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


March 27, 2024


The Honorable Mike Thompson, Chairperson
Senate Committee on Federal and State Affairs
300 SW 10th Avenue, Room 144-S
Topeka, Kansas 66612
Dear Senator Thompson:
SUBJECT: Fiscal Note for SB 555 by Senate Committee on Federal and State Affairs
In accordance with KSA 75-3715a, the following fiscal note concerning SB 555 is
respectfully submitted to your committee.
SB 555 would create the Medical Cannabis Pilot Program Act and establish the Medical
Cannabis Pilot Program to be administered by the Secretary of Health and Environment. The bill
would include a sunset for the pilot program of July 1, 2029. The bill would make related
definitions, including a list of “qualifying medical conditions.” The bill would specify that no
person would be allowed to grow, harvest, process, sell, barter, transport, deliver, furnish, or
otherwise possess any form of cannabis except as proved in the bill or the Commercial Industrial
Hemp Act. The use, possession, or administration of medical cannabis would not be allowed on
federal land located in Kansas. The Secretary would be authorized to enter into contracts with
medical cannabis operators as specified in the bill. The annual fee for operators would be $50,000.
The bill would include requirements for those entering into the contracts and would also include
requirements, restrictions, and prohibitions for the contracts entered pursuant to the Act. The bill
would specify all requirements, restrictions, and prohibitions for medical cannabis operators,
facilities, and products. This would include building, zoning, security, and location specifications
for facilities. The bill would require batches of medical cannabis and medical cannabis products
to be tested and certified for use or consumption by a state contracted laboratory. The process and
requirements for testing, as well as remediation for noncompliant batches would be detailed in the
bill. The bill would also include conflict of interest provisions.
The Secretary would be authorized to enter into a contract with one or more pharmacies to
operate a distribution hub for the purpose of dispensing medical cannabis products in the state.
The bill would outline related requirements and there would be an annual fee of not less than $500
for pharmacies that operated as a distribution hub. The Secretary would have until September 1,
2024, to determine if federal law or regulations prohibit pharmacies from operating distribution
hubs. If pharmacies could not operate the hubs, the Secretary would be authorized to enter into
contracts with one or more medical cannabis operators for the operation of distribution hubs.
Operators would be limited to operating no more than seven distribution hubs and the bill would
include all requirements, restrictions, and prohibitions for the hubs. Purchase of cannabis products
The Honorable Mike Thompson, Chairperson
Page 2—SB 555

with cash or credit cards would be prohibited and the bill would outline payment requirements
which would require an account with a distribution hub.
Distribution hubs would be able to deliver medical cannabis products to patients and
caregivers. All individuals involved in transport would be required to pass a criminal history
background check and individuals convicted of a felony would not eligible. The bill would contain
requirements related to transport, including requirements for vehicles and loading/unloading
procedures. Distribution hubs would only be allowed to sell products that are reasonably necessary
for patients to consume medical cannabis products. The sale of pipes, water pipes, or other
paraphernalia utilized for the smoking of cannabis, tobacco, or other smokable products would be
prohibited. On or before June 30, 2025, and then annually, medical cannabis operators and
distribution hubs would be required to submit a report to the Secretary for each facility used for
the cultivation or processing of medical cannabis by such operator. The Secretary would also be
required to submit a report to the Governor and Legislature each year by January 15.
Medical cannabis would be allowed to be dispensed as medical cannabis flowers, pills or
tablets, tinctures, patches, or ointments. The cannabis could not be smoked or vaporized.
Tetrahydrocannabinol (THC) levels could not exceed 35.0 percent and medical cannabis
exceeding that level would be required to be processed into medical cannabis products or
destroyed. All products would be required to be in tamper-proof and child-resistant packaging and
the bill would include labeling requirements. It would be illegal to possess medical cannabis
products outside of the sealed packaging while inside any motor vehicle, watercraft, or aircraft.
Additional restrictions and requirements related to the purchase, possession, and storage of
medical cannabis products would be outlined in the bill. The bill would also include advertising
requirements and prohibitions and violations of such would be considered a violation of the Kansas
Consumer Protection Act.
SB 555 would require an extensive tracking system designated by the Secretary for
operators to monitor all medical cannabis products from the seed source through dispensing.
Distribution hubs and pharmacies would also be required to participate in the system and cooperate
with operators. The bill would include provisions related to requirements for employees and
independent contractors for operators, pharmacies, and distribution hubs. All financial institutions
would be required to be in compliance with the Act to be exempt from criminal prosecution for
providing financial services to any operator, pharmacy, or state contracted laboratory.
The bill would require a valid medical cannabis certificate for patients or designated
caregivers over the age of 21 to purchase or possess medical cannabis products. The bill would
include other specifications, restrictions, and requirements related to patients and caregivers, and
prescribing physicians. Law enforcement agencies would be authorized to obtain verification of
medical cannabis certificates from a patient’s physician or distribution hub. The bill would require
the Secretary to designate at least five physicians that could issue medical cannabis certificates to
patients with qualifying medical conditions when their primary care doctor would not issue one.
The Act would include provisions to specify the applicability to other state laws, including criminal
law, employment law, workers compensation, child custody, and professional licensing.
The bill would establish an 8.0 percent sales tax on the gross receipts of sales to be collected
by the operators. The bill would create the Medical Cannabis Refund Fund in the State Treasury
to refund any overpayments collected and the Medical Cannabis Research and Education Fund to
be administered by the Secretary of Health and Environment. Of the tax collected, 20.0 percent
The Honorable Mike Thompson, Chairperson
Page 3—SB 555

would be directed to the Medical Cannabis Research and Education Fund, up to $10,000 would be
directed to Medical Cannabis Refund Fund, and the remainder would be deposited into the State
General Fund.
According to the Kansas Department of Health and Environment (KDHE), enactment of
SB 555 would increase expenditures by approximately $3.5 million in FY 2025 and $1.7 million
in FY 2026. The estimate includes salaries and wages totaling $321,737 for 6.75 FTE positions in
FY 2025 and $703,877 for 8.3 positions in FY 2026. This includes a program manager, four
customer service positions, a part-time data analyst, an IT project manager, and a part-time
attorney position. The estimate adds a fiscal staff position and increases the part-time positions in
FY 2026 as the program gets fully established. The agency estimates $3.0 million would be needed
in FY 2025 for the seed tracking system as the bill directs KDHE to establish a system to track
medical cannabis beginning with the seed source, continuing through cultivation, testing,
processing, distribution, and dispensing. After the initial start-up, the agency anticipates this cost
to decrease to $750,000 in FY 2026. Other administrative costs such as background checks for
employees, office space, communications, supplies, and travel are estimated at $213,414 for FY
2025 and $220,689 for FY 2026. All costs would be ongoing other than the initial start-up costs
for the seed tracking system.
Revenue is anticipated to increase by $211,875 in FY 2025 and $247,500 in FY 2026.
From research, the agency assumes that 95, or 10.0 percent, of the 950 total pharmacies in Kansas
would participate in the implementation year and the first full year. The pharmacies would each
pay a fee of $500 to participate but the lower estimate in FY 2025 is a partial year to account for
the timeline for implementation of the bill’s provisions. Additional revenue is estimated by
assuming 4 cannabis operators would pay a fee of $50,000 each year. The agency notes that the
bill authorizes the Secretary to enter into contracts for limited cultivation, processing, and
distribution of medical cannabis. The bill would require KDHE to enter into a contract with a
laboratory for the purpose of conducting compliance and quality assurance testing. The agency
used the assumption that there is no expense or revenue to KDHE regarding the laboratory contract.
The agency states that the bill has multiple occurrences where KDHE is authorized to do a task
but there is no language allowing the agency to regulate or oversee the process. For purposes of
the agency’s fiscal estimate, it was assumed that KDHE would not be responsible for oversight
unless explicitly stated, and no expenses were added to cover the cost of oversight.
The Kansas Highway Patrol (KHP) estimates that enactment of SB 555 would increase
expenditures by at least $8.5 million in FY 2025 and $645,056 in FY 2026, continuing in future
years with market adjustments. The agency states it is unlikely it would receive additional revenue
related to the passage of SB 555. The agency notes that an accurate total fiscal effect could not be
estimated based on the information provided and the limited amount of time for research. Based
on information from Oklahoma after implementing medicinal marijuana in 2018, the agency
anticipates there would be an anticipation of delayed or total loss of available resources
(specifically canines) to conduct business, increased time spent roadside determining lawfulness
of possession of marijuana, increased staffing to address the influx of black-market seized
marijuana, and additional costs in evidence supplies and storage facility charges. For Troop S,
Special Response Team, enactment of the bill would require canines to be retrained. To retrain
eight canines, a total of $120,000 is estimated for FY 2025. However, the agency notes there is a
high probability that canines would need to be replaced as retraining has not been successful with
other states.
The Honorable Mike Thompson, Chairperson
Page 4—SB 555

KHP also estimates a total of $600,000 would be needed in FY 2025 for the Breath Alcohol
Unit to certify additional Drug Recognition Experts (DREs). Kansas currently has 91 certified
DREs and the agency estimates twice that number (180) would be needed with the enactment of
SB 555 as the call load would increase. In addition to the cost, this effort would be time consuming
as only 20 students can be accommodated per class. At this rate, it would take approximately two
years to train 180 DREs. In addition, $155,100 would be needed in FY 2025 for Advanced
Roadside Impaired Driving Enforcement training. This training was created to address the gap in
training between the Standardized Field Sobriety Testing and the Drug Evaluation and
Classification Program. It is intended to provide officers with the general knowledge related to
drug impairment through observation, identification, and signs of impairment related to drugs,
alcohol, or a combination of both. In 2020 there were approximately 6,900 sworn Law
Enforcement Officers (LEOs) in Kansas. The agency believes it’s reasonable to assume there are
still 3,000 LEOs in need of this training. The estimate is based off the cost of $1,034 to train 20
officers. The agency notes this does not include any salaries, over-time accrued, or the time to
prepare materials for class or additional instructors due to the class volume. For Troop I,
Commercial Vehicles, additional Critical Highway Accident Response Team members and
specialized training for collision investigations would be needed. If collisions increase, manpower
efforts would increase in time and investigative capacities. The agency estimates 3.0 FTE
positions would be needed with total salary and wages estimated at $320,384 and
equipment/vehicles estimated at $324,672. This would begin in FY 2025 and would be ongoing.
In addition, should the bill fail to exempt commercial motor vehicles, the fiscal effect to the
agency’s Federal Motor Carrier Safety Administration (FMCSA) federal funding would be
affected. KHP currently receives funding as a grantee from the Motor Carrier Safety Assistance
Program (MCSAP). The agency has identified compatibility issues and believes the ability for the
agency to apply for FMCSA grants could be at risk and/or MCSAP could simply reduce funding
to KHP. Federal grants received from the FMCSA currently total $7.0 million. Pending the future
of the funding and the role KHP plays in administering the program, expenditures may need to be
drawn from other funding sources, which has been included in the FY 2025 estimate. The number
of FTEs would also need to be reviewed for any modifications. In addition, FMCSA could also
withhold funds up to 8.0 percent for the second and subsequent year(s) of noncompliance. A total
for this was not included in the FY 2026 estimate.
The Kansas Department of Revenue estimates total revenue of $540,000 for three months
of sales in FY 2025 and $2.2 million for a full year in FY 2026. The estimate for tax collections
is based off the assumption of approximately 15,000 patients spending $1,800 per year and utilizes
the 8.0 percent sales tax on the gross receipts of sales to be collected by the operators established
in the bill. The number of patients was determined based on other states’ experiences and assumes
0.5 percent of the population being registered as patients/caregivers. It is anticipated that registered
patients and caregivers would increase in future years. As specified in the bill, 20.0 percent of the
tax collected would be directed to the Medical Cannabis Research and Education Fund, up to
$10,000 would be directed to Medical Cannabis Refund Fund, and the remainder would be
deposited into the State General Fund. The agency also anticipates administrative costs totaling
$721,966 for 4.0 new FTE positions to implement provisions ($298,546), quality assurance costs
($89,420), IT tax applications for a new tax type ($248,000), 760 hours for IT Channel ($38,000),
and 960 hours for E-Commerce ($48,000). Of the total, $249,843 would be ongoing for the new
positions.
The Honorable Mike Thompson, Chairperson
Page 5—SB 555

The Kansas Attorney General’s Office estimates increased expenditures of at least
$555,000 in FY 2025 and at least $582,750 in FY 2026, all from the State General Fund if the bill
is enacted. The Office notes approximately $100,000 would be needed for additional resources
required to analyze substances ahead of criminal trials and to process other legal matters.
Provisions of the Act relating to advertising are covered under the Kansas Consumer Protection
Act. The agency also estimates that the workload resulting from the bill would require 4.00
additional FTE positions, including at least one Legal Assistant with salary and benefits at $80,000
and two Assistant Attorney Generals with salary and benefits at $125,000 each. The agency would
also need to appoint an Assistant Attorney General outside the agency to handle issues relating to
disciplinary proceedings and licensure under the Act, with the salary and benefits estimated at
$125,000. These costs would be ongoing and the estimate for FY 2026 includes a slight increase
to account for typical increases in salaries and benefits. The Office notes that the legislation, if
enacted, would face a higher than-normal likelihood of litigation. However, the cost of litigation
is unpredictable and therefore the Office was not able to determine the cost associated with legal
challenges.
The Kansas Bureau of Investigation (KBI) reports that enactment of SB 555 would require
the KBI laboratory to perform quantitation analysis of vegetation samples that are claimed to be
medical cannabis to prove the samples have a maximum THC content less than 35.0 percent. There
is also a maximum amount of medical cannabis and medical cannabis products which could be
possessed as a 30-day supply. The allowable amount is defined as up to 200 grams of unprocessed
medical cannabis flower or 3.47 grams of THC within a 30-day period. Measurement of this level
of THC quantity in cannabis products is outside the current scope of the KBI laboratory chemistry
section. The agency notes that these types of analysis are costly and cumbersome with varying
amounts of products which may be encountered. A total fiscal effect for these types of analysis
could not be estimated. The agency also states the bill would require criminal history record
information be provided for the purpose of determining qualifications of licensees and applicants
for licensure. The agency does not antici