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


March 6, 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 206 by Senators Holland and Francisco
In accordance with KSA 75-3715a, the following fiscal note concerning SB 206 is
respectfully submitted to your committee.
SB 206 would create the Medical Autonomy/Accessibility and Truth Act. The bill would
amend tax provisions to allow for tax benefits for certain health services and expenses related to
abortion and would allow for certain insurance coverages of abortions. The bill would also remove
provisions related to statements of risks associated with abortions and remove provisions
preventing school districts from permitting persons or entities that provide abortion services to
offer, sponsor, or otherwise furnish course materials or instruction relating to human sexuality or
sexually transmitted diseases. State agencies would be prohibited from discriminating against any
individual or institutional health care entity on the basis of whether or not such entity provides,
pays for, or refers patients for abortions. In addition, the bill would remove abortion restrictions
for the University of Kansas Hospital Authority and would remove certain abortion-related
prohibitions on state facilities and use of state funds.
According to the Kansas Insurance Department, the Kansas Department of Health and
Environment, and the University of Kansas Medical Center, enactment of SB 206 would not result
in a fiscal effect on the operations of any of the respective agencies. The Kansas Department of
Revenue states passage of the bill would have a negligible effect on state taxes and State General
Fund receipts. The Kansas State Board of Healing Arts reports the bill could result in increased
complaints, resulting in investigation and litigation, but the agency anticipates handling any
increased workload within existing resources. The Kansas State Department of Education
The Honorable Beverly Gossage, Chairperson
Page 2—SB 206

anticipates a negligible fiscal effect on the agency and school districts. Any fiscal effect associated
with SB 206 is not reflected in The FY 2024 Governor’s Budget Report.


Sincerely,

Adam Proffitt
Director of the Budget

cc: Bobbi Mariani, Insurance Department
Lynn Robinson, Department of Revenue
Craig Neuenswander, Department of Education
Susan Gile, Board of Healing Arts
Amy Penrod, Department of Health & Environment
Jeff Dewitt, University of Kansas Medical Center


Statutes affected:
As introduced: 40-2, 40-19c09, 40-2407, 40-2411, 40-2246, 79-32, 65-6709, 65-6733, 65-6734, 65-6737, 76-3308