As 2024 comes to a close and with it the results of the recent national and statewide elections, healthcare issues will most likely continue to be front and center, both nationally and here in Kansas. While the new Congress remains closely divided, the general election once again yielded Republican supermajorities in both the Kansas House of Representatives and Senate. The House bolstered their number, growing from 85 to 88 Republicans, while the Senate gained two new seats bringing the total number of Republican Senators to 31 out of 40 total members.
Maintaining a supermajority was a critical goal of Republican leadership, giving them the ability to potentially override any veto issued by Democrat Governor Laura Kelly. Legislators are already at work drafting legislation to introduce when the 2025 session begins on January 13. Bills from the previous year do not carry forward on election years, but rather, expire every two years. Even so, we expect to see many of the same issues resurface in hopes of finding newfound support. Among those are the bills expanding the scope of practice for advanced practice nurses and other providers.
Nurse anesthetists (CRNAs) are planning to renew their push to allow them to practice without any restrictions on their scope of practice. They argue that CRNAs are the only advanced practice registered nurses that weren’t included in the changes enacted in 2022 which allowed other APRNs to prescribe without a written protocol with a physician. While that sentiment may be understandable, their bid for statutory expansion of practice privileges actually goes much further and would even allow for the performance by CRNAs of surgery and other invasive procedures. It appears that since the passage of the APRNs bill allowing for prescribing, along with a confusing (and incorrect) interpretation by the Board of Nursing and other nursing advocacy groups about its application, some argue that APRNs do not have any limitations on their scope of practice. This interpretation defies a plain reading of the law, which does not provide such authority and is in violation of the Healing Arts and Nurse Practice Acts.
Optometrists are also seeking an expanded scope and intend to introduce legislation that mirrors their prior effort, which would allow for multiple procedures that overlap into the practice of medicine. KMS will continue its opposition to these practice expansions by both the CRNAs and optometrists.
Outside of scope issues, we also expect some controversial ideological issues to re-emerge as they do each year, but even more so after the recent election results. In particular, the debate over gender-affirming healthcare for minors is almost certainly going to receive legislative attention again.
The KMS Legislative Committee is comprised of physicians from many specialties and geographic areas of the state, and it meets bi-weekly to review and advise our Board of Trustees on all legislation impacting the practice of medicine, patient access, reimbursement and the legal climate.
There is no doubt that the session will be busy by the time KMS Advocacy Day occurs on January 29th. We expect to hear from leaders from both the House and Senate, including newly elected Senate Majority Leader Chase Blasi, returning House Speaker Dan Hawkins, the health committee vice chairs and members of the “Doc Caucus” and a panel of physicians serving on the KMS Legislative Committee. If you haven’t already, please register to join us today.
Advocacy Day also gives us the opportunity to hear directly from you about issues directly affecting your practice. We have invited all state specialty societies to participate, identify their advocacy objectives, and work with a collective voice under the dome to ensure the practice of medicine remains in physicians’ hands. There are many issues affecting medical practice and we serve as your advocate at the Statehouse. We will continue to push for increases in Medicaid reimbursement, prior authorization reform, improved access to physician-led care, reforms that improve the legal climate, and incentives that encourage newly-trained physicians to establish their practices in the rural and other underserved areas of our state.
Your KMS staff has grown to include a few new faces while maintaining the long-term service of several dedicated employees, in some cases extending over decades. To a person, both new and long-tenured, we consider it a privilege to work as advocates for each of you and your patients. Thank you for your engagement in promoting and protecting your profession to ensure that Kansans receive the very best care. As a (sometimes reluctant) patient myself, I can attest to the excellence and warmth delivered by your hands.
As always, do not hesitate to reach out if you have questions or concerns about legislation or any other matters. It’s my pleasure and privilege to work on your behalf. Wishing you the best in 2025, with hope and optimism for what lies ahead.
It's time to renew your KMS membership for 2025! Kansas physicians are uniquely positioned to serve as both a patient advocate and an advocate for the profession. Your membership enables the Kansas Medical Society to:
- Continue focusing on our mission of advocacy for physicians of all specialties statewide.
- Ensure the physician's voice is well-represented in the legislative & regulatory arenas.
- Improve the practice environment in our state.
- Keep you informed as a member of the state's largest physician association.
Your continued membership is critical to the success of the Kansas Medical Society and the future of the profession. We will continue to focus on our mission and provide unparalleled support to each of you.
We appreciate your consideration in supporting KMS through your renewed membership. Click HERE to pay your dues TODAY!
Elections are open for 2025-2026 KMS Offices. Scan the QR code below to vote online before January 23, 2025.
Registration is OPEN for KMS Advocacy Day on Wednesday, January 29, 2025, in Topeka, Kansas!
Kansas Medical Society’s Advocacy Day offers a unique opportunity to connect directly with your legislative leaders. You will join physicians from across the state, regardless of specialty to ask the hard questions that impact the house of medicine. Please plan to meet with your specialty society, KMS leadership & your peers to inform lawmakers, guide decision-making, and generate support for policies on critical issues that impact physicians, patients, and the healthcare environment for our great state of Kansas. Whether you view advocacy as a responsibility or an option, your community participation, leadership, and collective voices are essential to the House of Medicine’s continued leadership in health care.
