PA · Kansas
Collaborative Practice Agreement for Physician Assistants in Kansas
Yes, a written physician agreement is required. Kansas does not name a specific instrument.
No independent-practice or experience-based autonomy pathway exists for PAs in Kansas — the 2022 APRN reform (H.B. 2279) applies only to nurse-licensed APRNs, not PAs, who remain under K.S.A. 65-28a05 et seq.'s physician-direction-and-supervision framework indefinitely.
What the collaboration must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
Available remotely (no on-site requirement)
K.A.R. 100-28a-10 requires the supervising physician to arrange a substitute supervising physician whenever temporarily absent, unreachable by telecommunication, or otherwise unavailable — implying a telecommunication-availability standard rather than an on-site or fixed-radius one. No mile/minute radius is codified.
Supervision ratio
Up to 2 at a time
The Board limits a responsible physician to supervising the equivalent of 2 full-time PAs at one time by default; the Board may approve up to 5 PAs across different practice locations if the physician demonstrates the PAs' combined hours don't exceed 200/week and adequate supervision is achievable (K.A.R. 100-28a-10).
Chart review
first 30 days under a new supervising physician: 100% of charts · As needed (within 7 days of each encounter) · countersignature required
K.A.R. 100-28a-10 requires the supervising physician to review and authenticate ALL medical records of patients evaluated/treated by the PA within 7 days, during the PA's first 30 days with that physician.
ongoing, after the first 30 days: Percentage set by agreement · As needed
No fixed percentage or cadence is codified after the initial 30-day period — the physician must document periodic review/evaluation of the PA's performance, with specifics left to the written agreement (K.A.R. 100-28a-10).
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
Schedule II: written prescription required, except oral/telephonic in an emergency followed by a written prescription within 7 days. Schedule III-V: may be prescribed orally, telephonically, or in writing. Requires the PA's own DEA registration; authority must be specified in the written agreement and within the supervising physician's normal practice (K.S.A. 65-28a08).
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional corporation/LLC wholly owned by licensed professionals — Kansas expressly permits one combined-profession entity of osteopathic physicians, MDs, registered nurses, physician assistants, occupational therapists, audiologists, and speech-pathologists to co-own together (secondary-sourced summary of the Healing Arts/professional-corporation statutes; exact K.S.A. cite not independently confirmed in this pass).
This ownership question is legally distinct from the clinical supervisory relationship below.
Legal sources for these rules (4)
What a collaborating physician costs here
Typical monthly cost in Kansas
$600 – $900
Estimate for one Physician Assistant. This state's rules add a restrictive-tier premium.
About Kansas's rules
Senate Sub. for H.B. 2279 (eff. July 1, 2022) made Kansas a full-practice-authority state for all APRN categories (NP/PMHNP/CRNA/CNM/CNS) — no collaborative practice agreement, supervising physician, or prescribing protocol is required, with no experience threshold. The Kansas Medical Society has publicly disputed how far Board of Nursing regulations implementing this reform extend, calling some language an unauthorized expansion into medical practice — an unresolved legal/political dispute, not settled law. PAs are unaffected by this reform and remain supervised.
Other clinicians in Kansas: see the state overview.