---
type: "Bill"
title: "Substitute for SB 238 by Committee on Public Health and Welfare - Requiring emergency medical services operators be overseen by medical directors or physicians; clarifying duties and functions of the state board of pharmacy; providing for confidentiality of investigations, inspections and audits; establishing fees on out-of-state facilities; defining telepharmacy and requiring the adoption of rules and regulations related thereto."
description: "Substitute for SB 238 by Committee on Public Health and Welfare - Requiring emergency medical services operators be overseen by medical directors or physicians; clarifying duties and functions of the state board of pharmacy; providing for confidentiality of investigations, inspections and audits; establishing fees on out-of-state facilities; defining telepharmacy and requiring the adoption of rules and regulations related thereto."
jurisdiction: "us/states/ks"
legislature: "Kansas Legislature"
session: "2021-2022"
identifier: "SB 238"
citation: "Kansas SB 238 (2021-2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 5
action_count: 29
vote_count: 5
first_action: "2021-02-12"
last_action: "2021-05-26"
source: "openstates"
source_identifier: "ocd-bill/fa171688-3ca6-4412-8a96-abe5acdd23c7"
source_url: "http://www.kslegislature.org/li/api/v11/rev-1/bill_status/sb238"
source_hash: "f9f4dfd30f1a9958c698ad27f463a3acc3b3776ee388df8276f6fcb223ac2473"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ks"]
---

# Kansas SB 238 (2021-2022) — Substitute for SB 238 by Committee on Public Health and Welfare - Requiring emergency medical services operators be overseen by medical directors or physicians; clarifying duties and functions of the state board of pharmacy; providing for confidentiality of investigations, inspections and audits; establishing fees on out-of-state facilities; defining telepharmacy and requiring the adoption of rules and regulations related thereto.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **As introduced** (filed) — [source](http://www.kslegislature.org/li/b2021_22/measures/documents/sb238_00_0000.pdf)
2. **As Amended by House Committee** (committee substitute) — [source](http://www.kslegislature.org/li/b2021_22/measures/documents/sb238_03_0000.pdf)
3. **Enrolled - Law effective June 3, 2021** (committee substitute) — [source](http://www.kslegislature.org/li/b2021_22/measures/documents/sb238_enrolled.pdf)
4. **Version 2** (committee substitute) — [source](http://www.kslegislature.org/li/b2021_22/measures/documents/sb238_01_0000.pdf)
5. **{As Amended by Senate Committee of the Whole}** (committee substitute) — [source](http://www.kslegislature.org/li/b2021_22/measures/documents/sb238_02_0000.pdf)

## Votes

- Emergency Final Action - Substitute passed as amended; — **38–1** (pass) · upper
- Committee of the Whole - Amendment by Senator Sykes was rejected — **12–23** (fail) · upper
- Final Action - Passed as amended; — **121–1** (pass) · lower
- Conference Committee Report was adopted; — **36–4** (pass) · upper
- Conference Committee Report was adopted; — **116–7** (pass) · lower

## Sponsors

- Committee on Public Health and Welfare — primary (organization)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-02-12** Introduced `introduction`
- **2021-02-15** Referred to Committee on Public Health and Welfare `referral-committee`
- **2021-02-17** Hearing: Wednesday, February 24, 2021, 8:30 AM Room 142-S
- **2021-03-01** Committee Report recommending substitute bill be passed by Committee on Public Health and Welfare `committee-passage-favorable`
- **2021-03-02** Committee of the Whole - Now working on
- **2021-03-02** Committee of the Whole - Passed over and retain a place on the calendar
- **2021-03-03** Committee of the Whole - Now working on
- **2021-03-03** Committee of the Whole - Committee Report be adopted recommending substitute bill be passed `passage, substitution`
- **2021-03-03** Committee of the Whole - Motion to Amend - Offered by Senator Hilderbrand `amendment-introduction`
- **2021-03-03** Committee of the Whole - Amendment by Senator Hilderbrand was adopted `amendment-passage`
- **2021-03-03** Committee of the Whole - Motion to Amend - Offered by Senator Sykes `amendment-introduction`
- **2021-03-03** Committee of the Whole - Amendment by Senator Sykes was rejected Yea: 12 Nay: 23 `amendment-failure`
- **2021-03-03** Committee of the Whole - Substitute bill be passed as amended `passage, substitution`
- **2021-03-03** Emergency Final Action - Substitute passed as amended; Yea: 38 Nay: 1 `passage, substitution`
- **2021-03-10** Received and Introduced `introduction`
- **2021-03-11** Referred to Committee on Health and Human Services `referral-committee`
- **2021-03-16** Committee Report recommending bill be passed as amended by Committee on Health and Human Services `committee-passage-favorable`
- **2021-03-24** Committee of the Whole - Now working on
- **2021-03-24** Committee of the Whole - Committee Report be adopted
- **2021-03-24** Committee of the Whole - Be passed as amended `passage`
- **2021-03-25** Final Action - Passed as amended; Yea: 121 Nay: 1 `passage`
- **2021-03-25** Nonconcurred with amendments; Conference Committee requested; appointed
- **2021-03-29** Motion to accede adopted; Representative Landwehr, Representative Eplee and Representative Parker appointed as conferees
- **2021-04-09** Conference committee report now available
- **2021-04-09** Conference Committee Report was adopted; Yea: 116 Nay: 7 `passage`
- **2021-05-05** Motion to suspend Joint Rule 4 (k) to allow consideration adopted;
- **2021-05-05** Conference Committee Report was adopted; Yea: 36 Nay: 4 `passage`
- **2021-05-26** Enrolled and presented to Governor on Friday, May 14, 2021 `executive-receipt`
- **2021-05-26** Approved by Governor on Wednesday, May 19, 2021 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fa171688-3ca6-4412-8a96-abe5acdd23c7`. Confidence: reported (aggregated from official Kansas legislature records).