All Roll Calls
Yes: 644 • No: 8
KansasHB 25332025–2026 Regular SessionHouseWALLET
Enacting the occupational therapy licensure compact, respiratory care interstate compact, esthetics licensure compact and athletic trainer licensure compact to provide interstate practice privileges.
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
12 provisions identified: 1 benefits, 2 costs, 9 mixed.
Trainer discipline can halt interstate practice
Athletic trainers using interstate privileges must follow the laws of the state where they practice. That state can suspend privileges, impose fines, or take other protective action. A pending adverse disciplinary order in any member state stops compact privileges in all member states. Restrictions on the qualifying license also block interstate privileges until restoration and the applicable two-year clean-record requirements are met.
Athletic trainers gain interstate practice options
Kansas joins the athletic trainer compact, which starts with the seventh state enactment and remains active if membership later falls below seven. Trainers need a background check, an unrestricted qualifying license, and active Board of Certification credentials or the compact's education-and-exam pathway. They must have no license or privilege restrictions in the previous two years, meet continuing-competence and practice-state law requirements, and pay applicable fees. Trainers can hold only one qualifying license, but it need not come from their home or main practice state. They can hold privileges in multiple states and keep separate state licenses. Privileges expire and renew with the qualifying license; specified nonmember-state disciplinary actions or restrictions must be reported within 30 days.
Compact exits include notice and transitions
A state can leave the athletic trainer or esthetics compact by repealing it, with withdrawal effective 180 days later. States must notify affected licensees and keep required investigation and discipline reporting through withdrawal. Athletic trainer privileges remain recognized for at least 180 days after notice; the esthetics text requires continued recognition but leaves that period unspecified. Uncorrected state default can also lead to termination by majority commission vote after other compliance efforts fail. A terminated state must notify licensees, recognize compact licenses and privileges for at least 180 days after notice, and pay obligations incurred through termination.
Estheticians gain multistate licenses with requirements
Kansas joins the esthetics compact, which requires seven state enactments for national activation. Estheticians with an active, unrestricted home-state license can get a multistate license and must follow each practice state's laws. States and the commission may charge license and renewal fees; a home-state law-test fee requires a mandated test. The law sets no fee amounts. Moving between member states requires an immediate reissuance application, fees, and notice to the old state; required background checks or law tests may apply. People who do not qualify, or move to a nonmember state, face that state's regular licensing rules. Home-state license restrictions stop practice authorizations across member states, and alternative-program participation suspends the multistate license.
Occupational therapists gain interstate practice options
Kansas joins the occupational therapy compact, which requires 10 state enactments for national activation. Therapists and assistants need an unrestricted home-state license, background checks, required state-law tests, and applicable fees to practice across member states. Applicants pay background-check costs, and assistants must have supervision that meets the practice state's rules. Home-state license restrictions stop interstate privileges; restoration requires meeting compact eligibility rules, including the applicable two-year good-standing requirement. The home state controls its license, while another state can discipline practice privileges there. Moving between member states requires a new home-state license, notice to both states, fees, and any required checks or law tests.
Respiratory therapists gain interstate practice options
Kansas joins the respiratory care compact, which starts nationally when a seventh state enacts it. Therapists need an active, unrestricted home-state license, the required national credential, and no adverse action in the previous two years. They must notify the commission, follow practice-state laws, meet required law tests, and pay applicable state, commission, and renewal fees. The law sets no fee amounts. Home-state license restrictions stop privileges everywhere else; restoring them requires clearing the restrictions, waiting two years, and meeting eligibility requirements again. States can discipline privileges within their borders, but cannot punish practice that was lawful in another state.
Military households get licensing continuity protections
Active-duty service members and spouses can retain a compact home state where they hold a current license in good standing. This protection lasts during active-duty service; later home-state changes must follow the compact's licensing or change process. Respiratory therapists and athletic trainers in these households do not pay commission fees for compact privileges. Separate state fees can still apply, with reduced or waived fees allowed. The law states no dollar savings.
Trainer commission staff gain lawsuit protection
Athletic trainer commission members, staff, officers, and representatives receive immunity from lawsuits for acts within their official duties. Protection also covers acts reasonably believed to fall within those duties. The commission must provide their legal defense and cover protected liability. Immunity does not cover intentional, willful, or wanton misconduct. Athletic trainers remain liable for professional malpractice or misconduct.
Esthetics oversight includes fees for operations
A joint esthetics commission runs the compact, with one licensing-authority delegate from each member state. States must regulate estheticians, require competency exams and education or training, handle complaints, share records, and recognize qualifying multistate licenses. The commission cannot set states' educational requirements. It may collect annual state assessments and licensee fees for approved costs not covered by other revenue. State assessments follow a commission formula, but the law sets no amounts. The compact overrides conflicting state requirements; state rules that do not conflict remain in force.
Occupational therapy oversight adds shared records
A joint commission runs the occupational therapy compact, adopts binding rules, and maintains shared licensing and discipline records. Each member state has one delegate selected by its licensing board. Kansas must investigate complaints, report required information, and use recognized examination and continuing-competence or education standards. Kansas residents seeking compact privileges need criminal background checks within the commission's timeframe. The commission may charge member states or impose fees to fund its approved budget; the law sets no amounts.
Respiratory licensing records gain privacy safeguards
Respiratory compact states must license therapists, check new licensees' criminal backgrounds, investigate complaints, and recognize qualifying interstate privileges. They must adopt a compact that does not materially differ from the shared model. Licensing authorities must monitor the shared database and exchange required discipline and investigation records. Protected information cannot be released publicly without the contributing state's permission, and legally expunged records must be removed. Commission rules have the force of law, while state laws remain enforceable when they do not conflict with the compact.
Trainer oversight adds records and fees
Athletic trainer compact states must regulate practice, require continuing competence, investigate complaints, and use fingerprint or biometric background checks. Shared records cover licenses, privileges, discipline, and significant investigations; current investigation information is limited to member states. Protected records need state permission for public release, and expunged records must be removed. The commission may charge licensees and assess states for approved costs not covered by other revenue; amounts are not specified. Commission rules bind states beginning the day after adoption or a later stated date. Courts can block rules that conflict with state practice limits, and state executive and judicial branches must enforce the compact. Conflicting state requirements otherwise yield to the compact, while consistent requirements remain enforceable.
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: 125 Nay: 0
Yes: 125 • No: 0
House vote • 4/23/2026
Yea: 38 Nay: 2
Yes: 38 • No: 2
House vote • 4/23/2026
Yea: 38 Nay: 2
Yes: 38 • No: 2
House vote • 4/23/2026
Yea: 121 Nay: 0
Yes: 121 • No: 0
House vote • 3/26/2026
Conference Committee Report was adopted
Yes: 125 • No: 0
Senate vote • 3/25/2026
Conference Committee Report was adopted
Yes: 38 • No: 2
Senate vote • 3/17/2026
Final Action - Passed as amended
Yes: 38 • No: 2
House vote • 2/11/2026
Final Action - Passed as amended
Yes: 121 • No: 0
Actions Timeline
Reengrossed 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
4/9/2026HouseConference Committee Report was adopted; Yea 125, Nay 0
3/26/2026HouseConference committee report now available
3/25/2026SenateConference Committee Report was adopted; Yea 38, Nay 2
3/25/2026SenateNonconcurred with amendments; Conference Committee requested; appointed Rep. Will Carpenter, Rep. Ron Bryce and Rep. Susan Ruiz
3/18/2026HouseMotion to accede adopted; Sen. Beverly Gossage, Sen. William Clifford and Sen. Cindy Holscher appointed as conferees
3/18/2026SenateFinal Action - Passed as amended; Yea 38, Nay 2
3/17/2026SenateCommittee of the Whole - Committee Report be adopted
3/16/2026SenateCommittee of the Whole - Be passed as amended
3/16/2026SenateCommittee Report recommending bill be passed as amended by Senate Committee on Public Health and Welfare
3/11/2026SenateHearing: Wednesday, February 25, 2026, 8:30 AM — Room 142-S
2/25/2026SenateReferred to Senate Committee on Public Health and Welfare
2/12/2026SenateEngrossed on Tuesday, February 10, 2026
2/11/2026HouseFinal Action - Passed as amended; Yea 121, Nay 0, Absent 4
2/11/2026HouseReceived and Introduced
2/11/2026SenateCommittee of the Whole - Committee Report be adopted
2/10/2026HouseCommittee of the Whole - Be passed as amended
2/10/2026HouseCommittee Report recommending bill be passed as amended by House Committee on Health and Human Services
2/6/2026HouseHearing: Wednesday, February 4, 2026, 1:30 PM — Room 112-N
2/4/2026HouseIntroduced
1/23/2026HouseReferred to House Committee on Health and Human Services
1/23/2026House
Bill Text
As Amended by House Committee
As Amended by Senate Committee on Public Health and Welfare
As Introduced
Enrolled
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