NP · Kansas
Collaborative Drug Therapy Management for Nurse Practitioners in Kansas
No. Nurse Practitioners here prescribe and adjust drug therapy on their own authority. Kansas does not require one.
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 the physician relationship must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
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
Meeting cadence
Not codified
Prescriptive authority
No agreement needed to prescribe · 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 — Combined-profession professional corporation or LLC of MDs, DOs, registered nurses (including NPs), physician assistants, occupational therapists, audiologists and speech-pathologists; no physician-majority requirement identified
Sources for the supervision rules (3)
What a collaborating physician costs here
Typical monthly cost in Kansas
$500 – $600
Estimate for one Nurse Practitioner. Standard-tier state.
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.