1 | 1 | | Session of 2025 |
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2 | 2 | | HOUSE BILL No. 2367 |
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3 | 3 | | By Committee on Health and Human Services |
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4 | 4 | | Requested by Kevin Barone on behalf of the Kansas Naturopathic Doctors |
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5 | 5 | | Association |
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6 | 6 | | 2-7 |
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7 | 7 | | AN ACT concerning health and healthcare; relating to naturopathic |
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8 | 8 | | doctors; providing naturopathic doctors a certificate of authorization for |
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9 | 9 | | a business entity to practice medicine; amending K.S.A. 17-2710 and |
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10 | 10 | | K.S.A. 2024 Supp. 65-28,134 and repealing the existing sections. |
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11 | 11 | | Be it enacted by the Legislature of the State of Kansas: |
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12 | 12 | | Section 1. K.S.A. 17-2710 is hereby amended to read as follows: 17- |
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13 | 13 | | 2710. A professional corporation may be organized only for the purpose of |
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14 | 14 | | rendering one type of professional service and service ancillary thereto and |
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15 | 15 | | shall not engage in any other business, except that a single professional |
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16 | 16 | | corporation may be organized to and render professional services under |
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17 | 17 | | any two or more of the types set forth in items (2), (6), (13) and (17) of |
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18 | 18 | | subsection (b) of K.S.A. 17-2707(b)(2), (6), (13) and (17), and |
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19 | 19 | | amendments thereto;, under any two or more of the types set forth in items |
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20 | 20 | | (4), (5), (7), (8), (9), (11), (12), (14), (15), (16), (18), (20), (22), (23), (26) |
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21 | 21 | | or (27) of subsection (b) of K.S.A. 17-2707(b)(4), (5), (7), (8), (9), (11), |
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22 | 22 | | (12), (14), (15), (16), (18), (20), (22), (23), (26), (27) and (28), and |
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23 | 23 | | amendments thereto;, under any two or more of the types set forth in items |
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24 | 24 | | (8), (9), (18), (24), (25), (26) and (27) of subsection (b) of K.S.A. 17- |
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25 | 25 | | 2707(b)(8), (9), (18), (24), (25), (26), (27) and (28), and amendments |
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26 | 26 | | thereto;, or under the types set forth in items (16) and (25) of subsection |
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27 | 27 | | (b) of K.S.A. 17-2707(b)(16) and (25), and amendments thereto, but shall |
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28 | 28 | | be deemed to have the following purposes, whether or not authorized by |
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29 | 29 | | its article of incorporation: |
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30 | 30 | | (a) To purchase, receive, lease, or otherwise acquire, own, hold, |
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31 | 31 | | improve, use and otherwise deal in and with, real or personal property, or |
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32 | 32 | | any interest therein, wherever situated; |
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33 | 33 | | (b) to purchase, receive, or otherwise acquire, own, hold, vote, use, |
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34 | 34 | | employ, sell, mortgage, lend, pledge, or otherwise dispose of, and |
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35 | 35 | | otherwise use and deal in and with, shares of other interests in, or |
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36 | 36 | | obligations of, other domestic or foreign corporations, associations, |
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37 | 37 | | partnerships or individuals, insurance or annuities in any form, or direct or |
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38 | 38 | | indirect obligations of the United States or of any other government, state, |
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39 | 39 | | territory, governmental district or municipality or of any instrumentality |
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73 | 73 | | 34 HB 2367 2 |
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74 | 74 | | thereof; |
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75 | 75 | | (c) to pay pensions and establish pension plans, profit-sharing plans, |
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76 | 76 | | stock bonus plans, stock option plans and other incentive plans for any or |
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77 | 77 | | all of its directors, officers and employees; |
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78 | 78 | | (d) to do all things necessary or incidental to the practice of the |
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79 | 79 | | profession which that the professional corporation is authorized to |
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80 | 80 | | practice. |
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81 | 81 | | Sec. 2. K.S.A. 2024 Supp. 65-28,134 is hereby amended to read as |
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82 | 82 | | follows: 65-28,134. (a) Notwithstanding any other provision of law, a |
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83 | 83 | | business entity issued a certificate of authorization by the board may |
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84 | 84 | | employ or contract with one or more licensees of the board for the purpose |
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85 | 85 | | of providing professional services for which such licensees hold a valid |
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86 | 86 | | license issued by the board. Nothing in the Kansas healing arts act shall be |
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87 | 87 | | construed to prohibit a licensee from being employed by or under contract |
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88 | 88 | | to provide professional services for a business entity granted a certificate |
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89 | 89 | | of authorization pursuant to this section. Medical care facilities, as defined |
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90 | 90 | | by K.S.A. 65-425, and amendments thereto, that are in compliance with |
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91 | 91 | | department of health and environment licensure requirements are exempt |
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92 | 92 | | from the provisions of this section. Nothing contained herein shall be |
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93 | 93 | | construed to allow a corporation to practice optometry or dentistry, except |
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94 | 94 | | as otherwise provided in K.S.A. 17-2706, and amendments thereto. |
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95 | 95 | | (b) (1) A business entity may apply to the state board of healing arts |
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96 | 96 | | for a certificate of authorization, on a form and in a manner prescribed by |
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97 | 97 | | the state board of healing arts, and shall include the following information: |
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98 | 98 | | (A) The name of the business entity; |
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99 | 99 | | (B) a list of the names of the owners and officers of the business |
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100 | 100 | | entity; |
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101 | 101 | | (C) a description of the apportionment of liability of all partners or |
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102 | 102 | | owners, if the business entity is organized as a limited partnership or a |
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103 | 103 | | limited liability company; |
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104 | 104 | | (D) a list of each responsible official if the business entity is |
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105 | 105 | | organized as a governmental unit; and |
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106 | 106 | | (E) a list of all licensed physicians and, chiropractors and |
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107 | 107 | | naturopathic doctors to be hired by the business entity. |
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108 | 108 | | (2) As a condition of certification, a business entity shall be required |
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109 | 109 | | to provide the state board of healing arts evidence of the following: |
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110 | 110 | | (A) The address of the business entity; |
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111 | 111 | | (B) a city or county occupational license; and |
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112 | 112 | | (C) licensure of all physicians and, chiropractors and naturopathic |
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113 | 113 | | doctors to be employed by the business entity. |
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114 | 114 | | (3) A business entity applying for certification shall remit a fee set by |
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115 | 115 | | the state board of healing arts through rules and regulations, not to exceed |
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116 | 116 | | $1,000. |
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159 | 159 | | 43 HB 2367 3 |
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160 | 160 | | (c) (1) If the state board of healing arts finds that such business entity |
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161 | 161 | | is in compliance with all of the requirements of this section, the state board |
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162 | 162 | | of healing arts shall issue a certificate of authorization to such business |
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163 | 163 | | entity designating the business entity as authorized to employ individuals |
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164 | 164 | | licensed to practice medicine and surgery or, chiropractic or naturopathy, |
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165 | 165 | | as applicable. |
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166 | 166 | | (2) A certificate of authorization shall be renewed annually and |
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167 | 167 | | accompanied by a fee to be fixed by the state board of healing arts. The |
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168 | 168 | | renewal fee shall be accompanied by a form prescribed by the state board |
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169 | 169 | | of healing arts. |
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170 | 170 | | (d) Except as provided in K.S.A. 40-3403, and amendments thereto, |
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171 | 171 | | no business entity issued a certificate of authorization under this section |
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172 | 172 | | shall be relieved of responsibility for the conduct or acts of its agents or |
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173 | 173 | | employees by reason of its compliance with the provisions of this section, |
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174 | 174 | | nor shall any individual licensed to practice the healing arts be relieved of |
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175 | 175 | | responsibility and liability for services performed by reason of |
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176 | 176 | | employment or relationship with such business entity. Nothing in this |
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177 | 177 | | section shall exempt any business entity from the provisions of any other |
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178 | 178 | | law applicable to the business entity. |
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179 | 179 | | (e) A business entity issued a certificate of authorization under this |
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180 | 180 | | section shall not: |
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181 | 181 | | (1) In any manner, directly or indirectly, interfere with, diminish, |
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182 | 182 | | restrict, substitute its judgment for or otherwise exercise control over the |
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183 | 183 | | independent professional judgment and decisions of its employed licensees |
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184 | 184 | | as it relates to the care of patients; or |
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185 | 185 | | (2) prohibit or restrict any employed licensee from discussing with or |
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186 | 186 | | disclosing to any patient or other individual any medically appropriate |
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187 | 187 | | healthcare information that such licensee deems appropriate regarding the |
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188 | 188 | | nature of treatment options, the risks or alternatives thereto, the process |
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189 | 189 | | used or the decision made by the business entity to approve or deny |
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190 | 190 | | healthcare services, the availability of alternate therapies, consultations or |
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191 | 191 | | tests, or from advocating on behalf of the patient. |
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192 | 192 | | (f) As used in this section: |
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193 | 193 | | (1) (A) "Business entity" means an employer located in Kansas that |
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194 | 194 | | utilizes electronic medical records and offers medicine and surgery or, |
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195 | 195 | | chiropractic or naturopathy services solely for its employees and the |
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196 | 196 | | dependents of such employees at the employer's work site;, an |
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197 | 197 | | organization that is licensed to sell accident and sickness insurance in the |
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198 | 198 | | state that and is also a mutual or non-profit health carrier that utilizes |
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199 | 199 | | electronic medical records, or a wholly owned subsidiary of such |
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200 | 200 | | organization that provides medical services solely for the organization's |
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201 | 201 | | enrollees and dependents of such enrollees;, or an information technology |
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202 | 202 | | company that designs, utilizes and provides electronic medical records for |
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245 | 245 | | 43 HB 2367 4 |
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246 | 246 | | businesses and worksite medical clinics for employers located in Kansas |
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247 | 247 | | and offers medicine and surgery or, chiropractic or naturopathy services |
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248 | 248 | | solely to its employees and the dependents of such employees at the |
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249 | 249 | | employer's work sites in Kansas. |
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250 | 250 | | (B) "Business entity" does not include medical care facilities under |
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251 | 251 | | K.S.A. 65-425, and amendments thereto, corporations licensed under |
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252 | 252 | | K.S.A. 40-3214, and amendments thereto, and professional corporations |
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253 | 253 | | organized pursuant to the professional corporation law of Kansas. |
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254 | 254 | | (2) "Physician" means a person licensed by the state board of healing |
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255 | 255 | | arts to practice medicine and surgery. |
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256 | 256 | | (3) "Licensee" means a person licensed by the state board of healing |
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257 | 257 | | arts to practice medicine and surgery or, chiropractic or naturopathy and |
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258 | 258 | | whose license is in a full active status and has not been revoked, |
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259 | 259 | | suspended, limited or placed under probationary conditions. |
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260 | 260 | | (g) A business entity's certificate of authorization may be revoked, |
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261 | 261 | | suspended or limited, may be or publicly censured or placed under |
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262 | 262 | | probationary conditions, or an application for a certificate or for |
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263 | 263 | | reinstatement of a certificate may be denied upon a finding of the |
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264 | 264 | | existence of any of the following grounds: |
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265 | 265 | | (1) The business entity has committed fraud or misrepresentation in |
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266 | 266 | | applying for or securing an original, renewal or reinstated certificate. |
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267 | 267 | | (2) The business entity has willfully or repeatedly violated this act, |
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268 | 268 | | the pharmacy act of the state of Kansas or the uniform controlled |
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269 | 269 | | substances act or any rules and regulations adopted pursuant thereto, or |
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270 | 270 | | any rules and regulations of the secretary of health and environment that |
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271 | 271 | | are relevant to the practice of the healing arts. |
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272 | 272 | | (3) The business entity has had a certificate, or equivalent |
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273 | 273 | | authorization, to employ licensees to practice the healing arts revoked, |
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274 | 274 | | suspended or limited, has been censured or has had other disciplinary |
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275 | 275 | | action taken or has had an application for a certificate or license denied, by |
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276 | 276 | | the proper licensing authority of another state. |
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277 | 277 | | (4) The business entity has violated any lawful rule and regulation |
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278 | 278 | | promulgated by the board. |
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279 | 279 | | (5) The business entity has failed to report or reveal the knowledge |
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280 | 280 | | required to be reported or revealed under K.S.A. 65-28,122, and |
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281 | 281 | | amendments thereto. |
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282 | 282 | | (6) The business entity has failed to report to the board any adverse |
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283 | 283 | | action taken against the business entity by another state or licensing |
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284 | 284 | | jurisdiction, a governmental agency, by a law enforcement agency or a |
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285 | 285 | | court for acts or conduct similar to acts or conduct that would constitute |
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286 | 286 | | grounds for disciplinary action under this section. |
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287 | 287 | | (7) The business entity has engaged in conduct likely to deceive, |
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288 | 288 | | defraud or harm the public. |
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332 | 332 | | (8) The business entity has engaged in conduct that violates patient |
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333 | 333 | | trust and exploits the licensee-patient relationship for corporate gain. |
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334 | 334 | | (9) The business entity has used any false, fraudulent or deceptive |
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335 | 335 | | statement in any document connected with the practice of the healing arts, |
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336 | 336 | | including the intentional falsifying or fraudulent altering of a patient |
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337 | 337 | | healthcare record. |
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338 | 338 | | (10) The business entity has failed to furnish to the board, or its |
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339 | 339 | | investigators or representatives, any information legally requested by the |
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340 | 340 | | board. |
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341 | 341 | | (11) The business entity has had, or failed to report to the board, any |
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342 | 342 | | adverse judgment, award or settlement against the business entity resulting |
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343 | 343 | | from a medical liability claim related to acts or conduct similar to acts or |
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344 | 344 | | conduct that would constitute grounds for disciplinary action under this |
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345 | 345 | | section. |
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346 | 346 | | (12) The business entity has been convicted of a felony or class A |
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347 | 347 | | misdemeanor, or substantially similar offense in another jurisdiction, |
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348 | 348 | | related to the practice of the healing arts. |
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349 | 349 | | (h) The state board of healing arts shall adopt all rules and regulations |
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350 | 350 | | as necessary to implement and administer the provisions of this section. |
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351 | 351 | | (i) For the purposes of determining the impact on the healthcare |
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352 | 352 | | stabilization fund of requiring business entities to comply with the |
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353 | 353 | | provisions of the healthcare provider insurance availability act, the |
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354 | 354 | | healthcare stabilization fund is hereby directed to conduct such acturarial |
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355 | 355 | | actuarial and operational studies as are necessary to determine such |
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356 | 356 | | impact, and to report the findings to the legislature on or before January 1, |
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357 | 357 | | 2020. |
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358 | 358 | | (j) This section shall be a part of and supplemental to the Kansas |
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359 | 359 | | healing arts act. |
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360 | 360 | | (k) The provisions of this section shall take effect on and after March |
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361 | 361 | | 1, 2020. |
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362 | 362 | | Sec. 3. K.S.A. 17-2710 and K.S.A. 2024 Supp. 65-28,134 are hereby |
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363 | 363 | | repealed. |
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364 | 364 | | Sec. 4. This act shall take effect and be in force from and after its |
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365 | 365 | | publication in the statute book. |
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