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


March 23, 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 319 by Senate Committee on Ways and Means
In accordance with KSA 75-3715a, the following fiscal note concerning SB 319 is
respectfully submitted to your committee.
SB 319 would establish the Alternatives to Abortion Program and the Alternatives to
Abortion Public Awareness Program, both to be administered by the Secretary of the Department
for Children and Families (DCF). The Alternative to Abortion Program would serve as a statewide
program to enhance and increase resources that promote childbirth instead of abortion to women
facing unplanned pregnancies. The program would offer a full range of services, including
pregnancy support centers, adoption assistance, and maternity homes. The Alternatives to
Abortion Public Awareness Program would help pregnant women who are at risk of having
abortions to be made aware of the alternatives to abortion services made available. The program
would include the development and promotion of a website that provides a geographically indexed
list of alternatives to abortion services and subcontractors available. DCF would be required to
administer both programs and supplement and match monies appropriated to both programs which
would be contracted by the State Treasurer to a nonprofit organization. The contracts would be
for a term no longer than two years; to include a fine assessed by the State Treasurer against any
nonprofit organization for failure to satisfy the requirements of the bill or the intentional or reckless
misuse of any funds; and to require an annual report from the nonprofit organization.
The Kansas Department of Health and Environment (KDHE) administers the Stan Clark
Pregnancy Maintenance Initiative which is a state grant program designed to help low-income
women carry pregnancies to term. It granted $338,846 in FY 2022 to 10 agencies which provided
educational and vocational support, prenatal care, and postnatal services to 834 program
participants. This is an average of $406 per participant and this program contains many, but not
all, of the elements detailed in SB 319.
DCF indicates that if the agency would be required to implement such a program, that the
nonprofit organization contracted with by the State Treasurer would provide all the services in the
bill, assessments to determine participants served, and any subcontracting to offer a full range of
services. DCF requirements would be to coordinate with the State Treasurer for the program
The Honorable Beverly Gossage, Chairperson
Page 2—SB 319

management contract and to provide supplementing and matching moneys with federal and other
public and private funding to moneys appropriated to this program.
DCF states that the only federal funding that would be applicable to this program is
Temporary Assistance for Needy Families (TANF) which is fully obligated. All proposed items
may not be a TANF eligible service. Since DCF is currently spending more TANF than the annual
grant, the use of TANF for this purpose would require a reduction in other TANF funded programs
or services.
Assumptions for Population to Serve
2021 2020 2019 2018
Total Abortions Reported in Kansas by Year 7,849 7,847 6,904 6,996
Total Abortions Reported for Kansas Residents 3,937 3,641 3,543 3,550
Per historical abortion data reported by KDHE, DCF estimates that abortions for Kansas
residents will increase by 3.75 percent each year making the number for 2024 approximately 4,400.
DCF assumes that these women would represent the primary group of program participants the
agency should anticipate. If program participants were to receive services in the amount of $406,
as seen in the Stan Clark program, the result would be an estimated fiscal effect on expenditures
of $1,786,400 from the State General Fund. Regarding the biological fathers of the unborn and
the biological or adoptive parents of children 24 months of age or younger, the agency is not able
to provide an estimate of the number who would request services.
The State Treasurer’s Office indicates that SB 319 would require the Office to account for
receipts and disbursements, develop a Request for Proposal for the program management contract,
and formally enter into the program management contract on behalf of the State of Kansas. The
State Treasurer would be permitted to assess a fine of 10.0 percent of funds awarded to any
nonprofit organization if the organization does not satisfy the requirements in the bill or for the
reckless misuse of any funds awarded. Amounts collected from the fines would be deposited to
the State General Fund. The contracting and accounting duties required by the Office would be
performed using existing resources and any additional revenue is unknown. The Kansas
Department of Revenue and the Kansas Department of Health and Environment indicate that SB
319 would have no fiscal effect on the agencies. Any fiscal effect associated with SB 319 is not
reflected in The FY 2024 Governor’s Budget Report.


Sincerely,

Adam Proffitt
Director of the Budget

cc: Kim Holter, Department for Children & Families
John Hedges, Office of the State Treasurer