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 C. Proffitt, Director Laura Kelly, Governor
February 1, 2024
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 404 by Senate Committee on Public Health and Welfare
In accordance with KSA 75-3715a, the following fiscal note concerning SB 404 is
respectfully submitted to your committee.
SB 404 would authorize healthcare workers to provide expedited partner therapy to patients
who have been diagnosed with a sexually transmitted disease. Among the provisions regarding
when expedited partner therapy may be administered, the bill would specify that a child who is 16
years of age or older may consent to receive expedited partner therapy when no parent or legal
guardian is immediately available. Healthcare providers and pharmacists would not be liable for
civil damages or subject to disciplinary actions by the State Board of Healing Arts, the Board of
Nursing, or the State Board of Pharmacy resulting from any act or omission in good faith
compliance with the provisions of the bill. The Kansas Department of Health and Environment
would be responsible for developing and providing written materials containing information on
expedited partner therapy and related health matters. The Department would also be responsible
for adopting the necessary rules and regulations for administering the bill.
Estimated State Fiscal Effect
FY 2024 FY 2025 FY 2026
Expenditures
State General Fund -- ($1,000,000) ($1,500,000)
Fee Fund(s) -- -- --
Federal Fund -- ($1,000,000) ($1,500,000)
Total Expenditures -- ($2,000,000) ($3,000,000)
Revenues
State General Fund -- -- --
Fee Fund(s) -- -- --
Federal Fund -- -- --
Total Revenues -- -- --
FTE Positions -- -- --
The Honorable Beverly Gossage, Chairperson
Page 2—SB 404
The Kansas Department of Health and Environment states that enactment of SB 404 would
result in cost savings in local and state public health investigations due to fewer cases of sexually
transmitted infections (STIs) as these would be expected to trend down with expedited partner
therapy implementation. The agency estimates cost savings of approximately $2.0 million,
including $1.0 million from the State General Fund in FY 2025 and savings of approximately $3.0
million, including $1.5 million from the State General Fund in FY 2026. There could also be
savings for insurance companies and Medicaid associated with less delayed treatment of
infections. Additionally local entities responsible for disease identification, response, and
elimination could also experience cost savings.
The Board of Nursing indicates enactment of SB 404 would require communications to
licensed Advanced Practice Registered Nurses but states the communication could occur through
their current communication avenues. The Board of Healing Arts and the Board of Pharmacy both
anticipate that any additional workload resulting from passage of SB 404 would be handled within
existing resources. Any fiscal effect associated with SB 404 is not reflected in The FY 2025
Governor’s Budget Report.
Sincerely,
Adam C. Proffitt
Director of the Budget
cc: Jill Simons, Board of Nursing
Alexandra Blasi, Board of Pharmacy
Susan Gile, Board of Healing Arts
Amy Penrod, Department of Health & Environment