All Roll Calls
Yes: 612 • No: 36
KansasHB 20682025–2026 Regular SessionHouse
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: Committee on Commerce, Labor and Economic Development
Signed by Governor
senate committee on public health and welfarehouse committee on health and human services
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Bill Overview
Analyzed Economic Effects
7 provisions identified: 2 benefits, 1 costs, 4 mixed.
Patients gain one emergency prescription refill
A pharmacist can give one emergency refill of a noncontrolled prescription drug when no refills remain. The pharmacist must find that continuing treatment is needed to prevent a break in care. The refill can cover up to 90 days. This authority does not cover controlled drugs or repeated emergency refills.
New preparation standards for compounded medicines
Beginning July 1, 2027, Kansas adopts United States Pharmacopeia chapters 795, 797, and 825 for compounding medicines. The standards include referenced companion documents and use the versions in effect on that date. The Pharmacy Board can issue rules for compounding and distribution. It can also establish exemptions or waivers from the standards.
Therapy-starting pharmacists must carry liability insurance
Beginning January 1, 2028, pharmacists who independently start therapy under this law must meet Kansas professional liability insurance requirements. They must carry the applicable minimum coverage. The supplied text does not state those coverage amounts.
Pharmacists can start more patient treatments
Kansas pharmacists can start treatment, including medicines and medical equipment, for qualifying minor conditions that do not need a new diagnosis. Qualifying conditions include those with federally waived tests used to guide care; treatment must fit the pharmacist’s training and care standards. The state advisory committee can adopt treatment protocols covering training, patient selection, records, follow-up, and notice to primary care providers. Pharmacists cannot independently prescribe controlled drugs except for opioid use disorder or medication-assisted treatment, and protocol violations can bring discipline. For a patient emergency, they can provide only enough medicine until the patient can consult a regular care provider.
Remote pharmacy workers face task limits
Supervised remote interns and technicians can process prescriptions, contact prescribers, clarify patient or payment details, and make allowed prescription transfers. Remote pharmacists cannot possess or handle pharmacy-owned drugs or devices, package medicines, compound, dispense, or label them. Remote pharmacists can supervise remote workers within existing staffing ratios, but cannot supervise workers inside the pharmacy. An intern’s remote hours count toward required training only with continuous pharmacist observation through both video and audio.
Prescription database access expands within limits
Kansas expands prescription-monitoring database delegate roles to specified nursing, respiratory, emergency-care, dental, and pharmacy staff registered for access. These delegates must act for authorized practitioners or pharmacists. Registered death investigators receive limited access while acting for people legally authorized to investigate causes of death. The Pharmacy Board can no longer authorize additional users through its rules, and access remains subject to monitoring and audit trails.
Pharmacies gain remote work with safeguards
Kansas pharmacies can employ supervised remote staff, with posted notice, pharmacy records kept five years, and remote-worker records kept two years. Pharmacies must supply secure devices, prevent outside observation, and bar printing or storing patient information outside approved remote devices. They must review written policies annually, audit workers, review errors and provide training through a quality program, and allow remote-site inspections. Interns must finish their first pharmacy-school year and remain in good standing; technicians need 240 in-pharmacy training hours, policy acknowledgment, and a board-approved certification exam. Remote-worker identifying details are confidential until July 1, 2031, unless lawmakers renew that protection; these remote-work rules exclude medical care facility pharmacies and preserve existing remote-pharmacy regulations.
Sponsors & Cosponsors
Sponsor
Committee on Commerce, Labor and Economic Development
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/23/2026
Yea: 119 Nay: 0
Yes: 119 • No: 0
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 • 3/26/2026
Conference Committee Report was adopted
Yes: 107 • No: 18
Senate vote • 3/25/2026
Conference Committee Report was adopted
Yes: 40 • No: 0
Senate vote • 3/19/2025
Final Action - Passed as amended
Yes: 40 • No: 0
House vote • 2/14/2025
Emergency Final Action - Passed
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 Rep. Will Carpenter, Rep. Ron Bryce and Rep. Susan Ruiz
3/20/2025HouseMotion to accede adopted; Sen. Beverly Gossage, Sen. William Clifford and Sen. Cindy 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 Senate Committee on Public Health and Welfare
3/10/2025SenateHearing: Tuesday, February 25, 2025, 8:30 AM — Room 142-S
2/25/2025SenateReferred to Senate Committee on Public Health and Welfare
2/18/2025SenateReceived and Introduced
2/17/2025SenateCommittee of the Whole - Be passed
2/14/2025HouseMotion to advance to Emergency Final Action adopted
2/14/2025HouseEmergency Final Action - Passed; Yea 119, Nay 0, Absent 6
2/14/2025HouseCommittee Report recommending bill be passed by House 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 House Committee on Health and Human Services
1/23/2025House
Bill Text
As Amended by Senate Committee on Public Health and Welfare
As Introduced
Enrolled
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