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 18, 2019


The Honorable Gene Suellentrop, Chairperson
Senate Committee on Public Health and Welfare
Statehouse, Room 441-E
Topeka, Kansas 66612
Dear Senator Suellentrop:
SUBJECT: Fiscal Note for SB 223 by Senate Committee on Federal and State Affairs
In accordance with KSA 75-3715a, the following fiscal note concerning SB 223 is
respectfully submitted to your committee.
SB 223 would create the Anesthesiologist Assistant Licensure Act. In order to practice in
Kansas, anesthesiologist assistants would have to be licensed by the Kansas Board of Healing Arts
beginning January 6, 2020. The bill includes definitions of terms, establishes licensure
requirements, maximum license fees, and causes for revoking, suspending, or limiting a license.
The bill would limit the number of anesthesiologist assistants an anesthesiologist could supervise
at any one time to four. The bill would establish the Anesthesiologist Assistant Council within the
Board of Healing Arts to advise the Board in carrying out the provisions of the Act.

Estimated State Fiscal Effect
FY 2019 FY 2019 FY 2020 FY 2020
SGF All Funds SGF All Funds
Revenue -- -- $400 $4,000
Expenditure -- -- -- $63,483
FTE Pos. -- -- -- 1.00
The State Board of Healing Arts states that enactment of this bill would result in significant
change in agency responsibilities. The Board would need to train licensing staff on this new
licensing group. Board staff would also need to draft and implement rules and regulations and
create applications, forms, booklets, and other affected on-line or agency website items to reflect
the new regulatory status of licensure and the new scope of practice. Reports and complaints of
practitioners not complying with new licensure category requirements may increase the number of
investigations and disciplinary cases assigned to and performed by board staff. Substantial
The Honorable Gene Suellentrop, Chairperson
Page 2—SB 223

changes would also need to be made to the Board’s electronic database and on-line renewal system;
however, most of this work could be accomplished in-house with existing IT staff.
The Board states that agency staff is currently at full workload capacity. Any increase in
complaints, investigations, and caseloads would necessitate an increase in staff positions to
accomplish the agency’s statutory requirements. The agency estimates 1.00 additional legal
assistant FTE position would be required to research and assist with drafting rules and regulations
mandated by this bill. The Board estimates additional expenditures in FY 2020 of $63,483 from
the agency fee fund. The amount includes $47,023 for salary and wage expenditures and $16,460
for other operating expenditures, of which $7,000 would be one-time expenditures for office
equipment.
The Board also estimates additional revenue of $4,000 in FY 2020 from licensing fees for
the new group, 10.0 percent of those fees would be deposited in the State General Fund and the
rest would be deposited in the agency fee fund. Any fiscal effect associated with SB 223 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: 65-1163, 65-28, 65-28a02