Bill
HB 2305
Requiring providers to report abortion complications to KDHE for public and CDC reporting, with penalties for noncompliance starting Sept 1, 2025.
Status and procedural history
- Introduced: January 31, 2025
- Referred to: House Committee on Health and Human Services
- Fiscal note issued: March 3, 2025
- Effective: upon publication in the statute book (per Sec. 2 of the bill)
Purpose / intent
- To require healthcare providers to report specified physical and psychological complications that arise from the induction or performance of an abortion to the Kansas Department of Health and Environment (KDHE), to enable public and federal (CDC) aggregation and reporting of abortion-complication data.
Key definitions
- "Abortion complication": a detailed list of physical and psychological conditions (e.g., uterine perforation, cervical laceration, infection, grade ≥2 vaginal bleeding per CTCAE, pulmonary embolism, incomplete abortion/retained tissue, missed ectopic pregnancy, cardiac or respiratory arrest, renal failure, shock, amniotic fluid embolism, coma, certain subsequent-pregnancy outcomes such as placenta previa or pre-term delivery, psychological complications including depression/suicidal ideation/anxiety/sleep disorders, death, and other adverse events per FDA criteria).
- "Healthcare provider": (A) licensed physicians (state board of healing arts), (B) “mid-level practitioners” as defined at K.S.A. 65-1626, and (C) behavioral sciences regulatory board licensees with clinical diagnoses within their scope.
- "Patient": any woman treated for an abortion-related complication subject to reporting.
Reporting requirements (substance)
- Providers must report each case of an abortion complication to KDHE.
- KDHE must develop the report submission process and form prior to September 1, 2025; reporting required after that date.
- Required data fields (selected highlights): date patient presented, age, race, county/state of residence, type and date of abortion, facility name, whether medications obtained by mail/website (and source), whether abortion provider previously managed the complication, medications used in pharmaceutical abortion regimen, lists of diagnosed and treated complications with treatment descriptions, whether visit was original or follow-up (with follow-up dates and details).
Public and federal reporting
- KDHE must compile and publish a public summary report on a quarterly basis (statistics for prior calendar quarter, plus updated data for most recent quarter).
- KDHE must submit aggregated data to the U.S. Centers for Disease Control and Prevention for inclusion in the annual vital statistics report on or before June 30 each year.
- KDHE must ensure no identifying patient information is included in the CDC submission.
Enforcement and penalties
- Starting September 1, 2025, failure to report as required is a class B nonperson misdemeanor.
Estimated fiscal and administrative impact
- KDHE estimates one-time State General Fund costs of $51,624 in FY2025 for system development, testing, and implementation to meet the bill’s reporting requirements.
- Ongoing costs for quarterly and annual reporting are estimated at $2,188 annually.
- The Office of Judicial Administration notes potential increases in district court caseloads (due to the new misdemeanor) but cannot estimate total fiscal impact; fines/docket fees from any cases would be deposited to the State General Fund.
- Kansas State Board of Healing Arts reports no anticipated fiscal effect.
Who is affected
- Healthcare providers (physicians, mid-level practitioners, certain behavioral health licensees) — new mandatory reporting duties and possible criminal penalty for noncompliance.
- Medical facilities and KDHE — new data-collection and reporting processes.
- Patients — clinical events will be reported in aggregate (KDHE required to remove identifying information for CDC reporting), and public quarterly summaries will be published.
Notes / considerations
- The bill specifies a comprehensive list of complications and requires detailed case-level data elements, which may increase administrative burden on providers and facilities.
- KDHE must enact technical systems and procedures quickly (by Sept 1, 2025) to receive reports and meet federal submission timelines.
Compiled from official sources — confirm details with the bill’s official record.
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