CRNA · Kansas
Supervision Agreement for Certified Registered Nurse Anesthetists in Kansas
No. Certified Registered Nurse Anesthetists 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 CRNAs along with the other APRN categories. Kansas is NOT a CMS Medicare anesthesia-supervision opt-out state — that federal reimbursement rule is separate from, and narrower than, this state licensure question; individual hospitals/facilities may still contractually require physician involvement in anesthesia care.
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 under state licensure law 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
Same statutory scope as general NPs (K.S.A. 65-1130); prescribing in practice is scoped to anesthesia/periprocedural care rather than general outpatient practice, though this scoping reflects clinical norms rather than a distinct statutory limit confirmed in this pass.
Written agreement
Not required
Unconditional under state licensure law since 7/1/2022 — but Kansas has not opted out of the federal CMS physician-supervision-of-anesthesia condition of Medicare participation, so a facility billing Medicare may still require physician involvement as a matter of federal reimbursement rules, not state licensure.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same combined-profession entity pathway as the general `np` entry — CRNAs, as registered nurses, are covered by the same RN/physician/PA co-ownership combination.
Legal sources for these rules (2)
What a supervising physician costs here
Typical monthly cost in Kansas
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. 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.