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
Adam Proffitt, Director Laura Kelly, Governor

January 27, 2021

The Honorable Jeff Longbine, Chairperson
Senate Committee on Insurance
Statehouse, Room 235A-E
Topeka, Kansas 66612
Dear Senator Longbine:
SUBJECT: Fiscal Note for SB 48 by Senator Sykes
In accordance with KSA 75-3715a, the following fiscal note concerning SB 48 is
respectfully submitted to your committee.
SB 48 would require a health insurer that provides benefits for diagnostic breast cancer
examinations to ensure that the cost-sharing requirements and treatment limitations that are
applicable to a diagnostic examination are not less favorable than the requirements and limitations
that apply to a screening examination for an insured.

Estimated State Fiscal Effect
FY 2021 FY 2021 FY 2022 FY 2022
SGF All Funds SGF All Funds
Revenue -- -- -- --
Expenditure -- -- -- $122,067
FTE Pos. -- -- -- --
The Kansas Department of Health and Environment states that the State Employee Health
Plan (SEHP) currently covers mammograms for women as a preventative service with no member
cost share. The plan does not limit the number of eligible mammograms covered. The added costs
to the SEHP would be to provide coverage to male members and for diagnostic magnetic resonance
imaging and ultrasound screenings. The Department estimates the bill would increase costs to the
SEHP by $122,067 from special revenue funds in FY 2022. The estimate assumes a first-year
annual cost increase of $244,134. However, because the maximum out-of-pocket cost share
obligation would not go into effect until January 1, 2022, only half of the annual costs would apply
The Honorable Jeff Longbine, Chairperson
Page 2—SB 48

to FY 2022. The Department estimates the cost would increase to $257,561 in the out years, which
assumes a usage and cost increase of $13,427 or 5.5 percent. The Kansas Insurance Department
states that the passage of the bill would not have a fiscal effect on the agency. Any fiscal effect
associated with SB 48 is not reflected in The FY 2022 Governor’s Budget Report.


Adam Proffitt
Director of the Budget

cc: Jeff Scannell, Department of Administration
Dan Thimmesch, Health & Environment
Bobbi Mariani, Insurance

Statutes affected:
As introduced: 40-2, 40-19c09, 40-2407, 40-2411