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 15, 2023
The Honorable Carolyn McGinn, Chairperson
Senate Committee on Local Government
300 SW 10th Avenue, Room 142-S
Topeka, Kansas 66612
Dear Senator McGinn:
SUBJECT: Fiscal Note for SB 212 by Senator Straub
In accordance with KSA 75-3715a, the following fiscal note concerning SB 212 is
respectfully submitted to your committee.
SB 212 would establish staffing requirements for vehicles used to provide emergency care
in counties with a population less than 10,000. The bill would require a vehicle providing
emergency care to operate with one person that is certified as an emergency medical service
provider, an individual licensed by the State Board of Healing Arts to practice medicine and
surgery, a physician assistant, an advanced practice registered nurse or a professional nurse, and a
second person that either meets the same requirements or is a person certified in first aid or
cardiopulmonary resuscitation.
Estimated State Fiscal Effect
FY 2023 FY 2023 FY 2024 FY 2024
SGF All Funds SGF All Funds
Revenue -- -- -- ($48,000)
Expenditure -- -- -- ($45,000)
FTE Pos. -- -- -- --
The Board of Emergency Medical Services (EMS) indicates that enactment of the bill
would decrease expenditures for aid to local governments by $45,000 beginning in FY 2024. The
agency provides a grant opportunity for personnel to gain certification in predominantly rural
counties and anticipates enactment of the bill would reduce the number of certified personnel and
number of classes for certification being offered, which would result in fewer grants being
The Honorable Carolyn McGinn, Chairperson
Page 2—SB 212
awarded. In turn, the agency states enactment of the bill would decrease revenues by
approximately $48,000 beginning in FY 2024 from fewer individuals seeking certification and
recertification as an EMS provider. The agency notes that there are 66 counties in Kansas with a
population less than 10,000 with a total of 1,648 providers. The agency anticipates enactment of
the bill would result in an overall reduction of 20.0 percent of providers in counties with a
population less than 10,000 and a 10.0 percent reduction in counties with a population over 10,000
due to fewer courses of instruction being offered.
The agency also notes the bill would eliminate the emergency medical responder
certification, which is most often obtained to function on an ambulance as a second provider. The
agency notes that the 66 counties with a population less than 10,000 hold 36.0 percent of the
certified emergency medical responder certifications in Kansas.
The Board of Healing Arts indicates enactment of the bill would have no fiscal effect on
the agency. Any fiscal effect associated with SB 212 is not reflected in The FY 2024 Governor’s
Budget Report.
The Kansas Association of Counties states enactment of the bill could lead to savings for
counties with a population under 10,000 and could expand coverage of emergency services
because credentialed staff could be utilized more efficiently.
Sincerely,
Adam Proffitt
Director of the Budget
cc: Susan Gile, Board of Healing Arts
Joe House, Emergency Medical Services
Statutes affected: As introduced: 65-6135