All Roll Calls
Yes: 510 • No: 142
KansasHB 25092025–2026 Regular SessionHouseWALLET
Allowing licensed physical therapists to perform certain capillary blood tests, adding advanced practice registered nurse to the definition of healthcare provider for purposes of the healthcare provider insurance availability act, adding an advanced practice registered nurse position to the board of governors of the healthcare stabilization fund and requiring advance practice registered nurses to maintain professional liability insurance as a condition of active licensure.
Sponsored By: Committee on Health and Human Services
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
3 provisions identified: 0 benefits, 1 costs, 2 mixed.
Patient claims face state fund limits
Kansas’s Healthcare Stabilization Fund pays no more than $1.5 million for one judgment or settlement. Its total limit is $4.5 million for claims against one provider in a fiscal year. The board can adjust these limits, but cannot set coverage below $1 million per claim and $3 million total. For injury or death from professional services, fund liability also cannot exceed the provider’s coverage selected when the incident happened. The fund does not cover claims based on or related to a provider’s sexual acts or activity. It can pay reasonable, necessary legal fees to defend itself and recover some or all after a damages judgment against the provider for those acts. These rules limit fund payments, not necessarily the total amount a claimant can recover from other sources.
Advanced practice nurses face insurance requirements
Beginning January 1, 2028, eligible Kansas-licensed or temporarily authorized advanced practice registered nurses enter the state’s healthcare provider insurance program. Covered nurses have six months to meet membership requirements. The law also requires professional liability insurance for active licensure, with new or renewed policies covering at least $500,000 per claim and $1.5 million yearly. That insurance requirement does not apply to self-insurers or when the initial Healthcare Stabilization Fund surcharge exceeds 15%. Program inclusion excludes nurse-midwives and nurse anesthetists working solely in federal employment or active duty, or providing charitable healthcare services.
Physical therapy tests can carry supply charges
Kansas physical therapists can perform certain simple capillary blood tests, including fingerstick glucose and lactate tests for exercise or rehabilitation. Only CLIA-waived tests qualify; blood draws from veins, other noncapillary access, ultrasound, and imaging are excluded. The therapist or facility needs a CLIA waiver certificate and must follow manufacturer instructions, including training requirements. Results can support therapy or fulfill a physician’s order, not independently diagnose conditions outside physical therapy practice. Patients or their representatives must give written consent that discloses costs and acknowledges financial responsibility. Therapists cannot bill insurers for these tests as stand-alone services, but patients can be charged reasonable supply costs.
Sponsors & Cosponsors
Sponsor
Committee on Health and Human Services
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/23/2026
Yea: 92 Nay: 33
Yes: 92 • No: 33
House vote • 4/23/2026
Yea: 37 Nay: 3
Yes: 37 • No: 3
House vote • 4/23/2026
Yea: 37 Nay: 2
Yes: 37 • No: 2
House vote • 4/23/2026
Yea: 89 Nay: 33
Yes: 89 • No: 33
House vote • 3/27/2026
Conference Committee Report was adopted
Yes: 92 • No: 33
Senate vote • 3/26/2026
Conference Committee Report was adopted
Yes: 37 • No: 2
Senate vote • 3/19/2026
Final Action - Passed as amended
Yes: 37 • No: 3
House vote • 2/19/2026
Final Action - Passed as amended
Yes: 89 • No: 33
Actions Timeline
Engrossed on Tuesday, March 31, 2026
4/9/2026HouseEnrolled and presented to Governor on Friday, April 3, 2026
4/9/2026HouseApproved by Governor on Thursday, April 9, 2026
4/9/2026HouseConference Committee Report was adopted; Yea 92, Nay 33
3/27/2026HouseConference committee report now available
3/26/2026SenateConference Committee Report was adopted; Yea 37, Nay 2, Absent 1
3/26/2026SenateMotion to accede adopted; Sen. Beverly Gossage, Sen. William Clifford and Sen. Cindy Holscher appointed as conferees
3/24/2026SenateNonconcurred with amendments; Conference Committee requested; appointed Rep. Will Carpenter, Rep. Ron Bryce and Rep. Louis Ruiz
3/23/2026HouseFinal Action - Passed as amended; Yea 37, Nay 3
3/19/2026SenateCommittee of the Whole - Committee Report be adopted
3/18/2026SenateCommittee of the Whole - Be passed as amended
3/18/2026SenateCommittee Report recommending bill be passed as amended by Senate Committee on Public Health and Welfare
3/16/2026SenateHearing: Wednesday, March 4, 2026, 8:30 AM — Room 142-S
3/4/2026SenateReferred to Senate Committee on Public Health and Welfare
2/26/2026SenateEngrossed on Monday, February 23, 2026
2/25/2026HouseReceived and Introduced
2/25/2026SenateFinal Action - Passed as amended; Yea 89, Nay 33, Absent 3
2/19/2026HouseCommittee of the Whole - Committee Report be adopted
2/18/2026HouseCommittee of the Whole - Be passed as amended
2/18/2026HouseCommittee Report recommending bill be passed as amended by House Committee on Health and Human Services
2/16/2026HouseHearing: Monday, February 2, 2026, 1:30 PM — Room 112-N
2/2/2026HouseIntroduced
1/21/2026HouseReferred to House Committee on Health and Human Services
1/21/2026House
Bill Text
As Amended by House Committee
As Amended by Senate Committee
As Introduced
Enrolled
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