Division of the Budget
Landon State Office Building Phone: (785) 296-2436
900 SW Jackson Street, Room 504 larry.campbell@ks.gov
Topeka, KS 66612 Division of the Budget http://budget.kansas.gov
Larry L. Campbell, Director Laura Kelly, Governor

February 27, 2019

The Honorable Rick Wilborn, Chairperson
Senate Committee on Judiciary
Statehouse, Room 541-E
Topeka, Kansas 66612
Dear Senator Wilborn:
SUBJECT: Fiscal Note for SB 114 by Senate Committee on Federal and State Affairs
In accordance with KSA 75-3715a, the following fiscal note concerning SB 114 is
respectfully submitted to your committee.
Under current law, a county, a city, a county or city law enforcement agency, a county
department of corrections or the Kansas Highway Patrol is liable to pay a healthcare provider for
healthcare services rendered to persons in custody, under certain circumstances. SB 114 would
change current law by holding only a county, a city, or the state of Kansas liable to pay a healthcare
provider for healthcare services rendered to persons in custody, under certain circumstances. Each
of these entities could be considered a “charging governmental entity,” which is defined in the bill.
The Kansas Highway Patrol and the Department of Corrections indicate enactment of SB
114 would have no fiscal effect on the agencies. The League of Kansas Municipalities estimates
enactment of SB 114 would have a fiscal effect on Kansas cities because cities that are not
considered the charging governmental agency would not be liable for medical expenses for certain
individuals in custody. The Kansas Association of Counties estimates counties would experience
increased expenditures relating to medical expenses for individuals in custody. The Association
assumes most charges would be made by the county or district attorney, which would shift medical
expenditures from cities and the state to counties.

Sincerely,

Larry L. Campbell
Director of the Budget
cc: Linda Kelly, Corrections
Sherry Macke, Highway Patrol
Chardae Caine, League of Municipalities
Jay Hall, Association of Counties

Statutes affected:
As introduced: 22-4612