# Kansas HB 2533: Enacting the occupational therapy licensure compact, respiratory care interstate compact, esthetics licensure compact and athletic trainer licensure compact to provide interstate practice privileges. Kansas HB 2533, Enacting the occupational therapy licensure compact, respiratory care interstate compact, esthetics licensure compact and athletic trainer licensure compact to provide interstate practice privileges., is a 2025–2026 Regular Session House bill sponsored by Committee on Health and Human Services; status signed, last action 2026-04-09 (Reengrossed on Wednesday, April 1, 2026); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/KS-HB2533-2025-2026 - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Kansas HB 2533 - State: Kansas - Session: 2025–2026 Regular Session - Title: Enacting the occupational therapy licensure compact, respiratory care interstate compact, esthetics licensure compact and athletic trainer licensure compact to provide interstate practice privileges. - Status: signed - Chamber: House - Introduced: 2026-01-23 - Last action: 2026-04-09, Reengrossed on Wednesday, April 1, 2026 - Sponsor: Committee on Health and Human Services - Cosponsors: 0 - Subjects: senate committee on public health and welfare, house committee on health and human services - Touches household money: yes - Roll calls: 8 (644 yes, 8 no in all) - Economic provisions PRIA read: 12 ## Summary No summary available. ## Bill overview: provisions PRIA read - Military households get licensing continuity protections: benefit, low. 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… - Trainer discipline can halt interstate practice: cost, medium. 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… - Trainer commission staff gain lawsuit protection: cost, low. 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.… - Athletic trainers gain interstate practice options: mixed, medium. 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… - Compact exits include notice and transitions: mixed, medium. 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 da… - Estheticians gain multistate licenses with requirements: mixed, medium. 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 h… - Occupational therapists gain interstate practice options: mixed, medium. 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-… - Respiratory therapists gain interstate practice options: mixed, medium. 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 la… - Esthetics oversight includes fees for operations: mixed, low. 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 s… - Occupational therapy oversight adds shared records: mixed, low. 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… - Respiratory licensing records gain privacy safeguards: mixed, low. 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 datab… - Trainer oversight adds records and fees: mixed, low. 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 m… ## Sponsors and cosponsors - Sponsor: Committee on Health and Human Services ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-23 | House | Yea: 125 Nay: 0 | pass | 125 | 0 | | | 2026-04-23 | House | Yea: 38 Nay: 2 | pass | 38 | 2 | | | 2026-04-23 | House | Yea: 38 Nay: 2 | pass | 38 | 2 | | | 2026-04-23 | House | Yea: 121 Nay: 0 | pass | 121 | 0 | | | 2026-03-26 | House | Conference Committee Report was adopted | pass | 125 | 0 | | | 2026-03-25 | Senate | Conference Committee Report was adopted | pass | 38 | 2 | | | 2026-03-17 | Senate | Final Action - Passed as amended | pass | 38 | 2 | | | 2026-02-11 | House | Final Action - Passed as amended | pass | 121 | 0 | | ## Actions (23) - 2026-04-09: Reengrossed on Wednesday, April 1, 2026 (House) - 2026-04-09: Enrolled and presented to Governor on Friday, April 3, 2026 (House) - 2026-04-09: Approved by Governor on Thursday, April 9, 2026 (House) - 2026-03-26: Conference Committee Report was adopted; Yea 125, Nay 0 (House) - 2026-03-25: Conference committee report now available (Senate) - 2026-03-25: Conference Committee Report was adopted; Yea 38, Nay 2 (Senate) - 2026-03-18: Nonconcurred with amendments; Conference Committee requested; appointed Rep. Will Carpenter, Rep. Ron Bryce and Rep. Susan Ruiz (House) - 2026-03-18: Motion to accede adopted; Sen. Beverly Gossage, Sen. William Clifford and Sen. Cindy Holscher appointed as conferees (Senate) - 2026-03-17: Final Action - Passed as amended; Yea 38, Nay 2 (Senate) - 2026-03-16: Committee of the Whole - Committee Report be adopted (Senate) - 2026-03-16: Committee of the Whole - Be passed as amended (Senate) - 2026-03-11: Committee Report recommending bill be passed as amended by Senate Committee on Public Health and Welfare (Senate) - 2026-02-25: Hearing: Wednesday, February 25, 2026, 8:30 AM — Room 142-S (Senate) - 2026-02-12: Referred to Senate Committee on Public Health and Welfare (Senate) - 2026-02-11: Engrossed on Tuesday, February 10, 2026 (House) - 2026-02-11: Final Action - Passed as amended; Yea 121, Nay 0, Absent 4 (House) - 2026-02-11: Received and Introduced (Senate) - 2026-02-10: Committee of the Whole - Committee Report be adopted (House) - 2026-02-10: Committee of the Whole - Be passed as amended (House) - 2026-02-06: Committee Report recommending bill be passed as amended by House Committee on Health and Human Services (House) - 2026-02-04: Hearing: Wednesday, February 4, 2026, 1:30 PM — Room 112-N (House) - 2026-01-23: Introduced (House) - 2026-01-23: Referred to House Committee on Health and Human Services (House) ## Bill text - As Amended by House Committee: [PDF](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/hb_2533/hb2533_01_0000.pdf) - As Amended by Senate Committee on Public Health and Welfare: [PDF](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/hb2533_02_0000.pdf) - As Introduced: [PDF](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/hb_2533/hb2533_00_0000.pdf) - Enrolled: [PDF](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/hb_2533/hb2533_enrolled.pdf) ## Related bills - SB 430: Adding mitragynine to schedule I of the uniform controlled substances act and reconciling multiple amendments to certain statutes in the Kansas criminal code. (signed) - SB 82: Providing tax credits for expenditures for lockable gun and ammunition storage and the retail sale of higher ethanol blends of fuel, discontinuing the tax cred… (signed) - SB 300: Providing for the apportionment of business income by manufacturers of alcoholic liquor depending on whether the taxpayer is a qualifying Kansas investor or a… (signed) - HB 2029: Reconciling multiple amendments to certain statutes. (signed) - HB 2018: Senate Substitute for HB 2018 by Committee on Federal and State Affairs - Creating the crime of interference with the conduct of a religious assembly, providin… (became law) - HB 2036: Providing a Kansas income tax subtraction modification for certain amounts received as compensation for members of the armed forces. (failed) ## Sources - [As Amended by House Committee (PDF)](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/hb_2533/hb2533_01_0000.pdf) - [As Amended by Senate Committee on Public Health and Welfare (PDF)](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/hb2533_02_0000.pdf) - [As Introduced (PDF)](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/hb_2533/hb2533_00_0000.pdf) - [Enrolled (PDF)](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/hb_2533/hb2533_enrolled.pdf) ## Related - [SB 430: Adding mitragynine to schedule I of the uniform controlled substances act and r…](https://policyrisk.com/state-bill/KS-SB430-2025-2026) - [SB 82: Providing tax credits for expenditures for lockable gun and ammunition storage…](https://policyrisk.com/state-bill/KS-SB82-2025-2026) - [SB 300: Providing for the apportionment of business income by manufacturers of alcoholi…](https://policyrisk.com/state-bill/KS-SB300-2025-2026) - [HB 2029: Reconciling multiple amendments to certain statutes.](https://policyrisk.com/state-bill/KS-HB2029-2025-2026) - [HB 2018: Senate Substitute for HB 2018 by Committee on Federal and State Affairs - Creat…](https://policyrisk.com/state-bill/KS-HB2018-2025-2026) - [HB 2036: Providing a Kansas income tax subtraction modification for certain amounts rece…](https://policyrisk.com/state-bill/KS-HB2036-2025-2026) - [Kansas bills](https://policyrisk.com/states/kansas/bills) - [Kansas state hub](https://policyrisk.com/states/kansas) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/KS-HB2533-2025-2026 (as of 2026-10-17).