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 28, 2021


The Honorable Richard Hilderbrand, Chairperson
Senate Committee on Public Health and Welfare
Statehouse, Room 445A-S
Topeka, Kansas 66612
Dear Senator Hilderbrand:
SUBJECT: Fiscal Note for SB 42 by Senate Committee on Federal and State Affairs
In accordance with KSA 75-3715a, the following fiscal note concerning SB 42 is
respectfully submitted to your committee.
SB 42 would expand the duties of the Secretary of Health and Environment when
investigating cases of maternal death. The Secretary would be required to perform the following
duties in addition to the duties under current law:
1. Utilize a social determinants of health review form that includes a section on racial
inequities in healthcare, including racial discrimination and other factors related to racism;
2. Work with healthcare providers and healthcare facilities to promote the continuity of
maternal healthcare for women during and after pregnancy;
3. Help healthcare providers and healthcare facilities develop and implement performance
measures prioritized by the Secretary in accordance with the Maternal and Child Health
Services Block Grant;
4. Strengthen the ability of local health officers to generate and compile maternal healthcare
performance indicators; and
5. Establish an external community review committee that includes stakeholders of color, has
access to publicly available data and externally reviews Black maternal death cases.
The bill would also extend certain confidentiality provisions from July 1, 2023 to July 1,
2026.
The Honorable Richard Hilderbrand, Chairperson
Page 2—SB 42

Estimated State Fiscal Effect
FY 2021 FY 2021 FY 2022 FY 2022
SGF All Funds SGF All Funds
Revenue -- -- -- --
Expenditure -- -- -- 30,300
FTE Pos. -- -- -- --
The Kansas Department of Health and Environment (KDHE) estimates the bill would
require additional expenditures of $30,300 from federal funds in FY 2022. This amount includes
$24,300 for Perinatal Quality Collaborative contract costs to support local providers; $5,000 for
contract costs to work through changes in protocol and processes related to abstraction, review,
and documentation of case findings; and $1,000 for abstractor time required to develop a method
to capture and track social determinants of health and health disparities. KDHE indicates it would
also incur costs related to additional staff time to pull data, provide technical assistance, and
develop reports. However, the agency estimates the expenditures for staff time could be absorbed
within existing resources. KDHE notes that no new funding has been identified to implement the
bill, and if the bill passes existing federal funds would be redirected to implement the changes.
The Department for Children and Families, the Judiciary, and the Kansas Bureau of
Investigation each indicate the bill would have no fiscal effect. Any fiscal effect associated with
SB 42 is not reflected in The FY 2022 Governor’s Budget Report.


Sincerely,

Adam Proffitt
Director of the Budget

cc: Dan Thimmesch, Health & Environment


Statutes affected:
As introduced: 65-177