Bill
HB 2366
Kansas HB 2366 expands licensed naturopathic scope to diagnose, order tests, treat, and prescribe select drugs (incl. testosterone) with records, DEA when needed, and no surgery.
Status & context
- Introduced: Feb 3, 2025 (House Committee on Health and Human Services). Fiscal note issued Feb 24, 2025.
- Sponsor/Request: Committee on Health and Human Services; requested by Kansas Naturopathic Doctors Association.
- Fiscal note: Kansas State Board of Healing Arts anticipates negligible fiscal impact, absorbable within existing resources.
Purpose
- Broadly expands and clarifies the lawful scope of practice for licensed naturopathic doctors in Kansas, updates related licensure/disciplinary provisions, and modernizes statutory definitions to improve statutory consistency.
Key provisions (substantive highlights)
- Expanded diagnostic, procedural, and treatment authorities:
- May order and perform physical and orifical examinations (endoscopies excluded) and laboratory diagnostic procedures (including phlebotomy, clinical lab tests, speculum exams, physiological function tests).
- May order diagnostic imaging studies (x‑ray, ultrasound, mammogram, bone densitometry, CT, MRI, ECG); however, imaging must be performed and interpreted by an appropriately licensed/qualified health professional — naturopathic doctors may not independently perform/interpret such imaging except as authorized.
- May perform minor office procedures and naturopathic acupuncture.
- May utilize non‑diagnostic ultrasound in providing services.
- May provide naturopathic care to pregnant patients (with express limits — see restrictions).
- Expanded therapeutic authorities:
- May prescribe/recommend/administer foods, nutraceuticals, vitamins, minerals, amino acids, enzymes, botanicals, homeopathics, dietary supplements, nonprescription drugs, certain human cellular/tissue products not regulated as drugs, and durable medical equipment.
- May provide health/nutritional counseling (including fertility counseling), dietary therapy, naturopathic physical applications, barrier contraceptives, and intrauterine insemination.
- May administer substances by many routes (oral, nasal, topical, auricular, ocular, rectal, vaginal, transdermal, intradermal, subcutaneous, intramuscular, ligamentous, tendinous, periarticular, intra‑articular, intravenous), including proliferative therapy.
- May prescribe, administer, or dispense prescription‑only drugs as defined by statute, and specifically may prescribe testosterone as designated under state law.
- May provide biofeedback and neurofeedback therapies.
- Prescribing requirements:
- All prescriptions must be recorded in writing (electronic permitted) and include the naturopathic doctor’s contact information.
- Naturopathic doctors must only prescribe within their education, training, and experience.
- If prescribing controlled substances authorized by the act, the naturopathic doctor must register with the U.S. Drug Enforcement Administration (DEA).
- Records and retention:
- Must maintain patient records documenting services, findings, diagnoses, treatments, progress, and received records from other providers.
- Minimum retention period: 10 years from the date of service.
- Prohibitions / limits:
- May not perform surgery.
- May not perform labor/delivery or procedures involving reproductive organs of a pregnant patient; may not perform pregnancy termination.
- May not use general or spinal anesthesia, administer ionizing radiation therapeutically, or claim to practice another licensed health profession unless separately licensed.
- May not prescribe controlled substances beyond those authorized by the act.
Other statutory changes
- Bill updates related statutory definitions (amendments to the Pharmacy Act definitions are included in the text) and revises licensure and disciplinary provisions for consistency with the expanded scope.
- Includes severability clause.
Who is affected
- Primary: licensed naturopathic doctors and applicants for naturopathic licensure in Kansas.
- Secondary: patients receiving naturopathic care; Kansas State Board of Healing Arts and other licensing/health regulatory entities; pharmacies and DEA registries for prescribers.
Procedural notes / next steps
- As introduced, the bill was referred to the House Committee on Health and Human Services (Feb 2025). The fiscal note indicates administrative impacts are expected to be minimal. Additional committee actions, amendments, or floor votes may follow.
Compiled from official sources — confirm details with the bill’s official record.
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