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Prepared by: Dodie Wellshear, Ad Astra Government Relations
|Health Committee to Act on Key Bills
The House Health and Human Services (HHHS) Committee is set to take action on two key scope of practice bills on Monday, February 25th. The first of these is HB 2066, which would allow APRNs an unlimited scope of practice, without a collaborative physician agreement and without regulation by the Kansas Board of Healing Arts.
This type of bill has been proposed by the APRNs for more than a decade and still does not provide oversight and limitations needed to ensure patient safety. Key to the entire legislation is that APRNs are adamant they do not want to be regulated by the Kansas Board of Healing Arts (KBOHA), as are all other health professionals practicing medicine in our state. Instead, they are demanding full and independent practice of medicine under the Board of Nursing which, since its inception, has not contemplated nurses practicing medicine under their regulatory authority.
KAFP and KMS sent out action alerts at the end of the week calling on members to contact members of the HHHS Committee, urging them to oppose this radical shift in practice scope that would remove critical patient safety protections and oversight from the Board of Healing Arts. The committee vote on HB 2066 is expected to be very close.
HB 2082 is another bill KAFP opposed due to an undefined expansion of practice allowing pharmacists new authority to administer drugs. Those representing pharmacists maintained the bill was needed to allow pharmacists to administer “self-injectable” drugs, when patients were not comfortable doing so themselves.
Unfortunately, HB 2082 did not limit the scope to these circumstances. A new amendment is expected to be added in HHHS on Monday, which would limit pharmacists’ scope to only these drugs and only to be administered pursuant to a physician’s order. This amendment was worked out between physicians and pharmacists and, if adopted, would remove KAFP opposition.
Bills to Watch
HB 2029 – Repealing the health care compact.
Status: Referred to House Health & Human Services; no action taken to date
SB 54/ HB 2102 - Expanding eligibility for Medicaid benefits to the extent permitted by the Affordable Care Act.
Status: Referred to Senate Public Health & Welfare and House Appropriations Committees, respectively. Both bills were introduced in exempt committees and do not have to meet the turnaround deadline. (KAFP supports)
HB 2066 – Expanding the APRN scope of practice. The bill proposes removing the requirement to practice under a collaborative physician agreement and requires them to have malpractice insurance. Key to this bill is that they would not be regulated by the Board of Healing Arts. This bill does not define practice limitations and would allow them to practice beyond their training (e.g., surgery). Simply put, APRNs are asking for a scope of practice equal to that of physicians, but refuse to be regulated by the Board of Healing Arts, which regulates all other professionals engaging in medical practice.
Status: House Health & Human Services to take bill action on 2/25 @ 1:30pm (KAFP opposed)
HB 2082 - Allowing pharmacists to administer drugs pursuant to a prescription order. This requires physicians to opt-out. KAFP and KMS submitted opposing testimony centered on the fact the legislation has not been probed and vetted among professional stakeholder, and that the legislation does not provide limitations and protocols for communication between physicians and pharmacists. Pharmacist organizations center arguments in favor of HB 2082 on the need surrounding injectable psychotropic medications.
Status: House Health & Human Services to take bill action on 2/25 (KAFP opposed)
SB 120 / HB 2146 – Provides for the corporate practice of medicine. These are identical bills being advanced by BCBS-KC and the Kansas Chamber of Commerce. This legislation would statutorily allow corporations to directly employ physicians to care for their employees. The presenting problem is that is puts the physician ultimately answerable to the employer and potentially in conflict with addressing what is best for the patient. KMS has put together a task force to draft a list of principles that ensure the safety and appropriate doctor-patient care relationship.
Status: House Health & Human Services to take bill action (HB 2146) on 2/25
Family Doctor of the Day
KAFP is again sponsoring the Family Doctor of the Day (FDOD) program during the Kansas legislative session. Licensed physicians, including residents, volunteer to provide mostly-minor health needs to legislators and their staff. The Legislature highly values and appreciates access to these services, especially when so many are away from their hometown primary care physicians.
Appreciation goes out to the following members, who provided FDOD care this past week: Dr. Rachael Svaty Garden City; Dr. Hannah Maxfield, Lenexa; Dr. Chad Johanning, Lawrence; and Dr. Bethany Enoch, Pittsburg. Thank you all for your generous gift of medical care at the Capitol!
Upcoming Legislative Deadlines
Feb. 25 – Last day for committees to meet in each chamber before Turnaround
Feb. 25/26/27 – Floor debate in House and Senate chambers
Feb. 28 – Turnaround Day
Committees of Interest, Week of February 18th
Monday, Feb 25
9:30am, S-Public Health & Welfare, Room 118-N
1:30pm, H-Health & Human Services, Room 546-S
Final action on:
- SB 93 – Establishing restrictions on the use of step therapy protocols by insurance plans
- HB2066 — Updating certain requirements relating to advanced practice registered nurses
- HB2082 — Allowing pharmacists to administer drugs pursuant to a prescription order
- HB2146 — Providing for certain business entities to engage in the corporate practice of medicine
|President Susan Wagle, R-Wichita
||Speaker Ron Ryckman, R-Olathe
|Vice-President Jeff Longbine, R-Emporia
||Speaker Pro Tem Blaine Finch, R-Ottawa
|Majority Leader Jim Denning, R-Overland Park
||Majority Leader Dan Hawkins, R-Wichita
|Minority Leader Anthony Hensley, D-Topeka
||Minority Leader Tom Sawyer, D-Wichita
|Asst. Minority Leader Oletha Faust-Goudeau,
|Assistant Minority Leader Valdenia Winn,
|Public Health & Welfare Committee
||Health & Human Services Committee
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