Kansas

Kansas became the 12th state to enact DPC legislation with the passage of HB 2225, signed by the Governor on May 7, 2015.  The pertinent language is found on pages 1 & 2 of this 28 page bill.  The law will can now be found in the Kansas Statutes Annotated § 65-4978.  Multiple DPC practices are operating in Kansas, most notably AtlasMD.  Be sure to review the Kansas Insurance Code when planning your DPC practice.

Kansas has notably change from a prohibited state to a "disclosure" state regarding pathology "direct billing" laws.  With the passage of HB 2027 in the 2017 legislative session DPC practices may now offer pass through pricing for skin biopsies and other pathology services as long as you disclose the name of the lab that was used and what the lab charged your DPC practice.

Dispensing - According to this FAQ page: “Physicians should be familiar with the Board’s requirements for dispensing physicians in K.A.R. 100-21-1 through K.A.R. 100-21-5 (found on page 231 and 232). If controlled substances will be dispensed, physicians should be familiar with state pharmacy laws and federal laws which may be applicable.” K.A.R 100-21 discusses labeling, packaging, and inventory requirements of dispensing physicians. 100-21-1 states that ‘‘Dispensing physician’’ means a person licensed to practice medicine and surgery who purchases and keeps drugs and compounds his or her own prescriptions for the purpose of supplying such drugs to his or her patients.”

PAs in Kansas technically may dispense medications under the supervision of a physician, but they are limited to a three day supply. “Pursuant to K.S.A. 65-28a08(b)(2), a PA may dispense prescription-only medications if authorized by their supervising physician. The dispensing of the medications must be in the best interests of the patient and may only be done when pharmacy services are not readily available. Additionally, only a 72-hour supply may be dispensed.”