CNM · Kansas
Supervision Agreement for Certified Nurse-Midwives in Kansas
No. Certified Nurse-Midwives practice independently here. Kansas does not require one.
The 2022 reform's repeal of collaborative-practice-agreement/supervising-physician language in K.S.A. 65-1130 applies to CNMs along with the other APRN categories — no experience threshold or agreement is required.
What the supervision 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.
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 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.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same combined-profession entity pathway as the general `np` entry.
Legal sources for these rules (1)
What a supervising physician costs here
Typical monthly cost in Kansas
$500 – $600
Estimate for one Certified Nurse-Midwife. 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.