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Kansas APRN Rules and Regulations Update

Posted about 3 years ago by Laurel Short

Greetings KAPN Members and Kansas APRNs,
I hope you are all kicking off the holiday weekend and have time to relax. I am writing to provide additional details, and hopefully clarification, on the status of our legislation. On June 30, the state rules and regulations board met to review the rules and regulations for our bill (Senate Sub bill 2279). This bill was signed into law on April 15 by Governor Kelly. Please find an overview of this process below, which is a standard process for laws that require regulations. 
 
The purpose of the meeting was for Carol Moreland, Executive Administrator for the Board of Nursing, to present the rules and regulations of our law. This is a required step in the legislative process for the APRN law to take effect, and it was expected to be an uneventful process. Neither the Board of Nursing nor any APRN leadership were aware that Kansas Medical Society (KMS) planned to attend this meeting and make statements. 
 
I would encourage you to listen to the recording of this meeting, to best understand the context of what occured. To summarize, the executive director and legal counsel for KMS both made statements ("testimony") voicing concerns about the wording of our rules and regulations. Carol did an excellent job articulating the rules/regs, which were written in collaboration with a representative from the attorney general's (AG) office. A link to the recording can be found here.
 
Unfortunately the remarks by the KMS representatives created sufficient confusion among the board members to result in some of our regulations being delayed. Please find specific information from BON here.
 
We understand this situation is concerning and frustrating, especially for those of you who were planning on terminating CPA contracts on July 1 and/or preparing to start a new business. We would like to reassure you that there are valid legal and procedural reasons to move forward with the regulations as written. We have excellent lobby and strategic support from KAPN lobbyists, National Council of State Boards of Nursing (NCSBN), and AANP. In addition, AANP has informed us that other states have experienced challenges/opposition from medical societies during the rules and regulations process.
I will have additional information next week after our lobbyists meet. You are likely wondering, "What can I do? What are the next steps?" 
 
The answer for right now is to stay engaged and continue the amazing work you do as an APRN. We need to ensure our messaging is consistent and professional. Please know the board of nursing is working hard on this process and fully supports this law.
 
The KAPN board will inform you if there is a request to communicate with the legislators on the full Administrative Rules Committee. This committee will be meeting on July 18, and at that time we will have the opportunity to be present and comment on any opposition. Hopefully the remaining regulations will be approved on this date. 
 
If you were planning to practice without a CPA for the month of July, the Kansas BON is recommending you extend your CPA (for anything outside of prescribing DME or medications) until we have approval of the remaining regulations. As I told the KAPN board today, we are at mile 26 of our marathon, and the last mile is the hardest. I am so thankful for all those who have allowed us to reach this point, and I am confident we will cross the finish line for enactment of full practice in the Sunflower State.
 
Caring for Kansas,
 
Laurel and the KAPN Board

 

Overview of Regulation Process

Just as the state Legislature passes laws under the authority granted to it by a state Constitution, state agencies adopt or promulgate regulations under the authority granted to them by the statutes passed by the Legislature. Regulations are adopted in order to clarify and define processes and requirements outlined in state law. Properly adopted regulations have the force of law.

In our case, state law provides that APRNs will be able to practice without a CPA, will be required to carry malpractice insurance, and will be required to maintain national certification. Regulations define how the process for implementing these actions is conducted.

This process is commonly referred to as "rules and regulations."

A regulation is created, amended or repealed through the hearing and adoption process. This can take anywhere from weeks to months from start to finish. The purpose of the hearing and adoption process is to ensure that the public has an opportunity to participate in the rulemaking process and that the regulation is properly authorized by law. Unless there are special circumstances, each proposed regulation goes through a mandatory adoption process.

This adoption process is as follows:

Rule drafting period. The rule drafting period is the amount of time used by the agency (Board of Nursing) to draft the proposed regulation and solicit input from interested parties as appropriate. Interested parties may include the public, industry associations, or persons or groups affected by the regulation. Because it is difficult to significantly change a regulation once it has been set for hearing, the drafting period is an important phase in the development of a regulation.

Rules and Regulations Committee. Notice of the rulemaking committee meeting must be published to inform the public of the proposed changes. Contents of the notice include date, time and place of the meeting, as well as a short explanation of the purpose of the proposed regulations. 

Link to Kansas Joint Committee on Administrative Rules and Regulations can be found here.

Public hearing. The public hearing is an opportunity for the public to comment on proposed regulations. In this case, the public hearing is scheduled for September 6, 2022.

Submission for review. After the hearing, the regulations and the accompanying material must be submitted to the attorney general and governor. The attorney general reviews the regulations for compliance with statutory and constitutional authority. The regulations then go to the governor for policy review and final approval.

Adoption of regulations. Upon completion of these steps, the regulations are then forwarded to the secretary of state and become law following receipt.

 
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Laurel Short | 913.645.9567 | laurel.short@gmail.com