Physician duties · CNS · Kansas
Signing for a Clinical Nurse Specialist in Kansas: what the physician takes on
No agreement is required, so the terms are whatever you both negotiate. Clinical Nurse Specialists practice independently in Kansas, so any agreement is voluntary.
The 2022 reform's repeal of collaborative-practice-agreement/supervising-physician language in K.S.A. 65-1130 applies to CNSs along with the other APRN categories, though CNSs (unlike CRNAs/CNMs) are not required to carry Health Care Stabilization Fund coverage.
What you take on as the physician
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
No proximity requirement
No physician availability/proximity standard applies post-2022 reform.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
Same statutory scope as general NPs (K.S.A. 65-1130); requires DEA registration.
Written agreement
Not required
Unconditional since 7/1/2022.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same combined-profession entity pathway as the general `np` entry.
Legal sources for these rules (2)
What physicians charge for this role
Typical monthly compensation in Kansas
$500 – $600
Estimate for one Clinical Nurse Specialist. Standard-tier state.
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.