NP · Kansas
Supervision Agreement for Nurse Practitioners in Kansas
No. Nurse Practitioners practice independently here. 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 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 (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)
What a supervising 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.