S T A T E O F N E W Y O R K
2011-2012 Regular Sessions
I N S E N A T E
February 15, 2011
Introduced by Sen. YOUNG -- read twice and ordered printed, and when
printed to be committed to the Committee on Higher Education
AN ACT to amend the education law, in relation to services performed by
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Short title. This act shall be known and may be cited as
the "nurse practitioners modernization act".
S 2. Subdivision 3 of section 6902 of the education law, as added by
chapter 257 of the laws of 1988, is amended to read as follows:
3. (a) The practice of registered professional nursing by a nurse
practitioner, certified under section six thousand nine hundred ten of
this article, may include the diagnosis of illness and physical condi-
tions and the performance of therapeutic and corrective measures within
a specialty area of practice[, in collaboration with a licensed physi-
cian qualified to collaborate in the specialty involved, provided such
services are performed in accordance with a written practice agreement
and written practice protocols. The written practice agreement shall
include explicit provisions for the resolution of any disagreement
between the collaborating physician and the nurse practitioner regarding
a matter of diagnosis or treatment that is within the scope of practice
of both. To the extent the practice agreement does not so provide, then
the collaborating physician's diagnosis or treatment shall prevail].
(b) Prescriptions for drugs, devices and immunizing agents may be
issued by a nurse practitioner, under this subdivision and section six
thousand nine hundred ten of this article[, in accordance with the prac-
tice agreement and practice protocols]. The nurse practitioner shall
obtain a certificate from the department upon successfully completing a
program including an appropriate pharmacology component, or its equiv-
alent, as established by the commissioner's regulations, prior to
prescribing under this subdivision. The certificate issued under section
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
S. 3289 2
six thousand nine hundred ten of this article shall state whether the
nurse practitioner has successfully completed such a program or equiv-
alent and is authorized to prescribe under this subdivision.
(c) [Each practice agreement shall provide for patient records review
by the collaborating physician in a timely fashion but in no event less
often than every three months. The names of the nurse practitioner and
the collaborating physician shall be clearly posted in the practice
setting of the nurse practitioner.
(d) The practice protocol shall reflect current accepted medical and
nursing practice. The protocols shall be filed with the department with-
in ninety days of the commencement of the practice and may be updated
periodically. The commissioner shall make regulations establishing the
procedure for the review of protocols and the disposition of any issues
arising from such review.
(e) No physician shall enter into practice agreements with more than
four nurse practitioners who are not located on the same physical prem-
ises as the collaborating physician.
(f)] Nothing in this subdivision shall be deemed to limit or diminish
the practice of the profession of nursing as a registered professional
nurse under this article or any other law, rule, regulation or certif-
ication, nor to deny any registered professional nurse the right to do
any act or engage in any practice authorized by this article or any
other law, rule, regulation or certification.
[(g)] (D) The provisions of this subdivision shall not apply to any
activity authorized, pursuant to statute, rule or regulation, to be
performed by a registered professional nurse in a hospital as defined in
article twenty-eight of the public health law.
S 3. This act shall take effect on the one hundred eightieth day after
it shall have become a law; provided, however, that effective immediate-
ly, the addition, amendment and/or repeal of any rule or regulation
necessary for the implementation of this act on its effective date are
authorized and directed to be made and completed on or before such