Kansas 2025 2025-2026 Regular Session

Kansas House Bill HB2039 Introduced / Bill

Filed 01/21/2025

                    Session of 2025
HOUSE BILL No. 2039
By Committee on Health and Human Services
Requested by Representative Buehler on behalf of Fox Rehabilitation
1-21
AN ACT concerning healthcare; relating to the Kansas credentialing act; 
amending definitions to provide that certain entities providing physical 
therapy, occupational therapy and speech-language pathology are not 
home health agencies; amending K.S.A. 65-5101 and repealing the 
existing section.
Be it enacted by the Legislature of the State of Kansas:
Section 1. K.S.A. 65-5101 is hereby amended to read as follows: 65-
5101. As used in this act, unless the context otherwise requires:
(a) "Attendant care services" means basic and ancillary services 
provided under home and community based services waiver programs;
(b) "council" means the home health services advisory council 
created by this act;
(c) (1) "home health agency" means a public or private agency or 
organization or a subdivision or subunit of such agency or organization 
that provides for a fee one or more: (A)  Home health services,; (B) 
supportive care services; or (C) attendant care services provided under 
home and community based services waiver programs at the residence of a 
patient but; and 
(2) "home health agency" does not include: (A) Local health 
departments which that are not federally certified home health agencies,; 
(B) durable medical equipment companies which that provide home health 
services by use of specialized equipment,; (C) independent living 
agencies,; (D) entities that are not reimbursed by medicare part A and 
only provide services of persons licensed or certified under the physical 
therapy practice act, persons licensed under the occupational therapy 
practice act and persons licensed as speech-language pathologists; (E) the 
Kansas department for aging and disability services; and (F) the 
department of health and environment;
(d) "home health services" means any of the following services 
provided at the current residence of the patient on a full-time, part-time or 
intermittent basis: Nursing, physical therapy, speech therapy, nutritional or 
dietetic consulting, occupational therapy, respiratory therapy, home health 
aide or medical social service;
(e) "home health aide" means an employee of a home health agency 
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who is a certified nurse aide, is in good standing on the public nurse aide 
registry maintained by the Kansas department for aging and disability 
services and has completed a 20-hour home health aide course approved 
by the Kansas department for aging and disability services who assists, 
under registered nurse supervision, in the provision of home health 
services and who provides assigned health care healthcare to patients but 
shall. "Home health aide" does not include employees of a home health 
agency providing only supportive care services or attendant care services;
(f) "independent living agency" means a public or private agency or 
organization or a subunit of such agency or organization whose primary 
function is to provide at least four independent living services, including 
independent living skills training, advocacy, peer counseling and 
information and referral as defined by the rehabilitation act of 1973, title 
VII, part B, and such agency shall be recognized by the secretary for aging 
and disability services as an independent living agency. Such agencies 
include independent living centers and programs which that meet the 
following quality assurances:
(1) Accreditation by a nationally recognized accrediting body such as 
the commission on accreditation of rehabilitation facilities; or
(2) receipt of grants from the state or the federal government and 
currently meets standards for independent living under the rehabilitation 
act of 1973, title VII, part B, sections (a) through (k), or comparable 
standards established by the state; or
(3) compliance with requirements established by the federal 
government under rehabilitation services administration standards for 
centers for independent living;
(g) "part-time or intermittent basis" means the providing of home 
health services in an interrupted interval sequence on the average of not to 
exceed three hours in any twenty-four-hour 24-hour period;
(h) "patient's residence" means the actual place of residence of the 
person receiving home health services, including institutional residences as 
well as individual dwelling units;
(i) "secretary" means secretary of health and environment;
(j) "subunit" or "subdivision" means any organizational unit of a 
larger organization which that can be clearly defined as a separate entity 
within the larger structure, which can meet all of the requirements of this 
act independent of the larger organization, which can be held accountable 
for the care of patients it is serving and which provides to all patients care 
and services meeting the standards and requirements of this act;
(k) "supportive care services" means services that do not require 
supervision by a healthcare professional, such as a physician assistant or 
registered nurse, to provide assistance with activities of daily living that 
the consumer could perform if such consumer were physically capable, 
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including, but not limited to, bathing, dressing, eating, medication 
reminders, transferring, walking, mobility, toileting and continence care, 
provided in the consumer's temporary or permanent place of residence so 
that the consumer can remain safely and comfortably in the consumer's 
temporary or permanent place of residence. "Supportive care services" 
does not include any home health services; and
(l) "supportive care worker" means an employee of a home health 
agency who provides supportive care services.
Sec. 2. K.S.A. 65-5101 is hereby repealed.
Sec. 3. This act shall take effect and be in force from and after its 
publication in the statute book.
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