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HB 2199

Authorizing the Kansas state employees health care commission to provide insurance coverage for certain allergen introduction dietary supplements for infants under the state health care benefits program and requiring the commission to submit an impact report to the legislature if such coverage is provided.

2025-2026 Regular Session

The bill allows Kansas to optionally cover early allergen-introduction dietary supplements for infants in the State Employee Health Plan starting 2026, with a 2027 impact report an

Died in Committee
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Bill Summary · HB 2199

Summary — HB 2199 (Kansas, 2025)

Purpose

HB 2199 authorizes the Kansas State Employees Health Care Commission to provide, beginning in the 2026 plan year, coverage under the State Employee Health Plan for certain prescribed infant dietary supplements used to introduce egg or peanut allergens early in infancy to reduce the risk of food allergy. If the Commission elects to provide this coverage, the bill also requires an impact report to the Legislature and enables the Legislature to consider requiring similar coverage in other insurance products beginning January 1, 2028.

Key provisions

  • Definitions
    • “Dietary supplement” is defined by reference to the Federal Food, Drug, and Cosmetic Act (21 U.S.C. § 321, as of July 1, 2025).
    • “Early egg/peanut allergen introduction dietary supplement” means a dietary supplement prescribed to an infant by a health care provider that contains infant-safe, well‑cooked egg protein or infant-safe peanut protein sufficient to reduce food allergy risk.
    • “Infant” means a child under one year of age.
  • Coverage authorization
    • The State Employees Health Care Commission may (not must) provide coverage for these prescribed early allergen-introduction supplements in the health plan year beginning January 1, 2026.
  • Reporting requirement (if coverage is provided)
    • On or before March 1, 2027, the Commission must report to the President of the Senate and Speaker of the House:
    • The impact of the coverage on the State Health Care Benefits Program;
    • Utilization data and the costs of providing the coverage during the 2026 plan year; and
    • A recommendation on whether the coverage should continue or whether more data is needed.
  • Potential statewide mandate
    • After the report, the Legislature may consider requiring the coverage in any individual or group health insurance product, plans, or providers delivering accident and health coverage in Kansas on or after January 1, 2028.

Who is affected

  • Primary: Participants in the Kansas State Employee Health Plan (including local governments that participate in the Plan).
  • Secondary: Potentially all Kansas health insurers, medical service plans, HMOs, etc., if the Legislature later enacts a mandate following receipt of the report.

Fiscal impact (Division of the Budget fiscal note, Feb 20, 2025)

  • Estimated participation: ~668 infants.
  • Estimated per-child annual cost: $241.44 (treatment $239.94 + admin $1.50).
  • Total annual cost: $161,281.92 for full 2026 year.
  • FY 2026 (first year, half-year cost beginning Jan 1, 2026): $80,640.96 from the Health Benefits Administration Clearing Fund.
  • FY 2027 (projected with 8.5% price increase): $174,990.88 from the same fund.
  • Note: Over‑the‑counter dietary supplements are generally not typically covered by Kansas health insurance; these estimated costs would be borne from plan premium funds.

Procedural / timeline notes

  • Introduced: January 29, 2025.
  • Status: Referred to Committee on Insurance (per provided status).
  • If the Commission implements coverage for the 2026 plan year (Jan 1–Dec 31, 2026), report due March 1, 2027.
  • Legislature could act to require broader coverage effective for products delivered/amended/renewed on or after January 1, 2028.

Additional notes

  • The bill is permissive for the Commission (it “may provide” coverage) rather than an immediate mandate.
  • Any wider insurance mandate would require subsequent legislative action after review of the Commission’s report.

Compiled from official sources — confirm details with the bill’s official record.

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