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HB 2266

Enacting the advanced practice registered nurse licensure compact to provide interstate practice privileges for advanced practice registered nurses.

2025-2026 Regular Session

HB 2266 would create the APRN Compact, allowing a single multistate license for APRNs to practice across member states, expanding cross-state care access.

Died in Committee
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Bill Summary · HB 2266

Summary — HB 2266 (Session of 2025)

Title: Enacting the Advanced Practice Registered Nurse (APRN) Licensure Compact to provide interstate practice privileges for APRNs
Introduced: January 30, 2025
Committee hearing: Thursday, February 13, 2025, 1:30 PM Room 112‑N — CANCELED

Main purpose

HB 2266 would enact the APRN Licensure Compact in Kansas. The compact establishes a framework allowing qualified APRNs to obtain a single multistate license from their home state that authorizes practice in all other party states (multistate licensure privilege). The stated goals are to improve public protection through cooperative regulation, reduce duplicative state licensing, and expand access to care — including via remote/telehealth practice.

Key provisions (as introduced)

  • Establishes the “Advanced Practice Registered Nurse Compact” and declares findings and purposes emphasizing public safety, interstate coordination, and reduced licensure duplication.
  • Creates definitions for central terms, including:
    • APRN (role‑based licensure),
    • Multistate license and multistate licensure privilege,
    • Home state and remote state,
    • Roles (four recognized APRN roles: CRNA, CNM, CNS, CNP),
    • Population focus (six population foci: family/individual across lifespan, adult‑gerontology, pediatrics, neonatal, women’s health & gender‑related, psychiatric‑mental health),
    • Adverse action, encumbrance, coordinated licensure information system, current significant investigatory information.
  • Requires APRNs to meet APRN “uniform licensure requirements” (referenced to Article 3(b) of the compact) to be eligible for a multistate license.
  • Treats prescriptive authority according to specific compact provisions (articles 3(f) and 3(g) are referenced).
  • Authorizes information sharing between party states and gives party states authority to hold APRNs accountable for meeting state practice laws when the APRN is practicing in that state.
  • Anticipates a commission (interstate commission of APRN compact administrators) and a coordinated licensure information system (typical compact elements referenced).

(Note: the introduced version provided is truncated; full compact text would specify membership, commission governance, data sharing, license issuance procedures, discipline and enforcement mechanics, and fees.)

Fiscal impact (Division of the Budget — Fiscal Note, 2/11/2025)

  • First‑year (FY 2026) estimated impact to the Kansas Board of Nursing Fee Fund: total projected expenditures of $271,000.
    • One‑time licensing software vendor update: $215,000 (Board intends to apply for a National Council of State Boards of Nursing (NCSBN) grant to cover this cost; award is uncertain).
    • Ongoing personnel cost: $56,000 FY 2026 and in subsequent years for 1.00 FTE in the licensing division.
  • The Board may receive a $215,000 NCSBN grant deposited to the Fee Fund if awarded; if not, costs would be covered from the Fee Fund.
  • Revenue effects are uncertain: the Board anticipates a reduction in revenue starting FY 2026 because fewer APRNs may obtain single‑state licenses if they secure multistate privileges elsewhere. The bill does not specify the compact membership fee or exact future fees.

Who is affected

  • APRNs licensed or seeking licensure in Kansas (opportunity to obtain multistate license if compact adopted by multiple states and if APRN meets uniform requirements).
  • Kansas Board of Nursing (administration, IT changes, potential staffing increase, fee fund revenue impacts).
  • Patients, healthcare employers, payors, and telehealth providers (potentially increased cross‑state access to APRN services).
  • Other states that choose to join the compact (mutual recognition and shared regulatory responsibilities).

Procedural/timeline notes

  • Introduced January 30, 2025.
  • House committee hearing scheduled for February 13, 2025 was canceled.
  • Fiscal note dated February 11, 2025 prepared by the Division of the Budget.
  • The introduced bill text is truncated in the materials provided; additional articles (e.g., governance, enforcement, membership, fees) would need to be reviewed in the full bill to assess implementation details.

Compiled from official sources — confirm details with the bill’s official record.

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