S T A T E O F N E W Y O R K
2013-2014 Regular Sessions
I N S E N A T E
January 15, 2013
Introduced by Sens. MONTGOMERY, AVELLA, ESPAILLAT, HASSELL-THOMPSON,
KLEIN, PERKINS -- read twice and ordered printed, and when printed to
be committed to the Committee on Higher Education -- recommitted to
the Committee on Higher Education in accordance with Senate Rule 6,
sec. 8 -- committee discharged, bill amended, ordered reprinted as
amended and recommitted to said committee
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. 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-
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
S. 2309--A 2
alent, as established by the commissioner's regulations, prior to
prescribing under this subdivision. The certificate issued under section
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 2. The education law is amended by adding a new section 6912 to read
S 6912. NURSE PRACTITIONER ADVISORY PANEL. A NINE MEMBER NURSE PRACTI-
TIONER ADVISORY PANEL SHALL BE APPOINTED BY THE BOARD OF REGENTS ON
RECOMMENDATION OF THE COMMISSIONER FOR THE PURPOSE OF ASSISTING THE
BOARD OF REGENTS, THE BOARD FOR NURSING, AND THE COMMISSIONER ON MATTERS
RELATED TO THE PRACTICE OF REGISTERED NURSING AS A NURSE PRACTITIONER.
THE PANEL SHALL BE COMPOSED OF AT LEAST SIX LICENSED AND CERTIFIED NURSE
PRACTITIONERS, AND AT LEAST TWO PERSONS TO REPRESENT CONSUMERS AND
S 3. This act shall take effect immediately; provided, however, that
section one of this act shall take effect on the one hundred eightieth
day after it shall have become a law; and provided, further, that effec-
tive immediately, 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 effective date.