---
type: "Bill"
title: "Establishing when an occupational therapist may treat a patient without referral from a physician and requiring occupational therapists to maintain professional liability insurance."
description: "Establishing when an occupational therapist may treat a patient without referral from a physician and requiring occupational therapists to maintain professional liability insurance."
jurisdiction: "us/states/ks"
legislature: "Kansas Legislature"
session: "2021-2022"
identifier: "SB 440"
citation: "Kansas SB 440 (2021-2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 2
action_count: 18
vote_count: 2
first_action: "2022-02-08"
last_action: "2022-04-01"
source: "openstates"
source_identifier: "ocd-bill/fad9b3e2-d21f-446a-bd50-6d5a1626ed20"
source_url: "http://www.kslegislature.org/li/api/v11/rev-1/bill_status/sb440"
source_hash: "3f7f197e848c5cbea6cde653586838dbb7ed80c79cb20b35b6e8091b0ab3fd4f"
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 440 (2021-2022) — Establishing when an occupational therapist may treat a patient without referral from a physician and requiring occupational therapists to maintain professional liability insurance.

## 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/sb440_00_0000.pdf)
2. **Enrolled - Law effective July 1, 2022** (committee substitute) — [source](http://www.kslegislature.org/li/b2021_22/measures/documents/sb440_enrolled.pdf)

## Votes

- Final Action - Passed; — **37–2** (pass) · upper
- Emergency Final Action - Passed; — **121–0** (pass) · lower

## Sponsors

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

## Timeline

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

- **2022-02-08** Introduced `introduction`
- **2022-02-09** Referred to Committee on Public Health and Welfare `referral-committee`
- **2022-02-09** Hearing: Thursday, February 17, 2022, 8:30 AM Room 142-S
- **2022-02-21** Committee Report recommending bill be passed by Committee on Public Health and Welfare `committee-passage-favorable`
- **2022-02-22** Committee of the Whole - Now working on
- **2022-02-22** Committee of the Whole - Be passed `passage`
- **2022-02-23** Final Action - Passed; Yea: 37 Nay: 2 `passage`
- **2022-03-01** Received and Introduced `introduction`
- **2022-03-02** Referred to Committee on Health and Human Services `referral-committee`
- **2022-03-02** Hearing: Wednesday, March 9, 2022, 1:30 PM Room 112-N
- **2022-03-09** Hearing: (neutral) Wednesday, March 9, 2022, 1:30 PM Room 112-N
- **2022-03-09** Hearing: (proponents) Wednesday, March 9, 2022, 1:30 PM Room 112-N
- **2022-03-14** Committee Report recommending bill be passed by Committee on Health and Human Services `committee-passage-favorable`
- **2022-03-21** Committee of the Whole - Now working on
- **2022-03-21** Committee of the Whole - Be passed `passage`
- **2022-03-21** Emergency Final Action - Passed; Yea: 121 Nay: 0 `passage`
- **2022-03-28** Enrolled and presented to Governor on Monday, March 28, 2022 `executive-receipt`
- **2022-04-01** Approved by Governor on Friday, April 1, 2022 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fad9b3e2-d21f-446a-bd50-6d5a1626ed20`. Confidence: reported (aggregated from official Kansas legislature records).