Title 201 | Chapter 020 | Regulation 411REG
PROPOSED
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PREVIOUS VERSION
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BOARDS AND COMMISSIONS
Board of Nursing
(Amendment)
201 KAR 20:411.Sexual Assault Nurse Examiner Program standards and credential requirements.
Section 1.
Definitions.(1)
"Adolescent" means a child who has reached the onset of physiologically normal puberty.(2)
"Pediatric" means a child who has not reached the age of eighteen (18).(3)
"SANE-A/A course" means a formal, organized course of instruction that is designed to prepare a registered nurse to perform forensic evaluation of an adult or adolescent sexual assault victim and to promote and preserve the victim's biological, psychological, and social health.(4)
"SANE course" means the SANE-A/A course and the SANE-P/A course.(5)
"SANE-P/A course" means a formal, organized course of instruction that is designed to prepare a registered nurse to perform forensic evaluation of a pediatric or adolescent sexual assault victim and to promote and preserve the victim's biological, psychological, and social health.Section 2.
SANE Course Approval Application.(1)
On the form Application for Initial or Continued SANE Course Approval, the applicant for approval of a SANE-A/A course or a SANE-P/A course shall submit evidence to the board of completion of the requirements for course approval that consists of the following documentation:(a)
Position description and qualifications of the nurse administrator of the SANE course;(b)
Qualifications and description of the faculty;(c)
Course syllabus;(d)
Course completion requirements;(e)
Tentative course presentation dates;(f)
Records maintenance policy; and(g)
Copy of certificate of course completion form.(2)
Nurse administrator of SANE course. A registered nurse, with current, active Kentucky licensure or a multistate licensure privilege pursuant to KRS 314.475, a baccalaureate or higher degree in nursing, and experience in adult and nursing education shall be administratively responsible for assessment, planning, development, implementation, and evaluation of the SANE course.(3)
Faculty qualifications. Faculty qualifications shall be consistent with the instructor qualifications set out in Sexual Assault Nurse Examiner (SANE) Education Guidelines. The name, title, and credentials identifying the educational and professional qualifications for each instructor shall be provided as part of the application.(4)
Course syllabus. The syllabus shall include:(a)
Course prerequisites, requirements, and fees;(b)
Course outcomes, which shall provide statements of observable competencies, which if taken as a whole, present a clear description of the entry level behaviors to be achieved by the learner;(c)
Unit objectives for an individual, which shall be stated in operational or behavioral terms with supportive content identified;(d)
Content as specified in subsection (6) of this section, which shall be described in detailed outline format with corresponding lesson plans and time frame, and which shall be related to, and consistent with, the unit objectives, and support achievement of expected course outcomes;(e)
Teaching methods with the activities of both instructor and learner specified in relation to the content outline, and which shall be congruent with stated course objectives and content, and reflect the application of adult learning principles;(f)
Evaluation methods, which shall be clearly defined for evaluating the learner's achievement of course outcomes, and which shall include a process for annual course evaluation by students, providers, faculty, and administration; and(g)
Instructional or reference materials required, which shall be identified.(5)
Completion requirements. Requirements for successful completion of the SANE course shall be clearly specified and shall include demonstration of clinical competency. A statement of policy regarding a candidate who fails to successfully complete the course shall be included.(6)
The SANE-A/A course and the SANE-P/A course content shall be consistent with Sexual Assault Nurse Examiner (SANE) Education Guidelines.(a)
In addition to that content, the SANE-A/A course and the SANE-P/A course shall include:1.
Observing live or previously recorded criminal trials and meeting with the Commonwealth Attorney or a representative from the Commonwealth Attorney's office in order to gain an understanding of the trial process including testifying;2.
Meeting with the local rape crisis center and a rape crisis center victim advocate in order to gain an understanding of the services provided to victims by rape crisis centers and the role of an advocate;3.
Meeting with local law enforcement officers or investigators responsible for investigating reports of rape or sexual assault in order to gain an understanding of the investigative process; and4.
Application of the Kentucky statewide medical protocol relating to the forensic and medical examination of an individual reporting sexual assault pursuant to KRS 216B.400(2) and (4); and5.
The Kentucky Crime Victim Bill of Rights, KRS 421.500 through 421.575.(b)
In addition to the requirements of paragraph (a) of this subsection, the SANE-P/A course shall include:1.
Principles of child development;2.
Techniques for acute evaluations;3.
An overview of Kentucky Child Advocacy Centers; and4.
An overview of KRS 431.600 through 431.660 which shall include information about multidisciplinary teams and their functions, model protocols approved by the Kentucky Multidisciplinary Commission on Child Sexual Abuse, and the role of peer review in child sexual abuse cases.Section 3.
Contact Hour Credit for Continuing Education.(1)
The SANE course shall be approved for contact hour credit which may be applied to licensure requirements.(2)
Approval period. Board approval for a SANE course shall be granted for a four (4) year period.(3)
Records shall be maintained for a period of five (5) years, including the following:(a)
Provider name, date, and site of the course; and(b)
Participant roster, containing at a minimum the name, Social Security number, and license number for each participant.(4)
A participant shall receive a certificate of completion that documents the following:(a)
Name of participant;(b)
Title of course, date, and location;(c)
Provider's name; and(d)
Name and signature of authorized provider representative.Section 4.
Continued Board Approval of a SANE Course.(1)
An application for continued approval of a SANE course shall be submitted on the Application for Initial or Continued SANE Course Approval at least three (3) months prior to the end of the current approval period.(2)
A SANE course syllabus shall be submitted with the Application for Initial or Continued SANE Course Approval.(3)
Continued approval shall be based on the past approval period performance and compliance with the board standards described in this administrative regulation.Section 5.
The board may deny, revoke, or suspend the approval status of a SANE course for violation of this administrative regulation.Section 6.
Appeal. If a SANE course administrator is dissatisfied with a board decision concerning approval and wishes a review of the decision, the procedure established in this section shall be followed.(1)
A written request for the review shall be filed with the board within thirty (30) days after the date of notification of the board action which the SANE course administrator contests.(2)
The board, or its designee, shall conduct a review in which the SANE course administrator may appear in person and with counsel to present reasons why the board's decision should be set aside or modified.Section 7.
Requirements for Sexual Assault Nurse Examiner (SANE) Credential.(1)
The applicant for the SANE-A/A or SANE-P/A credential shall:(a)
Hold a current, active registered nurse license in Kentucky or a multistate licensure privilege pursuant to KRS 314.475;(b)
Have completed a board approved SANE educational course or a comparable course, which the board or its designee shall:1.
Evaluate to determine its course comparability; and2.
Advise an applicant if the course is not comparable and specify what additional components shall be completed to allow the applicant to be credentialed.(c)
Complete the Application for Credential as a Sexual Assault Nurse Examiner;(d)
Pay the fee established in 201 KAR 20:240;(e)
Provide a criminal record check by the Department of Kentucky State Police (KSP) and the Federal Bureau of Investigation (FBI);(f)
Use the FBI Applicant Fingerprint Card;(g)
Pay any required fee to the KSP and the FBI;(h)
Complete the criminal record check within six (6) months of the date of the application;(i)
Provide a certified or attested copy of the court record of any misdemeanor or felony conviction as required by 201 KAR 20:370, Section 1(3); and(j)
Provide a letter of explanation that addresses each conviction, if applicable.(2)
Upon completion of the application process, the board shall issue the appropriate SANE credential for a period ending October 31.(3)
An applicant shall not be credentialed until a report is received from the FBI pursuant to the request submitted under subsection (1)(e) of this section and any conviction is addressed by the board.Section 8.
Renewal.(1)
To renew the SANE-P/A or the SANE-A/A credential for the next period, each sexual assault nurse examiner shall complete at least five (5) contact hours of continuing education related to the role of the sexual assault nurse examiner or forensic nursing within each continuing education earning period. A provider of a board approved SANE course may offer continuing education related to the role of the sexual assault nurse examiner.(2)
Upon completion of the required continuing education, completion of the Annual Credential Renewal Application: SANE Credential with RN in Kentucky or Annual Credential Renewal Application: SANE with RN Compact License (Not Kentucky), as applicable, and payment of the fee established in 201 KAR 20:240, the appropriate SANE credential shall be renewed at the same time the registered nurse license is renewed.(3)
The five (5) contact hours may count toward the required contact hours of continuing education for renewal of the registered nurse license.(4)
Failure to meet the five (5) contact hour continuing education requirement shall cause the SANE credential to lapse.Section 9.
Reinstatement.(1)
If the SANE credential has lapsed for a period of less than four (4) consecutive registered nurse licensure periods, and the individual wants the credential reinstated, the individual shall apply to reinstate the credential by:(a)
Submitting the Application for Credential as a Sexual Assault Nurse Examiner;(b)
Paying the fee established in 201 KAR 20:240;(c)
Submitting evidence of earning the continuing education requirement referenced in Section 8(1) of this administrative regulation for the number of registered nurse licensure periods since the SANE credential lapsed;(d)
Providing a criminal record check by the KSP and FBI;(e)
Using the FBI Applicant Fingerprint Card;(f)
Paying any required fee to the KSP and the FBI;(g)
Completing the criminal record check within six (6) months of the date of the application;(h)
Providing a certified or attested copy of the court record of any misdemeanor or felony conviction as required by 201 KAR 20:370, Section 1(3); and(i)
Providing a letter of explanation that addresses each conviction, if applicable.(2)
An applicant shall not be credentialed until a report is received from the FBI pursuant to the request submitted under subsection (1)(d) of this section and any conviction is addressed by the board.(3)
If the SANE credential has lapsed for more than four (4) consecutive licensure periods, the nurse shall complete a SANE course prior to reinstatement.Section 10.
The board shall obtain input from the Sexual Assault Response Team Advisory Committee concerning any proposed amendment to this administrative regulation as follows:(1)
The board shall send a draft copy of any proposed amendment to the co-chairs of the Sexual Assault Response Team Advisory Committee prior to approval by the board;(2)
The board shall request that comments on the proposed amendment be forwarded to the board's designated staff person within ninety (90) days; and(3)
At the conclusion of that time period or upon receipt of comments, whichever is sooner, the board, at its next regularly scheduled meeting, shall consider the comments.Section 11.
Incorporation by Reference.(1)
The following material is incorporated by reference:(a)
"Application for Initial or Continued SANE Course Approval", 10/2018;(b)
"Application for Credential as a Sexual Assault Nurse Examiner", 10/2022;(c)
"Annual Credential Renewal Application: SANE Credential with RN in Kentucky", 02/2021;(d)
"Annual Credential Renewal Application: SANE with RN Compact License (Not Kentucky)", 02/2021; and(e)
"Sexual Assault Nurse Examiner (SANE) Education Guidelines", 2025(2)
This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Kentucky Board of Nursing, 312 Whittington Parkway, Suite 300, Louisville, Kentucky 40222-5172, Monday through Friday, 8:00 a.m. to 4:30 p.m. This material is also available on the board's Web site at https://kbn.ky.gov/document-library/Pages/default.aspx(3)
The material in subsection 1(e) of this section may be obtained at https://enau.ena.orgAUDRIA DENKER, President
APPROVED BY AGENCY: October 22, 2026
FILED WITH LRC: November 4, 2026 at 9:30 a.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on January 26, 2027, at 10:00 AM at Kentucky Board of Nursing, 312 Whittington Parkway, Ste 300, Louisville, Kentucky 40222. Individuals interested in being heard at this hearing shall notify this agency in writing by January 19, 2027, five workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing was received by that date, the hearing may be cancelled. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted through January 31, 2027. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person or submit a comment at: https://secure.kentucky.gov/formservices/Nursing/PendReg.
CONTACT PERSON: Jeffrey R. Prather, General Counsel Kentucky Board of Nursing 312 Whittington Parkway, Suite 300 Louisville, Kentucky 40222 (502) 338-2851 Jeffrey.Prather@ky.gov
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
Jeffrey R. Prather, Phone: (502) 338-2851, Email: Jeffrey.prather@ky.gov
Subject Headings:
(1) Provide a brief summary of:
(a) What this administrative regulation does:
This administrative regulation sets standards for Sexual Assault Nurse Examiner (SANE) programs and credential.
(b) The necessity of this administrative regulation:
This administrative regulation is necessary because of KRS 314.142.
(c) How this administrative regulation conforms to the content of the authorizing statutes:
This administrative regulation conforms to the content of the authorizing statutes by establishing standards.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
This administrative regulation assists in the effective administration of the statutes by establishing standards.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
It updates the material incorporated by reference.
(b) The necessity of the amendment to this administrative regulation:
The edition for one of the incorporated treatises, "Sexual Assault Nurse Examiner (SANE) Education Guidelines, has been revised in 2025.
(c) How the amendment conforms to the content of the authorizing statutes:
By providing updated practice guidance.
(d) How the amendment will assist in the effective administration of the statutes:
By updating the practice guidance.
(3) Does this administrative regulation or amendment implement legislation from the previous five years?
No.
(4) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
Sexual Assault Nurses in Kentucky, approximately 650.
(5) Provide an analysis of how the entities identified in question (4) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (4) will have to take to comply with this administrative regulation or amendment:
None.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (4):
None.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (4):
The entities will be directed to updated practice guidance.
(6) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
None.
(b) On a continuing basis:
None.
(7) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation or this amendment:
Agency funds.
(8) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
No new fees or funding are required.
(9) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
No new fees are established either directly or indirectly.
(10) TIERING: Is tiering applied?
Tiering is not applied.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation:
KRS 314.131 and 314.142.
(2) State whether this administrative regulation is expressly authorized by an act of the General Assembly, and if so, identify the act:
KRS 314.131 and 314.142.
(3)(a) Identify the promulgating agency and any other affected state units, parts, or divisions:
Kentucky Board of Nursing.
(b) Estimate the following for each affected state unit, part, or division identified in (3)(a):
1. Expenditures:
For the first year:
None.
For subsequent years:
None.
2. Revenues:
For the first year:
None.
For subsequent years:
None.
3. Cost Savings:
For the first year:
None.
For subsequent years:
None.
(4)(a) Identify affected local entities (for example: cities, counties, fire departments, school districts):
None.
(b) Estimate the following for each affected local entity identified in (4)(a):
1. Expenditures:
For the first year:
None.
For subsequent years:
None.
2. Revenues:
For the first year:
None.
For subsequent years:
None.
3. Cost Savings:
For the first year:
None.
For subsequent years:
None.
(5)(a) Identify any affected regulated entities not listed in (3)(a) or (4)(a):
SANEs.
(b) Estimate the following for each regulated entity identified in (5)(a):
1. Expenditures:
For the first year:
None.
For subsequent years:
None.
2. Revenues:
For the first year:
None.
For subsequent years:
None.
3. Cost Savings:
For the first year:
None.
For subsequent years:
None.
(6) Provide a narrative to explain the following for each entity identified in (3)(a), (4)(a), and (5)(a)
(a) Fiscal impact of this administrative regulation:
There will not be a fiscal impact on the entities.
(b) Methodology and resources used to reach this conclusion:
None.
(7) Explain, as it relates to the entities identified in (3)(a), (4)(a), and (5)(a):
(a) Whether this administrative regulation will have a "major economic impact", as defined by KRS 13A.010(14):
There will not be a major economic impact.
(b) The methodology and resources used to reach this conclusion:
None.
BOARDS AND COMMISSIONS
Board of Nursing
(Amendment)
201 KAR 20:411.Sexual Assault Nurse Examiner Program standards and credential requirements.
Section 1.
Definitions.(1)
"Adolescent" means a child who has reached the onset of physiologically normal puberty.(2)
"Pediatric" means a child who has not reached the age of eighteen (18).(3)
"SANE-A/A course" means a formal, organized course of instruction that is designed to prepare a registered nurse to perform forensic evaluation of an adult or adolescent sexual assault victim and to promote and preserve the victim's biological, psychological, and social health.(4)
"SANE course" means the SANE-A/A course and the SANE-P/A course.(5)
"SANE-P/A course" means a formal, organized course of instruction that is designed to prepare a registered nurse to perform forensic evaluation of a pediatric or adolescent sexual assault victim and to promote and preserve the victim's biological, psychological, and social health.Section 2.
SANE Course Approval Application.(1)
On the form Application for Initial or Continued SANE Course Approval, the applicant for approval of a SANE-A/A course or a SANE-P/A course shall submit evidence to the board of completion of the requirements for course approval that consists of the following documentation:(a)
Position description and qualifications of the nurse administrator of the SANE course;(b)
Qualifications and description of the faculty;(c)
Course syllabus;(d)
Course completion requirements;(e)
Tentative course presentation dates;(f)
Records maintenance policy; and(g)
Copy of certificate of course completion form.(2)
Nurse administrator of SANE course. A registered nurse, with current, active Kentucky licensure or a multistate licensure privilege pursuant to KRS 314.475, a baccalaureate or higher degree in nursing, and experience in adult and nursing education shall be administratively responsible for assessment, planning, development, implementation, and evaluation of the SANE course.(3)
Faculty qualifications. Faculty qualifications shall be consistent with the instructor qualifications set out in Sexual Assault Nurse Examiner (SANE) Education Guidelines. The name, title, and credentials identifying the educational and professional qualifications for each instructor shall be provided as part of the application.(4)
Course syllabus. The syllabus shall include:(a)
Course prerequisites, requirements, and fees;(b)
Course outcomes, which shall provide statements of observable competencies, which if taken as a whole, present a clear description of the entry level behaviors to be achieved by the learner;(c)
Unit objectives for an individual, which shall be stated in operational or behavioral terms with supportive content identified;(d)
Content as specified in subsection (6) of this section, which shall be described in detailed outline format with corresponding lesson plans and time frame, and which shall be related to, and consistent with, the unit objectives, and support achievement of expected course outcomes;(e)
Teaching methods with the activities of both instructor and learner specified in relation to the content outline, and which shall be congruent with stated course objectives and content, and reflect the application of adult learning principles;(f)
Evaluation methods, which shall be clearly defined for evaluating the learner's achievement of course outcomes, and which shall include a process for annual course evaluation by students, providers, faculty, and administration; and(g)
Instructional or reference materials required, which shall be identified.(5)
Completion requirements. Requirements for successful completion of the SANE course shall be clearly specified and shall include demonstration of clinical competency. A statement of policy regarding a candidate who fails to successfully complete the course shall be included.(6)
The SANE-A/A course and the SANE-P/A course content shall be consistent with Sexual Assault Nurse Examiner (SANE) Education Guidelines.(a)
In addition to that content, the SANE-A/A course and the SANE-P/A course shall include:1.
Observing live or previously recorded criminal trials and meeting with the Commonwealth Attorney or a representative from the Commonwealth Attorney's office in order to gain an understanding of the trial process including testifying;2.
Meeting with the local rape crisis center and a rape crisis center victim advocate in order to gain an understanding of the services provided to victims by rape crisis centers and the role of an advocate;3.
Meeting with local law enforcement officers or investigators responsible for investigating reports of rape or sexual assault in order to gain an understanding of the investigative process; and4.
Application of the Kentucky statewide medical protocol relating to the forensic and medical examination of an individual reporting sexual assault pursuant to KRS 216B.400(2) and (4); and5.
The Kentucky Crime Victim Bill of Rights, KRS 421.500 through 421.575.(b)
In addition to the requirements of paragraph (a) of this subsection, the SANE-P/A course shall include:1.
Principles of child development;2.
Techniques for acute evaluations;3.
An overview of Kentucky Child Advocacy Centers; and4.
An overview of KRS 431.600 through 431.660 which shall include information about multidisciplinary teams and their functions, model protocols approved by the Kentucky Multidisciplinary Commission on Child Sexual Abuse, and the role of peer review in child sexual abuse cases.Section 3.
Contact Hour Credit for Continuing Education.(1)
The SANE course shall be approved for contact hour credit which may be applied to licensure requirements.(2)
Approval period. Board approval for a SANE course shall be granted for a four (4) year period.(3)
Records shall be maintained for a period of five (5) years, including the following:(a)
Provider name, date, and site of the course; and(b)
Participant roster, containing at a minimum the name, Social Security number, and license number for each participant.(4)
A participant shall receive a certificate of completion that documents the following:(a)
Name of participant;(b)
Title of course, date, and location;(c)
Provider's name; and(d)
Name and signature of authorized provider representative.Section 4.
Continued Board Approval of a SANE Course.(1)
An application for continued approval of a SANE course shall be submitted on the Application for Initial or Continued SANE Course Approval at least three (3) months prior to the end of the current approval period.(2)
A SANE course syllabus shall be submitted with the Application for Initial or Continued SANE Course Approval.(3)
Continued approval shall be based on the past approval period performance and compliance with the board standards described in this administrative regulation.Section 5.
The board may deny, revoke, or suspend the approval status of a SANE course for violation of this administrative regulation.Section 6.
Appeal. If a SANE course administrator is dissatisfied with a board decision concerning approval and wishes a review of the decision, the procedure established in this section shall be followed.(1)
A written request for the review shall be filed with the board within thirty (30) days after the date of notification of the board action which the SANE course administrator contests.(2)
The board, or its designee, shall conduct a review in which the SANE course administrator may appear in person and with counsel to present reasons why the board's decision should be set aside or modified.Section 7.
Requirements for Sexual Assault Nurse Examiner (SANE) Credential.(1)
The applicant for the SANE-A/A or SANE-P/A credential shall:(a)
Hold a current, active registered nurse license in Kentucky or a multistate licensure privilege pursuant to KRS 314.475;(b)
Have completed a board approved SANE educational course or a comparable course, which the board or its designee shall:1.
Evaluate to determine its course comparability; and2.
Advise an applicant if the course is not comparable and specify what additional components shall be completed to allow the applicant to be credentialed.(c)
Complete the Application for Credential as a Sexual Assault Nurse Examiner;(d)
Pay the fee established in 201 KAR 20:240;(e)
Provide a criminal record check by the Department of Kentucky State Police (KSP) and the Federal Bureau of Investigation (FBI);(f)
Use the FBI Applicant Fingerprint Card;(g)
Pay any required fee to the KSP and the FBI;(h)
Complete the criminal record check within six (6) months of the date of the application;(i)
Provide a certified or attested copy of the court record of any misdemeanor or felony conviction as required by 201 KAR 20:370, Section 1(3); and(j)
Provide a letter of explanation that addresses each conviction, if applicable.(2)
Upon completion of the application process, the board shall issue the appropriate SANE credential for a period ending October 31.(3)
An applicant shall not be credentialed until a report is received from the FBI pursuant to the request submitted under subsection (1)(e) of this section and any conviction is addressed by the board.Section 8.
Renewal.(1)
To renew the SANE-P/A or the SANE-A/A credential for the next period, each sexual assault nurse examiner shall complete at least five (5) contact hours of continuing education related to the role of the sexual assault nurse examiner or forensic nursing within each continuing education earning period. A provider of a board approved SANE course may offer continuing education related to the role of the sexual assault nurse examiner.(2)
Upon completion of the required continuing education, completion of the Annual Credential Renewal Application: SANE Credential with RN in Kentucky or Annual Credential Renewal Application: SANE with RN Compact License (Not Kentucky), as applicable, and payment of the fee established in 201 KAR 20:240, the appropriate SANE credential shall be renewed at the same time the registered nurse license is renewed.(3)
The five (5) contact hours may count toward the required contact hours of continuing education for renewal of the registered nurse license.(4)
Failure to meet the five (5) contact hour continuing education requirement shall cause the SANE credential to lapse.Section 9.
Reinstatement.(1)
If the SANE credential has lapsed for a period of less than four (4) consecutive registered nurse licensure periods, and the individual wants the credential reinstated, the individual shall apply to reinstate the credential by:(a)
Submitting the Application for Credential as a Sexual Assault Nurse Examiner;(b)
Paying the fee established in 201 KAR 20:240;(c)
Submitting evidence of earning the continuing education requirement referenced in Section 8(1) of this administrative regulation for the number of registered nurse licensure periods since the SANE credential lapsed;(d)
Providing a criminal record check by the KSP and FBI;(e)
Using the FBI Applicant Fingerprint Card;(f)
Paying any required fee to the KSP and the FBI;(g)
Completing the criminal record check within six (6) months of the date of the application;(h)
Providing a certified or attested copy of the court record of any misdemeanor or felony conviction as required by 201 KAR 20:370, Section 1(3); and(i)
Providing a letter of explanation that addresses each conviction, if applicable.(2)
An applicant shall not be credentialed until a report is received from the FBI pursuant to the request submitted under subsection (1)(d) of this section and any conviction is addressed by the board.(3)
If the SANE credential has lapsed for more than four (4) consecutive licensure periods, the nurse shall complete a SANE course prior to reinstatement.Section 10.
The board shall obtain input from the Sexual Assault Response Team Advisory Committee concerning any proposed amendment to this administrative regulation as follows:(1)
The board shall send a draft copy of any proposed amendment to the co-chairs of the Sexual Assault Response Team Advisory Committee prior to approval by the board;(2)
The board shall request that comments on the proposed amendment be forwarded to the board's designated staff person within ninety (90) days; and(3)
At the conclusion of that time period or upon receipt of comments, whichever is sooner, the board, at its next regularly scheduled meeting, shall consider the comments.Section 11.
Incorporation by Reference.(1)
The following material is incorporated by reference:(a)
"Application for Initial or Continued SANE Course Approval", 10/2018;(b)
"Application for Credential as a Sexual Assault Nurse Examiner", 10/2022;(c)
"Annual Credential Renewal Application: SANE Credential with RN in Kentucky", 02/2021;(d)
"Annual Credential Renewal Application: SANE with RN Compact License (Not Kentucky)", 02/2021; and(e)
"Sexual Assault Nurse Examiner (SANE) Education Guidelines", 2025.(2)
This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Kentucky Board of Nursing, 312 Whittington Parkway, Suite 300, Louisville, Kentucky 40222-5172, Monday through Friday, 8:00 a.m. to 4:30 p.m. This material is also available on the board's Web site at https://kbn.ky.gov/document-library/Pages/default.aspx(3)
The material in subsection 1(e) of this section may be obtained at https://enau.ena.org.AUDRIA DENKER, President
APPROVED BY AGENCY: October 22, 2026
FILED WITH LRC: November 4, 2026 at 9:30 a.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on January 26, 2027, at 10:00 AM at Kentucky Board of Nursing, 312 Whittington Parkway, Ste 300, Louisville, Kentucky 40222. Individuals interested in being heard at this hearing shall notify this agency in writing by January 19, 2027, five workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing was received by that date, the hearing may be cancelled. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted through January 31, 2027. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person or submit a comment at: https://secure.kentucky.gov/formservices/Nursing/PendReg.
CONTACT PERSON: Jeffrey R. Prather, General Counsel Kentucky Board of Nursing 312 Whittington Parkway, Suite 300 Louisville, Kentucky 40222 (502) 338-2851 Jeffrey.Prather@ky.gov
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
Jeffrey R. Prather, Phone: (502) 338-2851, Email: Jeffrey.prather@ky.gov
Subject Headings:
(1) Provide a brief summary of:
(a) What this administrative regulation does:
This administrative regulation sets standards for Sexual Assault Nurse Examiner (SANE) programs and credential.
(b) The necessity of this administrative regulation:
This administrative regulation is necessary because of KRS 314.142.
(c) How this administrative regulation conforms to the content of the authorizing statutes:
This administrative regulation conforms to the content of the authorizing statutes by establishing standards.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
This administrative regulation assists in the effective administration of the statutes by establishing standards.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
It updates the material incorporated by reference.
(b) The necessity of the amendment to this administrative regulation:
The edition for one of the incorporated treatises, "Sexual Assault Nurse Examiner (SANE) Education Guidelines, has been revised in 2025.
(c) How the amendment conforms to the content of the authorizing statutes:
By providing updated practice guidance.
(d) How the amendment will assist in the effective administration of the statutes:
By updating the practice guidance.
(3) Does this administrative regulation or amendment implement legislation from the previous five years?
No.
(4) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
Sexual Assault Nurses in Kentucky, approximately 650.
(5) Provide an analysis of how the entities identified in question (4) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (4) will have to take to comply with this administrative regulation or amendment:
None.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (4):
None.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (4):
The entities will be directed to updated practice guidance.
(6) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
None.
(b) On a continuing basis:
None.
(7) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation or this amendment:
Agency funds.
(8) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
No new fees or funding are required.
(9) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
No new fees are established either directly or indirectly.
(10) TIERING: Is tiering applied?
Tiering is not applied.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation:
KRS 314.131 and 314.142.
(2) State whether this administrative regulation is expressly authorized by an act of the General Assembly, and if so, identify the act:
KRS 314.131 and 314.142.
(3)(a) Identify the promulgating agency and any other affected state units, parts, or divisions:
Kentucky Board of Nursing.
(b) Estimate the following for each affected state unit, part, or division identified in (3)(a):
1. Expenditures:
For the first year:
None.
For subsequent years:
None.
2. Revenues:
For the first year:
None.
For subsequent years:
None.
3. Cost Savings:
For the first year:
None.
For subsequent years:
None.
(4)(a) Identify affected local entities (for example: cities, counties, fire departments, school districts):
None.
(b) Estimate the following for each affected local entity identified in (4)(a):
1. Expenditures:
For the first year:
None.
For subsequent years:
None.
2. Revenues:
For the first year:
None.
For subsequent years:
None.
3. Cost Savings:
For the first year:
None.
For subsequent years:
None.
(5)(a) Identify any affected regulated entities not listed in (3)(a) or (4)(a):
SANEs.
(b) Estimate the following for each regulated entity identified in (5)(a):
1. Expenditures:
For the first year:
None.
For subsequent years:
None.
2. Revenues:
For the first year:
None.
For subsequent years:
None.
3. Cost Savings:
For the first year:
None.
For subsequent years:
None.
(6) Provide a narrative to explain the following for each entity identified in (3)(a), (4)(a), and (5)(a)
(a) Fiscal impact of this administrative regulation:
There will not be a fiscal impact on the entities.
(b) Methodology and resources used to reach this conclusion:
None.
(7) Explain, as it relates to the entities identified in (3)(a), (4)(a), and (5)(a):
(a) Whether this administrative regulation will have a "major economic impact", as defined by KRS 13A.010(14):
There will not be a major economic impact.
(b) The methodology and resources used to reach this conclusion:
None.