senate Bill S2309A
(D) 25th Senate District
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
Allows the practice of registered professional nursing by a certified nurse practitioner to include diagnosis and performance without collaboration of a licensed physician.
TITLE OF BILL: An act to amend the education law, in relation to
services performed by nurse practitioners
PURPOSE OR GENERAL IDEA OF BILL: To end the requirement of a
collaboration agreement between a nurse practitioner and a physician
as a condition for practice, and provide coverage for nurse
SUMMARY OF SPECIFIC PROVISIONS:
Section 1 of the bill amends the nurse practice act in Education Law
to delete the requirements for a collaboration agreement and practice
protocols between nurse practitioners and physicians. Section 2
establishes a nurse practitioner advisory panel, appointed by the
JUSTIFICATION: Nurse practitioners (NPs) Practice in a variety of
primary and specialty care settings including ambulatory, acute, long
term care. Nurse practitioners are licensed and certified by the State
Education. Department to diagnose illness and physical conditions and
perform therapeutic and corrective measures, order tests, prescribe
medications, medical devices and immunizing agents and, when
appropriate, refer patients to other health care providers, without
direct supervision. In addition to their advance certification by the
Nursing Board, many CPs are certified by national accrediting agencies
in one or more practice specialty.
Currently, New York requires a mandatory collaboration relationship
between a NP and a MD. That relationship is defined by written
agreement which can be as narrow or as broad as the MD is willing.
Elsewhere, NP's with complete independence in 13 states (AL, AZ, DC,
IA, ID, ME, MT, NH, NM, OR, UT, WA, WY). Given the education, training
and advanced certification of NPS, mandatory collaboration no longer
serves a clinical purpose. Instead, mandatory collaboration serves as
a barrier to practice and a disincentive to advanced certification,
and it, restricts access to primary health care for individuals and
families in underserved areas of the state.
PRIOR LEGISLATIVE HISTORY: 2008: Referred to and died in Higher
Education Committee 2009-10: Referred to and died in Higher Education
Committee 2011-12: Referred to and died in Rules Committee; 2013: Died
FISCAL IMPLICATIONS: Reduces administrative costs for the State
EFFECTIVE DATE: Immediately, with provisions.
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