For nurse practitioners · Kansas

Independence, with two strings named.

K.S.A. 65-1130 as amended in 2022 lets an APRN 'prescribe, procure and administer any drug consistent with such licensee's specific role and population focus' with no physician protocol or collaborative agreement.

Find your page — we rank for your name →
The moment

Independence attaches at licensure

Kansas ended a physician-protocol regime dating to its 1983 APRN statute when HB 2279 took effect on July 1, 2022 — existing APRNs converted on the effective date, no separate application. Two strings came with the deal, and they deserve equal billing: malpractice insurance is mandatory as a condition of clinical practice, and APRNs may never prescribe abortion-inducing drugs.

The national-certification requirement is sequenced separately: it applies to those first licensed on or after July 1, 2023, and did not strip existing licensees.

The requirement

none — independence at licensure; malpractice insurance required to render clinical services, and national certification required for those first licensed on or after July 1, 2023

The moment it attaches

automatic at APRN licensure (existing APRNs converted on the July 1, 2022 effective date — no separate application)

The timeline

HB 2279 signed April 2022, effective July 1, 2022; national-certification requirement applies to initial licensure on and after July 1, 2023

The statute

K.S.A. § 65-1130 (as amended by 2022 HB 2279)

Worth knowing

When HB 2279 took effect on July 1, 2022, Kansas ended a physician-protocol regime dating to its 1983 APRN statute — but wrote two strings into the deal: APRNs must carry malpractice insurance to practice, and may never prescribe abortion-inducing drugs.

K.S.A. § 65-1130 (as amended by 2022 HB 2279)

Scope and carve-outs

The grant and the strings, at equal weight

Full prescriptive and practice authority within the APRN's role and population focus, including controlled substances. Carve-outs/conditions: statutory ban on prescribing abortion-inducing drugs; malpractice insurance mandatory as a condition of clinical practice (limited exceptions for federal/state tort-claims coverage, charitable care, active military).

The watch

Pending in Kansas

Statutes move, boards write rules, sunsets arrive. This watch is checked against primary sources on a standing cadence — last verified 5 November 2026 — and every item links the source it was read from.

Nothing pending in Kansas that we can pin to a primary source. What has already taken effect is below.

Landed recently (3)

Recently effective

HB 2528 adds a late-renewal path and lets the Kansas board grant a one-time temporary APRN permit.

Kansas Legislature, 2026 HB 2528

Recently effective

From 2028 Kansas APRNs join the Health Care Stabilization Fund and must carry $500K/$1.5M coverage unless self-insured.

Kansas Legislature, HB 2509 bill page and enrolled text (https://www.kslegislature.gov/li/b2025_26/measures/documents/hb2509_enrolled.pdf)

Recently effective

Kansas HB 2478 lets the Board fingerprint and background-check APRN and nurse anesthetist applicants; in force July 1, 2026.

Kansas Legislature, HB 2478 enrolled text (2026 Session Laws ch. 20)

Every jurisdiction, every item — The Watch →.

What Gale runs

The inventory, split honestly. Nothing dark is dressed as live.

In the product today

  • Chat runs the practice — say what you need in your own words, and Gale books it, finds the guide, or opens the screen already filled in.
  • Scheduling and the calendar.
  • Notes, with a scribe that drafts during the visit — you stay the final editor of every note.
  • Telehealth where the chart lives.
  • The patient record — see a sample chart, no signup.
  • Superbills for the patient who wants to claim out-of-network benefits.
  • The Fee Schedule — the one Gale document that states the fee.
  • Your practice page, in the public directory compiled from the NPPES registry.
  • Your credentials in one place — every license, DEA registration, board certification and plan enrollment you already hold, with reminders at 90, 60 and 30 days before one expires. Gale checks your NPI against the national registry and marks what it checked. It does not file applications; a credentialing service can.
  • Referrals from colleagues through your own link, acknowledged and booked in one place, and a view of which referral sources send you patients and which have gone quiet.
  • Practice notes on your public page, and your own notes on Gale’s health articles in the content library — credited to you, and nothing is public until you publish it.
  • An activity and access log that records who opened, changed or exported a patient’s chart, and when.
  • Connect Claude to set up your services, rates and hours by talking to it. It cannot open a patient record, move money or sign anything.
  • Tasks for you and your team, each with a due date, a priority and, if you choose, the patient it is about.
  • Supervision for the notes you co-sign: send a progress note back with a comment, or sign it yourself. Gale never signs for anyone.
  • A notifications inbox with the messages Gale sends you, each in full, and the unread ones marked.

Opening with the founding cohort

  • Concierge memberships — a monthly plan your practice sells on its own terms. Not sellable yet: enrollment fails closed behind a legal switch until it is turned on. No countdown — when it opens, it opens.
  • The loop tracker — every referral, lab, and question a visible loop with an owner, a state, and a promised window. Closing one requires an outcome note; nothing silently expires.
  • The guided founding sequence — practice setup walked step by step with the first cohort: entity, posted prices, the practice page, the first visit.
  • Currents — the regulatory watch for your state and the latest evidence for your specialty, dated, sourced, and re-verified on a standing cadence. Quiet weeks say so.

Built, rolling out

  • Insurance billing — a billing console, coding you review and attest, and every claim followed from draft to paid. Claims are filed to payers through Stedi, Gale’s signed clearinghouse, once insurance is on for your practice.
  • Outreach — check-ins for patients who have drifted, drafted overnight for you to approve. Nothing is sent until you approve it.
  • Your panel, sorted so the patients who are due or slipping out of care come first — a sort order, not a prediction — with show rates and between-visit activity counted beside it.
  • Practice health — whether notes get signed and Good Faith Estimates go out on time.
  • Guidance monitoring — the between-visit guidance a patient chooses to share with you, with anything off track listed first. It fills as patients share.
  • Workbooks — your charts, claims, referral pipeline, compliance records and clinician roster as tables you can edit. New accounts start on a sample practice.
  • A desktop bridge and scheduled agents, for work that runs while you are away. A scheduled agent can never send a message, move money or sign anything.
  • Analytics for the date range you pick — income, balances, claims, appointments and notes, and each report as a download. The money figures come from the same test system as billing.
  • Visit requests — the kind of visit a patient asks for, with a suggested length, checked off once the time is booked. For now a request is kept only in the browser it was sent from.
The economics

No physician attached means no standing invoice between you and your own practice — the economics of independence here are unusually legible. What Gale adds is built to read the same way.

Gale’s side of the ledger is deliberately short. The software is free, and Gale earns a fee on a card payment it takes or a flat fee on a claim your practice collects on its own — never as a subscription, never with per-feature line items, never a spread on your rate. The numbers themselves live in exactly one document, on purpose, so it can never quietly say two different things in two places: the Fee Schedule states it.
The playbook

The deepest state cluster we have built is California’s — eight guides on the 103/104 ladder, cited to the statute and the board’s own filings. They are California’s rules, not Kansas’s; the same treatment is coming state by state. Until then, they show the depth of homework to expect from us.

The California playbook →
Questions with citable answers
Yes — the same 2022 law that removed the physician protocol made malpractice insurance a condition of rendering clinical services, with limited exceptions for federal or state tort-claims coverage, charitable care, and active military service.
No. The national-certification requirement applies to initial licensure on or after July 1, 2023. Independence and the insurance mandate took effect July 1, 2022 for everyone; existing APRNs converted automatically on that date.
Where to start

Your page may already exist

Gale publishes a public directory compiled from the NPPES registry. Find your listing, claim it, and see how you rank for your own name — that page is the front door your independent practice will be found through.

Find your page — we rank for your name →Browse the provider hub