Kansas 2023-2024 Regular Session

Kansas House Bill HB2344 Latest Draft

Bill / Enrolled Version Filed 04/24/2023

                            Senate Substitute for HOUSE BILL No. 2344
AN ACT concerning the department of health and environment; relating to licensure of 
child care facilities; day care homes and child care centers; establishing license 
capacity and staff-to-child ratios; lowering license fees and training requirements; 
creating a process for day care facility licensees to apply for a temporary waiver of 
certain statutory requirements; authorizing the secretary to develop and operate pilot 
programs to increase child care facility availability and capacity; amending K.S.A. 
65-503, 65-505 and 65-508 and K.S.A. 2022 Supp. 48-3406 and repealing the 
existing sections.
Be it enacted by the Legislature of the State of Kansas:
New Section 1. (a) Child care center staff shall meet the training 
requirements for the license capacity of the child care center as set forth 
in this section.
(b) A program director shall be 18 years of age or older and shall 
meet the training requirements for the license capacity of the child care 
center, as determined by the secretary, but such requirements shall not 
require more teaching experience or college credit than provided in this 
section. A child care center shall have a program director on the 
premises with training requirements that meet one of the following 
options:
(1) If a child care center is licensed for fewer than 18 children:
(A) Three months of experience teaching in a licensed child care 
facility or preschool or working with children in a related field;
(B) five sessions of observation for at least 2.5 consecutive hours 
per observation in a licensed day care facility and 10 clock hours of 
workshops approved by the state licensing staff;
(C) earned at least three credit hours of academic credit from a 
postsecondary educational institution or equivalent training in 
childhood development, early childhood education or curriculum 
resources and supervised observation in high school or college and 
three months of experience caring for children in a child care facility or 
preschool or working with children in a related field; or
(D) a child development associate credential.
(2) If a child care center is licensed for at least 18 but fewer than 
36 children:
(A) Five sessions of observation for at least 2.5 consecutive hours 
per observation in a licensed day care facility and six months of 
experience teaching or supervised practicum in a licensed child care 
facility or preschool or a related field;
(B) (i) Six credit hours from a postsecondary educational 
institution or equivalent training in childhood development, early 
childhood education or curriculum resources; and
(ii) three months of experience teaching in a licensed child care 
facility or preschool or working with children in a related field or one 
year of supervised practicum in a licensed child care facility; or
(C) a child development associate credential.
(3) If a child care center is licensed for 36 or more children:
(A) Six credit hours from a postsecondary educational institution 
or equivalent training in child development, early childhood education, 
curriculum resources, nutrition, child guidance, parent education, 
supervised practicum or administration of early childhood programs 
and six months of experience teaching in a licensed child care facility 
or preschool or working with children in a related field;
(B) (i) A child development associate credential, an associate of 
arts degree or a two-year certificate in child development; and
(ii) nine months of teaching experience or supervised practicum in 
a licensed child care facility or preschool or working with children in a 
related field;
(C) a bachelor of arts or a bachelor of science degree in child 
development or early childhood education, including a supervised 
practicum, and three months of teaching experience in a licensed child 
care facility or preschool or working with children in a related field; or
(D) a bachelor of arts or a bachelor of science degree in a related 
academic discipline and 12 hours of academic study or equivalent 
training in child development, early childhood education, curriculum 
resources, nutrition, child guidance, parent education, supervised  Senate Substitute for HOUSE BILL No. 2344—page 2
practicum or administration of early childhood programs, and six 
months of experience teaching in a licensed child care facility or 
preschool or working with children in a related field.
(4) The secretary shall not require a program director of a child 
care center to have training requirements that are more restrictive than 
the options in this section.
(c) (1) Each individual designated as a lead teacher shall be 18 
years of age or older and possess either a high school diploma or 
equivalent education and meet one of following qualifications:
(A) Three months of experience caring for children in a licensed 
child care facility or preschool or working with children in a related 
field;
(B) 30 days of teaching experience in a licensed child care facility, 
preschool or a related field;
(C) five sessions of observation for at least 2.5 consecutive hours 
per observation in a licensed day care facility and 10 clock hours of 
workshops approved by the state licensing staff; or
(D) at least three credit hours of academic credit or equivalent 
training in childhood development, early childhood education or 
curriculum resources and supervised observation in high school or 
college.
(2) Each individual designated as an assistant teacher shall be 18 
years of age or older and complete staff orientation at the time of 
employment.
(d) (1) A unit with at least one infant shall have at least one staff 
member present who is designated as lead teacher.
(2) A unit where all children are at least 12 months old shall have 
at least one staff member present who is designated as lead teacher or 
assistant teacher.
(3) All staff members shall be at least three years older than the 
oldest child in the unit where such staff member is caring for children.
(e) (1) For each licensure year beginning after July 1, 2023, each 
program director, administrator, lead teacher or assistant teacher and 
any other staff member who provides care to children in a child care 
center shall complete professional development training in an amount 
determined by the secretary not to exceed 12 clock hours per licensure 
year.
(2) Such training shall consist of a minimum of eight hours of 
training as specified by the secretary.
(3) As part of the professional development training required 
under this subsection, an individual who provides care to children in a 
child care center shall submit proof of completion of up to four hours 
of such outside training in child care or any related subject to the 
secretary, who shall retain records of such individual's compliance with 
this requirement.
(f) As used in this section:
(1) "Related field" includes, but is not limited to, early childhood 
education, elementary education, special education, speech pathology, 
occupational therapy, social work or family science and human 
development; and
(2) "secretary" means the secretary of health and environment.
(g) This section shall be a part of and supplemental to article 5 of 
chapter 65 of the Kansas Statutes Annotated, and amendments thereto.
New Sec. 2. (a) (1) A child care home with one provider shall have 
a license capacity of 12 if the children enrolled in such child care home 
are all at least 2.5 years but under 10 years of age.
(2) If paragraph (1) does not apply, the license capacity for a child 
care home with one provider shall be as follows:
Children under 12 Children at least 12 Children at least License 
months of age months but under 5 years but undercapacity
5 years of age10 years of age
 0	8	4 12
 1	7	4 12
 2	4	4 10 Senate Substitute for HOUSE BILL No. 2344—page 3
 3	3	3 9
 4	2	2 8
(b) (1) A child care home with two providers shall have a license 
capacity of 17 if the children enrolled in such child care home are all at 
least 2.5 years but under 10 years of age.
(2) If paragraph (1) does not apply, the license capacity for a child 
care home with two providers shall be as follows:
Children under 12Children at least 12 Children at least  License 
months of agemonths but under 5 years but undercapacity
5 years of age 10 years of age
 0 12	5 17
 1 11	5 17
  2 10	4 16
 3	9	4 16
 4	8	3 15
(3) If the number of children present exceeds the maximum 
number allowed for one provider, a second provider shall be present.
(c) (1) Children five years of age and older may be substituted for 
younger children in the license capacity in subsections (a) and (b).
(2) Two or fewer children who are 2.5 years of age or older and 
are not counted toward the license capacity in subsections (a) and (b) 
may be present on the premises between 11:00 a.m. and 1:00 p.m. for 
the noon meal.
(3) Two or fewer children who are at least five years of age but 
under 10 years of age and are not counted toward the license capacity 
in subsections (a) and (b) may be present as follows:
(A) During the academic school year before and after school, in-
service days, school holidays, scheduled or emergency closures and 
school breaks not to exceed two consecutive weeks; and
(B) during the two consecutive weeks before the opening of the 
academic school year in August or September and following the end of 
the academic school year in May or June.
(4) Two or fewer children 10 years of age or older, unrelated to the 
applicant or licensee, may be present for two hours or less per day 
during child care hours if the additional children are:
(A) Not on the premises for the purpose of receiving child care in 
the facility;
(B) visiting the applicant's or the licensee's own child or children; 
or
(C) supervised by a provider if they have access to the children in 
care.
(d) (1) For each licensure year beginning after July 1, 2023, each 
person who provides care to children in a child care home shall 
complete professional development training in an amount determined 
by the secretary not to exceed 12 clock hours per licensure year.
(2) Such training shall consist of a minimum of eight hours of 
training specified by the secretary.
(3) As part of the professional development training required 
under this subsection:
(A) Each person who provides care to children in a child care 
home shall submit proof of completion of up to four hours of such 
outside training in child care or any related subject to the secretary, who 
shall retain records of such person's compliance with this requirement; 
and
(B) A person who maintains a child care home with one provider, 
if such provider provides care for four infants at once at any time 
during the licensure year, shall submit proof of completion of at least 
three hours of such professional development training in an infant-
specific subject to the secretary, who shall retain records of such 
person's compliance with this requirement.
(e) (1) The secretary shall not adopt or implement any limitation 
on the maximum number of children for which a child care home may 
be licensed that is more restrictive than this section.
(2) No city or county shall adopt any ordinance, resolution or  Senate Substitute for HOUSE BILL No. 2344—page 4
regulation restricting the maximum number of children for which a 
child care home may be licensed that is more restrictive than this 
section.
(f) As used in this section, "secretary" means the secretary of 
health and environment.
(g) This section shall be a part of and supplemental to article 5 of 
chapter 65 of the Kansas Statutes Annotated, and amendments thereto.
New Sec. 3. (a) The ratio of staff members to children in a child 
care center shall be determined by the ages of the children and the type 
of care provided.
(1) The minimum staff-to-child ratio and the maximum number of 
children per unit shall be the following:
Age of children Minimum staff-to-child Maximum number
ratio of children
per unit
Infants 1 to 4 12
Infants and other 1 to 6 12
 children under six (including 3 or (including 6 or
 fewer infants) fewer infants)
Toddlers 1 to 6 12
Children at least two 8	16
but under three
years of age
Children at least12	24
 2.5 years of age but 
under school age
Children at least 3 years15	30
of age but under
school age
Kindergarten enrollees20 	40
School age 20	40
(2) No child shall be left unsupervised.
(b) (1) The secretary shall not adopt or implement any limitation 
on staff-to-child ratios or children per unit in a child care center that is 
more restrictive than this section.
(2) No city or county shall adopt any ordinance, resolution or 
regulation restricting the staff-to-child ratios and children per unit in a 
child care center that is more restrictive than this section.
(c) This section shall be a part of and supplemental to article 5 of 
chapter 65 of the Kansas Statutes Annotated, and amendments thereto.
New Sec. 4. (a) Each child care center shall have a program 
director who is employed full time.
(b) Each child care center that is licensed for more than 75 
children shall have an administrator, who may also be the program 
director.
(c) The program director or administrator may, as needed, perform 
the duties of a lead teacher or assistant teacher for up to half of the 
program director's or administrator's total hours worked during each 
calendar month.
New Sec. 5. (a) A child care center shall meet the legal 
requirements of the state fire marshal and the local jurisdiction where 
the child care center is located for fire protection, water supply and 
sewage disposal.
(b) (1) The designated area for children's activities shall contain a 
minimum of 28 square feet of floor space per child, excluding kitchens, 
passageways, storage areas and bathrooms.
(2) There shall be a minimum of 60 square feet of outdoor play 
space on the premises for each child using the space at a given time.
(c) This section shall be a part of and supplemental to article 5 of 
chapter 65 of the Kansas Statutes Annotated, and amendments thereto.
New Sec. 6. (a) The secretary of health and environment shall not 
require as a condition of licensure for a child care home that the 
licensee live in the child care home.
(b) This section shall be a part of and supplemental to article 5 of  Senate Substitute for HOUSE BILL No. 2344—page 5
chapter 65 of the Kansas Statutes Annotated, and amendments thereto.
New Sec. 7. (a) Notwithstanding the provisions of any other law 
to the contrary, a person granted licensure to maintain a day care 
facility may request from the secretary a waiver from the requirements 
of this act for a set period of time. Waiver requests shall be made in a 
form and manner approved by the secretary of health and environment 
and shall contain the provisions of the statute sought to be waived and 
the reasons therefor.
(b) This section shall be a part of and supplemental to article 5 of 
chapter 65 of the Kansas Statutes Annotated, and amendments thereto.
New Sec. 8. (a) (1) Notwithstanding the provisions of any other 
law to the contrary, the secretary of health and environment may 
develop and operate pilot programs designed to increase the availability 
or capacity of child care facilities in the state.
(2) The secretary may grant licensure to a person to maintain a 
day care facility or drop-in program in a pilot program under this 
section that waives the requirements of this act or rules and regulations 
related to licensure and operation of a day care facility or drop-in 
program, including requirements for staff at such day care facility or 
drop-in program. A day care facility or drop-in program granted a 
license under this section shall comply with any alternative terms, 
conditions and requirements set by secretary as may be necessary to 
protect the health, safety and welfare of any children that attend such 
day care facility or drop-in program.
(3) The secretary shall not grant a license under this section if the 
secretary determines that a day care facility or drop-in program or staff 
of such facility or program would endanger the health, safety and 
welfare of any child.
(b) The secretary may grant licensure to a person to maintain a 
day care facility or drop-in program under this section for up to five 
licensure years, except that the secretary may grant an additional two 
years of licensure to any facility or program that participated in a pilot 
program pursuant to subsection (c) during the adoption of such rules 
and regulations.
(c) If the secretary determines that a pilot program has been 
successful and will increase the availability or capacity of child care 
facilities in the state, the secretary shall:
(1) Make suggestions and recommendations to the legislature for 
statutory changes relating to day care facilities or drop-in programs; 
and
(2) adopt any rules and regulations consistent with the findings 
from such pilot program, including additional licensure categories and 
requirements therefor.
(d) On or before the first day of each regular session of the 
legislature, the secretary shall prepare and submit a report to the 
legislature regarding any pilot program. Such report shall include, but 
not be limited to, the number of participating day care facilities or drop-
in programs and number of children attending such facilities or 
programs, provisions of statutes and regulations waived by the 
secretary, recommendations for changes to this act and a summary of 
findings from the pilot program based on available information.
(e) As used in this section, "secretary" means the secretary of 
health and environment.
(f) This section shall be a part of and supplemental to article 5 of 
chapter 65 of the Kansas Statutes Annotated, and amendments thereto.
Sec. 9. K.S.A. 2022 Supp. 48-3406 is hereby amended to read as 
follows: 48-3406. (a) For the purposes of this section:
(1) "Applicant" means an individual who is a military spouse, 
military servicemember or an individual who has established or intends 
to establish residency in this state. "Applicant" with respect to law 
enforcement certification by the Kansas commission on peace officers' 
standards and training means an applicant who has met the employment 
requirement pursuant to K.S.A. 74-5605(a), and amendments thereto.
(2) "Complete application" means the licensing body has received  Senate Substitute for HOUSE BILL No. 2344—page 6
all forms, fees, documentation, a signed affidavit stating that the 
application information, including necessary prior employment history, 
is true and accurate and any other information required or requested by 
the licensing body for the purpose of evaluating the application, 
consistent with this section and the rules and regulations adopted by the 
licensing body pursuant to this section. If the licensing body has 
received all such forms, fees, documentation and any other information 
required or requested by the licensing body, an application shall be 
deemed to be a complete application even if the licensing body has not 
yet received a criminal background report from the Kansas bureau of 
investigation.
(3) "Licensing body" means an official, agency, board or other 
entity of the state which authorizes individuals to practice a profession 
in this state and issues a license, registration, certificate, permit or other 
authorization to an individual so authorized.
(4) "Military servicemember" means a current member of any 
branch of the United States armed services, United States military 
reserves or national guard of any state or a former member with an 
honorable discharge.
(5) "Military spouse" means the spouse of a military 
servicemember.
(6) "Private certification" means a voluntary program in which a 
private organization grants nontransferable recognition to an individual 
who meets personal qualifications and standards relevant to performing 
the occupation as determined by the private organization.
(7) "Scope of practice" means the procedures, actions, processes 
and work that a person may perform under a government issued 
license, registration or certification.
(b) Notwithstanding any other provision of law, any a licensing 
body shall, upon submission of a complete application, issue a license, 
registration or certification to an applicant as provided by this section, 
so that the applicant may lawfully practice the person's occupation.
(c) An applicant who holds a valid current license, registration or 
certification in another state, district or territory of the United States 
shall receive a license, registration or certification:
(1) If the applicant qualifies under the applicable Kansas 
licensure, registration or certification by endorsement, reinstatement or 
reciprocity statutes, then pursuant to applicable licensure, registration 
or certification by endorsement, reinstatement or reciprocity statutes of 
the licensing body of this state for the license, registration or 
certification within 15 days from the date a complete application was 
submitted if the applicant is a military servicemember or military 
spouse or within 45 days from the date a complete application was 
submitted for all other applicants; or
(2) if the applicant does not qualify under the applicable licensure, 
registration or certification by endorsement, reinstatement or 
reciprocity statutes of the licensing body of this state, or if the Kansas 
professional practice act does not have licensure, registration or 
certification by endorsement, reinstatement or reciprocity statutes, then 
the applicant shall receive a license, registration or certification as 
provided herein if, at the time of application, the applicant:
(A) Holds a valid current license, registration or certification in 
another state, district or territory of the United States with licensure, 
registration or certification requirements that the licensing body 
determines authorize a similar scope of practice as those established by 
the licensing body of this state, or holds a certification issued by 
another state for practicing the occupation but this state requires an 
occupational license, and the licensing body of this state determines 
that the certification requirements certify a similar scope of practice as 
the licensing requirements established by the licensing body of this 
state;
(B) has worked for at least one year in the occupation for which 
the license, certification or registration is sought;
(C) has not committed an act in any jurisdiction that would have  Senate Substitute for HOUSE BILL No. 2344—page 7
constituted grounds for the limitation, suspension or revocation of the 
license, certificate or registration, or that the applicant has never been 
censured or had other disciplinary action taken or had an application for 
licensure, registration or certification denied or refused to practice an 
occupation for which the applicant seeks licensure, registration or 
certification;
(D) has not been disciplined by a licensing, registering, certifying 
or other credentialing entity in another jurisdiction and is not the 
subject of an unresolved complaint, review procedure or disciplinary 
proceeding conducted by a licensing, registering, certifying or other 
credentialing entity in another jurisdiction nor has surrendered their 
membership on any professional staff in any professional association or 
society or faculty for another state or jurisdiction while under 
investigation or to avoid adverse action for acts or conduct similar to 
acts or conduct that would constitute grounds for disciplinary action in 
a Kansas practice act;
(E) does not have a disqualifying criminal record as determined by 
the licensing body of this state under Kansas law;
(F) provides proof of solvency, financial standing, bonding or 
insurance if required by the licensing body of this state, but only to the 
same extent as required of any applicant with similar credentials or 
experience;
(G) pays any fees required by the licensing body of this state; and
(H) submits with the application a signed affidavit stating that the 
application information, including necessary prior employment history, 
is true and accurate.
Upon receiving a complete application and the provisions of 
subsection (c)(2) apply and have been met by the applicant, the 
licensing body shall issue the license, registration or certification within 
15 days from the date a complete application was submitted by a 
military servicemember or military spouse, or within 45 days from the 
date a complete application was submitted by an applicant who is not a 
military servicemember or military spouse, to the applicant on a 
probationary basis, but may revoke the license, registration or 
certification at any time if the information provided in the application is 
found to be false. The probationary period shall not exceed six months. 
Upon completion of the probationary period, the license, certification 
or registration shall become a non-probationary license, certification or 
registration.
(d) Any applicant who has not been in the active practice of the 
occupation during the two years preceding the application for which the 
applicant seeks a license, registration or certification under subsection 
(c)(2) may be required to complete such additional testing, training, 
monitoring or continuing education as the Kansas licensing body may 
deem necessary to establish the applicant's present ability to practice in 
a manner that protects the health and safety of the public, as provided 
by subsection (j).
(e) Upon submission of a complete application, an applicant may 
receive an occupational license, registration or certification based on 
the applicant's work experience in another state, if the applicant:
(1) Worked in a state that does not use an occupational license, 
registration, certification or private certification to regulate an 
occupation, but this state uses an occupational license, registration or 
certification to regulate the occupation;
(2) worked for at least three years in the occupation during the 
four years immediately preceding the application; and
(3) satisfies the requirements of subsection (c)(2)(C) through (H).
(f) Upon submission of a complete application, an applicant may 
receive an occupational license, registration or certification under 
subsection (b) based on the applicant's holding of a private certification 
and work experience in another state, if the applicant:
(1) Holds a private certification and worked in a state that does not 
use an occupational license or government certification to regulate an 
occupation, but this state uses an occupational license or government  Senate Substitute for HOUSE BILL No. 2344—page 8
certification to regulate the occupation;
(2) worked for at least two years in the occupation;
(3) holds a current and valid private certification in the 
occupation;
(4) is held in good standing by the organization that issued the 
private certification; and
(5) satisfies the requirements of subsection (c)(2)(C) through (H).
(g) An applicant licensed, registered or certified under this section 
shall be entitled to the same rights and subject to the same obligations 
as are provided by the licensing body for Kansas residents, except that 
revocation or suspension of an applicant's license, registration or 
certificate in the applicant's state of residence or any jurisdiction in 
which the applicant held a license, registration or certificate shall 
automatically cause the same revocation or suspension of such 
applicant's license, registration or certificate in Kansas. No hearing 
shall be granted to an applicant where such applicant's license, 
registration or certificate is subject to such automatic revocation or 
suspension, except for the purpose of establishing the fact of revocation 
or suspension of the applicant's license, registration or certificate by the 
applicant's state of residence or jurisdiction in which the applicant held 
a license, registration or certificate.
(h) In the event the licensing body determines that the license, 
registration or certificate currently held by an applicant under 
subsection (c)(2) or the work experience or private credential held by 
an applicant under subsections (e) or (f), who is a military spouse or 
military servicemember does not authorize a similar scope of practice 
as the license, registration or certification issued by the licensing body 
of this state, the licensing body shall issue a temporary permit for a 
limited period of time to allow the applicant to lawfully practice the 
applicant's occupation while completing any specific requirements that 
are required in this state for licensure, registration or certification that 
were not required in the state, district or territory of the United States in 
which the applicant was licensed, registered, certified or otherwise 
credentialed, unless the licensing body finds, based on specific 
grounds, that issuing a temporary permit would jeopardize the health 
and safety of the public.
(i) In the event the licensing body determines that the license, 
registration or certification currently held by an applicant under 
subsection (c)(2) or the work experience or private credential held by 
an applicant under subsections (e) or (f), who is not a military spouse or 
military servicemember, does not authorize a similar scope of practice 
as the license, registration or certification issued by the licensing body 
of this state, the licensing body may issue a temporary permit for a 
limited period of time to allow the applicant to lawfully practice the 
applicant's occupation while completing any specific requirements that 
are required in this state for licensure, registration or certification that 
was not required in the state, district or territory of the United States in 
which the applicant was licensed, registered, certified or otherwise 
credentialed, unless the licensing body finds, based on specific 
grounds, that issuing a temporary permit would jeopardize the health 
and safety of the public.
(j) Any testing, continuing education or training requirements 
administered under subsection (d), (h) or (i) shall be limited to Kansas 
law that regulates the occupation and that are materially different from 
or additional to the law of another state, or shall be limited to any 
materially different or additional body of knowledge or skill required 
for the occupational license, registration or certification in Kansas.
(k) A licensing body may grant licensure, registration, certification 
or a temporary permit to any person who meets the requirements under 
this section but was separated from such military service under less 
than honorable conditions or with a general discharge under honorable 
conditions.
(l) Nothing in this section shall be construed to apply in conflict 
with or in a manner inconsistent with federal law or a multistate  Senate Substitute for HOUSE BILL No. 2344—page 9
compact, or a rule or regulation or a reciprocal or other applicable 
statutory provision that would allow an applicant to receive a license. 
Nothing in this section shall be construed as prohibiting a licensing 
body from denying any application for licensure, registration or 
certification, or declining to grant a temporary or probationary license, 
if the licensing body determines that granting the application may 
jeopardize the health and safety of the public.
(m) Nothing in this section shall be construed to be in conflict 
with any applicable Kansas statute defining the scope of practice of an 
occupation. The scope of practice as provided by Kansas law shall 
apply to applicants under this section.
(n) Notwithstanding any other provision of law, during a state of 
emergency declared by the legislature, a licensing body may grant a 
temporary emergency license to practice any profession licensed, 
certified, registered or regulated by the licensing body to an applicant 
whose qualifications the licensing body determines to be sufficient to 
protect health and safety of the public and may prohibit any unlicensed 
person from practicing any profession licensed, certified, registered or 
regulated by the licensing body.
(o) Licensing bodies may provide electronic credentials to persons 
regulated by the licensing body. For purposes of this subsection, 
"electronic credential" means an electronic method by which a person 
may display or transmit to another person information that verifies a 
person's certification, licensure, registration or permit. A licensing body 
may prescribe the format or requirements of the electronic credential to 
be used by the licensing body. Any statutory or regulatory requirement 
to display, post or produce a credential issued by a licensing body may 
be satisfied by the proffer of an electronic credential authorized by the 
licensing body. A licensing body may use a third-party electronic 
credential system that is not maintained by the licensing body. Such 
electronic credential system shall include a verification system that is 
operated by the licensing body or its agent on behalf of the licensing 
body for the purpose of verifying the authenticity and validity of 
electronic credentials issued by the licensing body.
(p) Each licensing body shall adopt rules and regulations 
necessary to implement and carry out the provisions of this section.
(q) This section shall not apply to the practice of law or the 
regulation of attorneys pursuant to K.S.A. 7-103, and amendments 
thereto.
(r) The state board of healing arts and the state board of technical 
professions, with respect to an applicant who is seeking a license to 
practice professional engineering or engage in the practice of 
engineering, as defined in K.S.A. 74-7003, and amendments thereto, 
may deny an application for licensure, registration or certification, or 
decline to grant a temporary or probationary license, if the board 
determines the applicant's qualifications are not substantially equivalent 
to those established by the board. Such boards shall not otherwise be 
exempt from the provisions of this act.
(s) This section shall apply to all licensing bodies not excluded 
under subsection (q), including, but not limited to:
(1) The abstracters' board of examiners;
(2) the board of accountancy;
(3) the board of adult care home administrators;
(4) the secretary for aging and disability services, with respect to 
K.S.A. 65-5901 et seq. and K.S.A. 65-6503 et seq., and amendments 
thereto;
(5) the Kansas board of barbering;
(6) the behavioral sciences regulatory board;
(7) the Kansas state board of cosmetology;
(8) the Kansas dental board;
(9) the state board of education;
(10) the Kansas board of examiners in fitting and dispensing of 
hearing instruments;
(11) the board of examiners in optometry; Senate Substitute for HOUSE BILL No. 2344—page 10
(12) the state board of healing arts, as provided by subsection (r);
(13) the secretary of health and environment, including with 
respect to K.S.A. 82a-1201 et seq., and amendments thereto;
(14) the commissioner of insurance, with respect to K.S.A. 40-241 
and 40-4901 et seq., and amendments thereto;
(15) the state board of mortuary arts;
(16) the board of nursing;
(17) the state board of pharmacy;
(18) the Kansas real estate commission;
(19) the real estate appraisal board;
(20) the state board of technical professions, as provided by 
subsection (r); and
(21) the state board of veterinary examiners.
(t) All proceedings pursuant to this section shall be conducted in 
accordance with the provisions of the Kansas administrative procedure 
act and shall be reviewable in accordance with the Kansas judicial 
review act.
(u) (1) Commencing on July 1, 2021, and each year thereafter, 
Each licensing body listed in subsection (s)(1) through (21) shall 
provide a report for the period of July 1 through June 30 to the director 
of legislative research by August 31 of each year, providing 
information requested by the director of legislative research to fulfill 
the requirements of this subsection. The director of legislative research 
shall develop the report format, prepare an analysis of the reports and 
submit and present the analysis to the office of the governor, the house 
of representatives standing committee on commerce, labor and 
economic development of the house of representatives or any 
successor committee thereof, the senate standing committee on 
commerce of the senate or any successor committee thereof, the house 
of representatives standing committee on appropriations of the house of 
representatives and the or any successor committee thereof on and the 
senate standing committee on ways and means of the senate or any 
successor committee thereof, by January 15 of the succeeding year. The 
director's report may provide any analysis the director deems useful and 
shall provide the following items, detailed by applicant type, including 
military servicemember, military spouse and non-military individual:
(1)(A) The number of applications received under the provisions 
of this section;
(2)(B) the number of applications granted under this section;
(3)(C) the number of applications denied under this section;
(4)(D) the average time between receipt of the application and 
completion of the application;
(5)(E) the average time between receipt of a complete application 
and issuance of a license, certification or registration; and
(6)(F) identification of applications submitted under this section 
where the issuance of credentials or another determination by the 
licensing body was not made within the time limitations pursuant to 
this section and the reasons for the failure to meet such time limitations.
(2) All information shall be provided by the licensing body to the 
director of legislative research in a manner that maintains the 
confidentiality of all applicants and in aggregate form that does not 
permit identification of individual applicants.
Sec. 10. K.S.A. 65-503 is hereby amended to read as follows: 65-
503. As used in this act:
(a) "Child placement agency" means a business or service 
conducted, maintained or operated by a person engaged in finding 
homes for children by placing or arranging for the placement of such 
children for adoption or foster care "Assistant teacher" means an 
individual who meets the requirements of section 1(c), and amendments 
thereto, and can independently staff a unit in a child care center where 
all children are at least 12 months old.
(b) "Child care resource and referral agency" means a business or 
service conducted, maintained or operated by a person engaged in 
providing resource and referral services, including information of  Senate Substitute for HOUSE BILL No. 2344—page 11
specific services provided by child care facilities, to assist parents to 
find child care "Boarding school" means a facility that provides 24-
hour care to school-age children, provides education as its primary 
function and is accredited by an accrediting agency acceptable to the 
secretary of health and environment.
(c) "Child care center" means a facility that meets child care 
center regulations and provides care and educational activities for 
children who are two weeks to 10 years of age for at least three hours 
but less than 24 hours per day or care before and after school for 
school-age children.
(d) "Child care facility" means:
(1) A facility maintained by a person who has control or custody 
of one or more children under 16 years of age, unattended by parent or 
guardian, for the purpose of providing the children with food or 
lodging, or both, except excluding children in the custody of the 
secretary for children and families who are placed with a prospective 
adoptive family pursuant to the provisions of an adoptive placement 
agreement or who are related to the person by blood, marriage or legal 
adoption;
(2) a children's home, orphanage, maternity home, day care 
facility or other facility of a type determined by that the secretary to 
require determines to require regulation under the provisions of this 
act;
(3) a child placement agency or child care resource and referral 
agency, or a facility maintained by such an agency for the purpose of 
caring for children under 16 years of age; or
(4) any receiving or detention home for children under 16 years of 
age provided or maintained by, or receiving aid from, any city or 
county or the state.
(d)(e) "Child care home" means the premises where care is 
provided for a maximum of 12 children under 10 years of age by one 
provider or a maximum number of 17 children under 10 years of age 
by two or more providers, with a limited number of children under five 
years of age in accordance with section 2, and amendments thereto.
(f) "Child care resource and referral agency" means a business or 
service conducted, maintained or operated by a person engaged in 
providing resource and referral services, including information of 
specific services provided by child care facilities, to assist parents to 
find child care.
(g) "Child placement agency" means a business or service 
conducted, maintained or operated by a person engaged in finding 
homes for children by placing or arranging for the placement of such 
children for adoption or foster care.
(h) "Day care facility" means a child care facility that includes a 
day child care home, preschool, child care center, school-age program 
or other facility of a type determined by the secretary to require 
regulation under the provisions of K.S.A. 65-501 et seq., and 
amendments thereto. "Day care facility" does not include a drop-in 
program.
(e)(i) "Drop-in program" means the same as defined in K.S.A. 65-
527, and amendments thereto.
(j) "Infant" means a child who is between two weeks and 12 
months of age or a child older than 12 months of age who has not 
learned to walk.
(k) "Lead teacher" means an individual who meets the 
requirements of section 1(c), and amendments thereto, and can 
independently staff any unit in a child care center.
(l) "Licensure year" means the period of time beginning on the 
effective date and ending on the expiration date of a license.
(m) "Maternity center" means a facility that provides delivery 
services for normal, uncomplicated pregnancies. "Maternity center" 
does not include a medical care facility as defined in K.S.A. 65-425, 
and amendments thereto.
(n) "Person" means any individual, association, partnership,  Senate Substitute for HOUSE BILL No. 2344—page 12
corporation, government, governmental subdivision or other entity.
(f) "Boarding school" means a facility which provides 24-hour 
care to school age children, provides education as its primary function, 
and is accredited by an accrediting agency acceptable to the secretary 
of health and environment.
(g) "Maternity center" means a facility which provides delivery 
services for normal, uncomplicated pregnancies but does not include a 
medical care facility as defined by K.S.A. 65-425, and amendments 
thereto.
(o) "Program director" means the staff member of a child care 
center who meets the requirements of section 1(b), and amendments 
thereto, and who is responsible for implementing and supervising the 
comprehensive and coordinated plan of activities that provide for the 
education, care, protection and development of children who attend a 
child care center.
(p) "School-age" means a child who will be at least six years of 
age on or before the first day of September of any school year but is 
under 16 years of age.
(q) "This act" means article 5 of chapter 65 of the Kansas Statutes 
Annotated, and amendments thereto.
(r) "Toddler" means a child who has learned to walk and is at 
least 12 but less than 30 months of age.
(s) "Unit" means the number of children that may be present in 
one group in a child care center as specified in sections 2 and 3, and 
amendments thereto.
Sec. 11. K.S.A. 65-505 is hereby amended to read as follows: 65-
505. (a) (1) The annual fee for a license to conduct a maternity center 
or child care facility shall be fixed by the secretary of health and 
environment by rules and regulations in an amount not exceeding the 
following:
(1)(A) For a maternity center, $150;
(2)(B) for a child placement agency, $150; and
(3)(C) for a child care resource and referral agency, $150; and.
(4)(2) for any otherExcept for child care facilities listed in 
paragraph (1), there shall be no annual fee for a license to conduct a 
child care facility, $75 plus $1 times the maximum number of children 
authorized under the license to be on the premises at any one time.
(3) The license fee shall be paid to the secretary of health and 
environment when the license is applied for and annually thereafter. 
The fee shall not be refundable. No fee shall be charged for a license to 
conduct a home for children which that is a family foster home as 
defined in K.A.R. 28-4-311, and amendments thereto. Fees in effect 
under this subsection (a) immediately prior to the effective date of this 
act shall continue in effect on and after the effective date of this act 
until a different fee is established by the secretary of health and 
environment by rules and regulations under this subsection.
(b) Any licensee who fails to renew such license within 30 days 
after the expiration of the license shall pay to the secretary the renewal 
fee plus a late fee in an amount of $75 or equal to the fee for the 
renewal of a license, whichever is greater.
(c) Any licensee applying for an amended license shall pay to the 
secretary of health and environment a fee established by rules and 
regulations of the secretary in an amount not exceeding $35.
(d) The secretary of health and environment shall remit all moneys 
received by the secretary from fees under the provisions of this section 
to the state treasurer in accordance with the provisions of K.S.A. 75-
4215, and amendments thereto. Upon receipt of each such remittance, 
the state treasurer, notwithstanding any other law to the contrary, shall 
deposit the entire amount in the state treasury to the credit of the 
maternity centers and child care licensing fee fund. All expenditures 
from the maternity centers and child care licensing fee fund shall be 
made only for the purposes of article 5 of chapter 65 of the Kansas 
Statutes Annotated, and amendments thereto, in accordance with 
appropriation acts upon warrants of the director of accounts and reports  Senate Substitute for HOUSE BILL No. 2344—page 13
issued pursuant to vouchers approved by the secretary of health and 
environment or by a person or persons designated by the secretary. 
Notwithstanding any other law to the contrary, no moneys shall be 
transferred or otherwise revert from this fund to the state general fund 
by appropriation act or other act of the legislature. Moneys available 
under this section by the creation of the maternity centers and child 
care licensing fee fund shall not be substituted for or used to reduce or 
eliminate moneys available to the department of health and 
environment to administer the provisions of article 5 of chapter 65 of 
the Kansas Statutes Annotated, and amendments thereto. Nothing in 
this act shall be construed to authorize a reduction or elimination of 
moneys made available by the state to local units of government for the 
purposes of article 5 of chapter 65 of the Kansas Statutes Annotated, 
and amendments thereto.
Sec. 12. K.S.A. 65-508 is hereby amended to read as follows: 65-
508. (a) Any maternity center or child care facility subject to the 
provisions of this act shall: (1) Be properly heated, plumbed, lighted 
and ventilated; (2) have plumbing, water and sewerage systems which 
that conform to all applicable state and local laws; and (3) be operated 
with strict regard to the health, safety and welfare of any woman or 
child.
(b) (1) Every maternity center or child care facility shall furnish or 
cause to be furnished for the use of each resident and employee an 
individual towel, wash cloth washcloth or disposable products, comb 
and individual drinking cup or sanitary bubbling fountain, and 
toothbrushes for all other than infants, and shall keep or require such 
articles to be kept at all times in a clean and sanitary condition.
(2) Toothbrushes in a day care facility may be used after meals or 
as appropriate.
(3) Every maternity center or child care facility shall comply with 
all applicable fire codes and rules and regulations of the state fire 
marshal.
(c) (1) The secretary of health and environment with the 
cooperation of the secretary for children and families shall develop and 
adopt rules and regulations for the operation and maintenance of 
maternity centers and child care facilities. The rules and regulations for 
operating and maintaining maternity centers and child care facilities 
shall be designed to promote the health, safety and welfare of any 
woman or child served in such facilities by ensuring safe and adequate 
physical surroundings, healthful food, adequate handwashing, safe 
storage of toxic substances and hazardous chemicals, sanitary diapering 
and toileting, home sanitation, supervision and care of the residents by 
capable, qualified persons of sufficient number, after-hour care, an 
adequate program of activities and services, sudden infant death 
syndrome and safe sleep practices training, prohibition on corporal 
punishment, crib safety, protection from electrical hazards, protection 
from swimming pools and other water sources, fire drills, emergency 
plans, safety of outdoor playground surfaces, door locks, safety gates 
and transportation and such appropriate parental participation as may 
be feasible under the circumstances. Boarding schools are excluded 
from requirements regarding the number of qualified persons who must 
supervise and provide care to residents.
(2) Rules and regulations developed under this subsection shall 
include provisions for the competent supervision and care of children in 
day care facilities. For purposes of such rules and regulations, 
competent supervision as this term relates to children less than five 
years of age includes, but is not limited to, direction of activities, 
adequate oversight including sight or sound monitoring, or both, 
physical proximity to children, diapering and toileting practices; and 
for all children, competent supervision includes, but is not limited to, 
planning and supervision of daily activities, safe sleep practices, 
including, but not limited to, visual or sound monitoring, periodic 
checking, emergency response procedures and drills, illness and injury 
response procedures, food service preparation and sanitation,  Senate Substitute for HOUSE BILL No. 2344—page 14
playground supervision, pool and water safety practices.
(d) In addition to any rules and regulations adopted under this 
section for safe sleep practices, child care facilities shall ensure that all 
of the following requirements are met for children under 12 months of 
age:
(1) A child shall only be placed to sleep on a surface and in an 
area that has been approved for use as such by the secretary of health 
and environment;
(2) the sleep surface shall be free from soft or loose bedding, 
including, but not limited to, blankets, bumpers and pillows; and
(3) the sleep surface shall be free from toys, including mobiles and 
other types of play equipment or devices.
(e) Child care facilities shall ensure that children over 12 months 
of age only be placed to sleep on a surface and in an area that has been 
approved for use as such by the secretary of health and environment.
(f) The secretary of health and environment may exercise 
discretion to make exceptions to requirements in subsections (d) and (e) 
where special health needs exist.
(g) Each child cared for in a child care facility, including children 
of the person maintaining the facility, shall be required to have current 
such immunizations as the secretary of health and environment 
considers necessary. The person maintaining a child care facility shall 
maintain a record of each child's immunizations and shall provide to 
the secretary of health and environment such information relating 
thereto, in accordance with rules and regulations of the secretary, but 
the person maintaining a child care facility shall not have such person's 
license revoked solely for the failure to have or to maintain the 
immunization records required by this subsection.
(h) The immunization requirement of subsection (g) shall not 
apply if one of the following is obtained:
(1) Certification from a licensed physician stating that the physical 
condition of the child is such that immunization would endanger the 
child's life or health; or
(2) a written statement signed by a parent or guardian that the 
parent or guardian is an adherent of a religious denomination whose 
teachings are opposed to immunizations. Senate Substitute for HOUSE BILL No. 2344—page 15
Sec. 13. K.S.A. 65-503, 65-505 and 65-508 and K.S.A. 2022 
Supp. 48-3406 are hereby repealed.
Sec. 14. This act shall take effect and be in force from and after its 
publication in the statute book.
I hereby certify that the above BILL originated in the House, 
and passed that body
HOUSE concurred in
SENATE amendments  __________________________________________________________________ 
                                  
                                                                   
Speaker of the House.           
                                   
                                                                  
Chief Clerk of the House.          
         
Passed the SENATE
              as amended                                                                                                    
                                    
                                             
President of the Senate.     
                                    
                                                         
Secretary of the Senate.     
APPROVED ______________________________________________________________________________
                                                                                  
Governor.