Practice Agreement · RN
Registered Nurse Practice Agreement in Kansas
Kansas law does not require a Registered Nurse 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.
RNs (general licensure, not an APRN) are not subject to a physician-supervision or collaborative-practice-agreement requirement in Kansas. RNs practice under a physician's orders, standing orders, or delegation, consistent with the Kansas Nurse Practice Act — categorically different from the collaborative-practice framework that (pre-2022) applied to APRNs.
What a Registered Nurse practice agreement covers in Kansas
Governed by the Kansas State Board of Nursing. Each numbered item is a statutory requirement the agreement must satisfy.
The Registered Nurse ("RN") shall practice under the orders, standing orders, or delegation of the Physician, consistent with KSA Chapter 65, Article 11. Kansas law does not require a supervision or collaboration agreement for this Registered Nurse's general scope of practice; the Physician shall instead be available to the Registered Nurse for consultation regarding clinical and patient care issues arising under any order or delegation.
- The agreement on file also carries 2 scope, 2 education, 2 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
Not codified — left to the agreement
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 · no controlled-substance authority
RNs do not have independent prescriptive authority in Kansas; they administer medications pursuant to the orders of a licensed prescriber.
Written agreement
Not required
Unconditional — general RN licensure has never been subject to a physician collaboration/supervision agreement in Kansas.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — General RN licensure does not implicate the physician-only professional-corporation regime in the first place — non-clinical businesses an RN might own fall outside that framework and carry no ownership restriction confirmed in this pass.
Legal sources for these rules (1)
- K.S.A. 65-1113 et seq. — Kansas Nurse Practice Act
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.