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


March 19, 2019


The Honorable Brenda Landwehr, Chairperson
House Committee on Health and Human Services
Statehouse, Room 352-S
Topeka, Kansas 66612
Dear Representative Landwehr:
SUBJECT: Fiscal Note for HB 2339 by House Committee on Health and Human
Services
In accordance with KSA 75-3715a, the following fiscal note concerning HB 2339 is
respectfully submitted to your committee.
HB 2339 would update the Naturopathic Doctor Licensure Act. The bill would expand
naturopathic doctors’ scope of practice to include ordering diagnostic imaging studies, prescribing
drugs and medical devices, and performing minor office procedures. The bill would designate
naturopathic doctors as mid-level practitioners.

Estimated State Fiscal Effect
FY 2019 FY 2019 FY 2020 FY 2020
SGF All Funds SGF All Funds
Revenue -- -- -- --
Expenditure -- -- -- $181,860
FTE Pos. -- -- -- 3.00
The Kansas Board of Healing Arts states that the bill would require the agency to research
and draft new rules and regulations. The Board further states that enactment of HB 2339 would
result in additional reports and complaints regarding practitioners alleged to have violated the law.
In order to conduct the resulting investigations and disciplinary actions, an additional 3.00 FTE
positions would be required including 1.00 FTE Legal Assistant position, 1.00 FTE Investigator
position, and 1.00 FTE Senior Administrative Assistant position. The Board estimates annual
salary expenditures for the new positions of $155,000. Annual additional operating costs for
The Honorable Brenda Landwehr, Chairperson
Page 2—HB 2339

phone, email, and internet access are estimated at $3,600. One-time costs in FY 2020 of $21,000
for furniture and equipment, $1,260 for public hearing and publication costs, and $1,000 for
creating applications and forms would also be required. The total estimated cost for
implementation of the bill would be $181,860 in FY 2020 and $158,600 in subsequent years. Any
fiscal effect associated with HB 2339 is not reflected in The FY 2020 Governor’s Budget Report.


Sincerely,

Larry L. Campbell
Director of the Budget


cc: Beth Visocsky, Board of Healing Arts


Statutes affected:
As introduced: 65-1626, 65-4101, 65-7202, 65-28, 65-7207, 65-7208, 65-7209, 65-7210, 65-7214, 65-7215, 65-7212