Division of the Budget
Landon State Office Building Phone: (785) 296-2436
900 SW Jackson Street, Room 504 adam.c.proffitt@ks.gov
Topeka, KS 66612 Division of the Budget http://budget.kansas.gov
Adam Proffitt, Director Laura Kelly, Governor

February 6, 2023

The Honorable Beverly Gossage, Chairperson
Senate Committee on Public Health and Welfare
300 SW 10th Avenue, Room 142-S
Topeka, Kansas 66612
Dear Senator Gossage:
SUBJECT: Fiscal Note for SB 118 by Senate Committee on Federal and State Affairs
In accordance with KSA 75-3715a, the following fiscal note concerning SB 118 is
respectfully submitted to your committee.
SB 118 would expand statutory duties and outline new requirements for the Secretary of
Health and Environment related to maternal and child health, including maternal death review.
The bill would add definitions to KSA 65-177 to include performance indicator, performance
measure, and performance objective. The bill would extend the sunset of various provisions
related to confidentiality of records from July 1, 2023, to July 1, 2028. A specialized review form
would be required in maternal death cases and an external community review committee would be
required to review certain cases as outlined in the bill.

Estimated State Fiscal Effect
FY 2023 FY 2023 FY 2024 FY 2024
SGF All Funds SGF All Funds
Revenue -- -- -- --
Expenditure -- 57,115 -- 57,115
FTE Pos. -- -- -- --
According to the Kansas Department of Health and Environment, enactment of SB 118
would increase expenditures by $57,115 in FY 2023 and each fiscal year thereafter. This would
include $42,300 for additional perinatal quality collaborative contractors for time required to
support local providers with using data to drive action and changes to improve maternal health,
and $14,815 for additional staff time needed for legal work and to pull and analyze data, provide
The Honorable Beverly Gossage, Chairperson
Page 2—SB 118

technical assistance, and develop reports. The agency notes that existing federal funding could be
redirected to implement changes required by SB 118, however, this would reduce resources for
other maternal and child health services delivered at the local level. Any fiscal effect associated
with SB 118 is not reflected in The FY 2024 Governor’s Budget Report.


Adam Proffitt
Director of the Budget

cc: Amy Penrod, Department of Health & Environment

Statutes affected:
As introduced: 65-177