All Roll Calls
Yes: 306 • No: 18
KansasHB 20682025–2026 Regular SessionHouseWALLET
Establishing the remote practice of pharmacy, requiring certain conditions for such practice and limiting activities performed under such practice, permitting a pharmacist to initiate therapy for certain conditions consistent with the pharmacist's education, training and experience, adding pharmacists who initiate such therapy to the healthcare stabilization fund and allowing a pharmacist to dispense a one-time emergency refill of a noncontrolled prescription drug for up to a 90-day supply when no refills remain, adopting compounding standards established by the United States pharmacopeia and allowing for exemptions from such standards and removing the authority of the state board of pharmacy to authorize individuals to access the prescription monitoring program database by rules and regulations.
Sponsored By: Sponsor information unavailable
Signed by Governor
public health and welfarehealth and human services
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 0 benefits, 0 costs, 5 mixed.
Pharmacists can start minor care, emergency refills
Pharmacists can start limited therapy for minor or self‑limiting conditions, when guided by a CLIA‑waived test, or in an emergency. Only enough medicine or equipment is supplied until you can see your doctor. This authority begins July 1, 2022. You can also get a one‑time emergency refill of a noncontrolled prescription for up to a 90‑day supply when no refills remain and the pharmacist decides it is needed to avoid a gap in care. Pharmacists cannot prescribe controlled substances, except for medicines to treat opioid use disorder or for medication‑assisted treatment. Statewide protocols set allowed medicines, training, records, inclusion/exclusion rules, referrals, and when to notify your primary care provider. Pharmacists must confirm each act is within their training and the standard of care and can face discipline for breaking protocol. Starting January 1, 2028, pharmacists who independently initiate therapy must carry professional liability insurance.
New U.S. Pharmacopeia compounding standards
Kansas adopts U.S. Pharmacopeia compounding standards (chapters 795, 797, and 825) starting July 1, 2027. The board may set rules and allow exemptions or waivers. This raises quality standards for compounded drugs and may add compliance costs for pharmacies that compound.
Training rules for remote techs and interns
Technicians must complete at least 240 hours of in‑pharmacy training, pass a board‑approved certification, and sign that they understand the remote‑practice manual before working remotely. Interns may work remotely only after finishing the first year of pharmacy school and staying in good standing. Remote intern hours count toward required hours only when a supervising pharmacist is continuously present by live video and audio. Under pharmacist supervision, remote interns and technicians may process prescriptions, send automated requests, call prescribers or patients to clarify information, and transfer prescriptions.
Remote pharmacy work allowed with guardrails
Kansas-licensed pharmacies can use remote pharmacists, interns, and technicians if they follow new rules. Remote work areas must be private, and the pharmacy must provide and secure the devices used. A remote pharmacist may supervise remote interns or technicians, but cannot supervise staff who are inside the pharmacy; normal ratios still apply. A remote pharmacist cannot handle pharmacy-owned drugs or package, compound, dispense, or label while remote. These remote-practice rules do not apply to medical care facility pharmacies.
Remote pharmacy admin and privacy rules
The pharmacist‑in‑charge must post a notice when the pharmacy uses remote workers. Pharmacies must keep a remote‑practice policy and procedure manual and review it at least once a year. They must keep all required pharmacy records for five years and keep a two‑year roster of each remote worker’s name, license, every remote address, and contact info. Personal contact information for remote workers is confidential and not open to the public until July 1, 2031.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/23/2026
Yea: 107 Nay: 18
Yes: 107 • No: 18
House vote • 4/23/2026
Yea: 40 Nay: 0
Yes: 40 • No: 0
House vote • 4/23/2026
Yea: 40 Nay: 0
Yes: 40 • No: 0
House vote • 4/23/2026
Yea: 119 Nay: 0
Yes: 119 • No: 0
Actions Timeline
Engrossed on Wednesday, April 1, 2026
4/9/2026HouseEnrolled and presented to Governor on Friday, April 3, 2026
4/9/2026HouseApproved by Governor on Thursday, April 9, 2026
4/9/2026HouseSubstitute motion to not adopt and appoint a conference committee failed
3/26/2026HouseConference Committee Report was adopted; Yea: 107 Nay: 18
3/26/2026HouseConference committee report now available
3/25/2026SenateConference Committee Report was adopted; Yea: 40 Nay: 0
3/25/2026SenateNonconcurred with amendments; Conference Committee requested; appointed Representative Carpenter, W. , Representative Bryce and Representative Ruiz, S. as conferees
3/20/2025HouseMotion to accede adopted; Senator Gossage, Senator Clifford and Senator Holscher appointed as conferees
3/20/2025SenateFinal Action - Passed as amended; Yea: 40 Nay: 0
3/19/2025SenateCommittee of the Whole - Committee Report be adopted
3/18/2025SenateCommittee of the Whole - Be passed as amended
3/18/2025SenateCommittee Report recommending bill be passed as amended by Committee on Public Health and Welfare
3/10/2025SenateHearing: Tuesday, February 25, 2025, 8:30 AM Room 142-S
2/25/2025SenateReferred to Committee on Public Health and Welfare
2/18/2025SenateReceived and Introduced
2/17/2025SenateCommittee of the Whole - Be passed
2/14/2025HouseEmergency Final Action - Passed; Yea: 119 Nay: 0
2/14/2025HouseCommittee Report recommending bill be passed by Committee on Health and Human Services
2/6/2025HouseHearing: Wednesday, February 5, 2025, 1:30 PM Room 112-N
2/5/2025HouseIntroduced
1/23/2025HouseReferred to Committee on Health and Human Services
1/23/2025House
Bill Text
As Amended by Senate Committee
As introduced
Enrolled
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