SESSION OF 2023
SUPPLEMENTAL NOTE ON SENATE BILL NO. 98
As Amended by Senate Committee on
Education

Brief*
SB 98, as amended, would include medical residency
training programs in obstetrics and gynecology (OBGYN) as
part of the postgraduate medical residency programs a
person could enter into in order to qualify for state medical
student and medical residency loan assistance.
Under current law, the University of Kansas Medical
Center (KUMC) administers two loan programs to incentivize
the practice of medicine in certain areas of the state and in
certain facilities of the state: the Medical Student Loan
Program and the Medical Residency Bridging Program (loan
programs). The bill would add OBGYN to the list of approved
qualifying residency programs for both loan programs.
Under current law, any person who fails to complete an
approved residency training program or fails to satisfy the
obligation to engage in the full-time practice of medicine and
surgery within a service commitment area for the required
period of time must repay all money received from the
Medical Student Loan Program or the Medical Residency
Bridging Program, plus accumulated interest at an annual
rate of 15 percent.
The bill would exempt a person, or a person’s spouse,
who is unable to satisfy their obligations due to active military
service from paying the 15 percent annual interest rate on
any moneys received under such programs. Similarly, the bill
would allow a person participating in a health-related
____________________
*Supplemental notes are prepared by the Legislative Research
Department and do not express legislative intent. The supplemental
note and fiscal note for this bill may be accessed on the Internet at
http://www.kslegislature.org
fellowship to postpone the obligation to engage in the practice
of medicine and surgery for not more than one year.
The bill would prohibit a person who completed an
approved OBGYN residency training program from
performing or inducing, or attempting to perform or induce, an
abortion, or work for or create a clinic that performs or
induces abortions during the time such person is satisfying
the service requirement under the loan programs. A person
who fails to satisfy the service requirement due to the
performance or inducement, or attempt at such, of an
abortion would be required to repay all money received
pursuant to the loan, plus accumulated interest at an annual
rate of 15 percent. [Note: A person who performs or induces,
or attempts to perform or induce, an abortion in the case of a
medical emergency or in the case of a pregnancy resulting
from rape or incest would not be deemed to have failed to
complete the service requirement.]
The bill would also establish the OBGYN Medical Loan
Repayment Fund and the OBGYN Medical Residency
Bridging Fund to be used for OBGYN residency training
programs.
The bill would authorize the Kansas Board of Regents to
award osteopathic medical service scholarships to Kansas
residents who are undergraduate students enrolled in or
admitted to pre-accredited schools of osteopathic medicine.

Background
The bill was introduced by the Senate Committee on
Education at the request of a representative of the Kansas
Chapter of the American College of Obstetricians and
Gynecologists.


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Senate Committee on Education
In the Senate Committee hearing on February 20, 2023,
proponent testimony was provided by representatives of the
Kansas Health Science Center - Kansas College of
Osteopathic Medicine and the Kansas Section of the
American College of Obstetricians and Gynecologists, and a
private citizen. Written-only proponent testimony was
provided by the Executive Director of the Kansas Medical
Society and two representatives of the Kansas College of
Osteopathic Medicine. Proponents testified generally that the
bill would help to ensure that Kansans who live in rural areas
of the state have access to quality OBGYN services.
Neutral testimony was provided by a representative of
KUMC, who provided general information on the Medical
Student Loan Program and the Medical Residency Bridging
Program.
No other testimony was provided.
The Senate Committee amended the bill to:
● Remove the 15 percent annual interest rate penalty
during the time period a person is unable to satisfy
their obligations under the programs due to active
military service;
● Extend scholarship eligibility to Kansas students
who attend pre-accredited schools of osteopathic
medicine; and
● Postpone the obligation to engage in the practice
of medicine and surgery for not more than one year
during which a person participates in a health-
related fellowship program.


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Fiscal Information
According to the fiscal note prepared by the Division of
the Budget on the bill, as introduced, KUMC indicates the bill
would require an additional $57,327 per OBGYN medical
student loan agreement and $10,000 per OBGYN medical
residency bridging loan agreement annually; however,
payments would be subject to appropriations. KUMC
indicates that without additional state appropriation, the
expansion could reduce available awards that would have
otherwise gone to students enrolled in primary care
programs. KUMC estimates the bill would increase annual
expenditures by $27,000, for an additional 0.4 FTE position to
administer the program.
Medical student loan program; residency training program; service commitment area;
osteopathic medical service scholarship; OBGYN medical loan repayment fund


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Statutes affected:
As introduced: 76-386a, 76-381, 76-711, 76-383, 76-385, 76-387
As Amended by Senate Committee: 76-386a, 74-3265, 74-3268, 76-381, 76-711, 76-383, 76-385, 76-386, 76-387