Practice Agreement · NP
Nurse Practitioner Practice Agreement in Kansas
Kansas law does not require a Nurse Practitioner to hold a named agreement with a physician. Practices still use one to define the working relationship; here is what it covers and what the state does require.
Senate Sub. for H.B. 2279 (eff. 7/1/2022) removed all supervising-physician/collaborative-practice-agreement/prescribing-protocol language from K.S.A. 65-1130 — an NP may practice and prescribe under their own license with no experience threshold, subject only to malpractice insurance, national certification, and DEA registration requirements.
What a Nurse Practitioner practice agreement covers in Kansas
Governed by the Kansas State Board of Nursing and the Kansas State Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
Kansas does not require the Nurse Practitioner to enter into a supervision or collaboration agreement with a physician for diagnosis, treatment, or prescribing, including controlled substances subject to DEA and Kansas State Board of Pharmacy registration, consistent with KSA 65-1130, as amended by 2022 House Bill 2279. The Nurse Practitioner practices under the Nurse Practitioner's own license.
This Agreement's terms regarding the Nurse Practitioner accordingly serve to define the working relationship, referral pathways, and any Medical Director oversight between the Parties, and are not themselves required by Kansas law as a condition of the Nurse Practitioner's authority to practice.
- The agreement on file also carries 1 scope, 1 education, 1 registration clauses, generated in the document itself.
Statutes and rules cited
- K.S.A. 65-1626astatute
Defines a collaborative practice agreement / collaborative drug therapy management between one or more pharmacists and physicians, and sets the conditions under which a physician may delegate pharmaceutical patient care functions to a pharmacist.
Terms it has to carry
Ratio, proximity, chart review, meeting and prescribing terms the agreement has to carry, from the state's supervision rules.
Proximity
No proximity requirement
No physician availability/proximity standard applies post-2022 reform (K.S.A. 65-1130, as amended).
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
May prescribe controlled substances without a physician-authored prescribing protocol; may NOT prescribe any drug intended to cause an abortion (K.S.A. 65-1130, as amended). Requires DEA registration.
Written agreement
Not required
Unconditional since 7/1/2022. A hospital or physician's refusal to enter a voluntary collaborative arrangement does not limit an NP's right to practice (K.S.A. 65-1130, as amended).
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Kansas permits a combined-profession entity of osteopathic physicians, MDs, registered nurses (which includes NPs), physician assistants, occupational therapists, audiologists, and speech-pathologists to jointly own a professional corporation/LLC — no physician-majority requirement was identified for this combination in this pass.
Legal sources for these rules (3)
About Kansas's rules
Senate Sub. for H.B. 2279 (eff. July 1, 2022) made Kansas a full-practice-authority state for all APRN categories (NP/PMHNP/CRNA/CNM/CNS) — no collaborative practice agreement, supervising physician, or prescribing protocol is required, with no experience threshold. The Kansas Medical Society has publicly disputed how far Board of Nursing regulations implementing this reform extend, calling some language an unauthorized expansion into medical practice — an unresolved legal/political dispute, not settled law. PAs are unaffected by this reform and remain supervised.
Other clinicians in Kansas: see the state overview.