on Health and Human
Services
In accordance with KSA 75-3715a, the following fiscal note concerning HB 2337 is
respectfully submitted to your committee.
HB 2337 would establish the Kansas Telehealth Advisory Committee, which would be
required to advise and make recommendations regarding telemedicine quality care practices. The
Committee would consist of 22 voting members and three non-voting members from various
health and insurance related professions, entities, state agencies, and the Legislature. The bill
would include requirements for the Committee and would add and amend definitions within the
Kansas Telemedicine Act. The bill would specify that telemedicine could be used by an in-state
practitioner to refer a patient to a specialty service healthcare provider to the extent that such
services are consistent with the standard of care for an in-state practitioner. The bill would also
contain specifications for use of audio-only communication by practitioners. Accident and health
insurance plans and policies would be prohibited from requiring the use of any specific information
technology application by an in-state practitioner and the bill would include new requirements for
coverage of certain telemedicine services. HB 2337 would be effective upon publication in the
Kansas Register.
According to Legislative Administrative Services, enactment of HB 2337 would increase
expenditures for the Legislature by $17,367, all from the State General Fund, in FY 2024. This
estimate assumes the minimum four meetings of the Advisory Committee created by the bill and
uses salary and subsistence rates currently in place. The estimate includes $14,628 for the pay of
six Legislators, $2,499 for a Committee Assistant, and $240 for publication in the Kanas Register.
The Honorable Brenda Landwehr, Chairperson
Page 2—HB 2337

The Kansas State Board of Healing Arts states that enactment of the bill would have a
negligible fiscal effect on the agency and any additional workload would be handled within
existing resources. The Kansas State Board of Nursing also anticipates a negligible fiscal effect.
According to the Kansas Department of Health and Environment, the Kansas Insurance
Department, and the Behavioral Sciences Regulatory Board, enactment of HB 2337 would not
result in a fiscal effect on the operations of any of the respective agencies. Any fiscal effect
associated with HB 2337 is not reflected in The FY 2024 Governor’s Budget Report.


Sincerely,

Adam Proffitt
Director of the Budget

cc: Karen Clowers, Legislative Services
Gordon Self, Revisor of Statutes
J.G. Scott, Legislative Research
Susan Gile, Board of Healing Arts
Amy Penrod, Department of Health & Environment
Bobbi Mariani, Insurance Department
David Fye, Behavioral Sciences Regulatory Board
Jill Simons, Board of Nursing


Statutes affected:
As introduced: 75-3223, 40-2