Title: AN ACT relating to physician assistants.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-04
Last Action Date: to Licensing & Occupations (S). 2025-02-06
Summary: This bill amends various sections of KRS Chapter 311 to redefine the role of physician assistants by replacing references to "supervising physician" with "collaborating physician," updating requirements to reflect a collaborative practice model. It specifies the services physician assistants may provide and requires them to consult with, collaborate with, or refer patients to licensed physicians as necessary based on patient conditions and standards of care. The bill establishes requirements for collaboration agreements between physicians and physician assistants and repeals existing provisions related to supervising physicians to align with the new collaborative framework.
Description: Amend KRS 311.840 to define terms; amend KRS 311.842, 311.848, 311.850 311.862, 202A.011, 202C.010, 216B.175, and 600.020 to change references to "supervising physician" to "collaborating physician" to conform; amend KRS 311.858 to list the services a physician assistant may provide, and require a physician assistant to consult and collaborate with or refer a patient to an appropriate licensed physician as indicated by the patient's condition and the standard of care; create a new section of KRS Chapter 311 to establish requirements for a collaboration agreement between a collaborating physician and a physician assistant; amend KRS 218A.202 to conform; repeal KRS 311.854, 311.856, and 311.860, relating to supervising physicians.
Location: US-KY
Title: Board of Medicine; licensure of anesthesiologist assistants.
Current Status: In House
Introduction Date: 2025-01-03
Last Action Date: Left in Health and Human Services. 2025-02-05
Description: Board of Medicine; licensure of anesthesiologist assistants. Establishes criteria for the licensure of anesthesiologist assistants and directs the Board of Medicine to adopt regulations governing the practice of anesthesiologist assistants. The bill provides that no person shall use or assume the title "anesthesiologist assistant" or hold himself out as an anesthesiologist assistant unless such person holds a license as an anesthesiologist assistant issued by the Board.
Location: US-VA
Title: Certified registered nurse anesthetists; elimination of supervision requirement.
Current Status: In House
Introduction Date: 2025-01-08
Last Action Date: Left in Health and Human Services. 2025-02-05
Description: Certified registered nurse anesthetists; elimination of supervision requirement. Eliminates the requirement that certified registered nurse anesthetists must practice under the supervision of a doctor of medicine, osteopathy, podiatry, or dentistry and instead requires them to practice in consultation with a doctor of medicine, osteopathy, podiatry, or dentistry and in accordance with regulations jointly promulgated by the Board of Medicine and the Board of Nursing.
Location: US-VA
Title: SUPERVISION OF PHYSICIAN ASSISTANTS
Current Status: Failed
Introduction Date: 2025-02-04
Last Action Date: Action Postponed Indefinitely. 2025-02-04
Summary: This bill is amended to specify that physician assistants may practice independently, make decisions about patient health care needs, and carry out health regimens, including prescribing and distributing dangerous drugs, except for Schedule I controlled substances under the Controlled Substances Act.
Location: US-NM
Title: PHYSICIAN ASSISTANTS SUPERVISING OTHERS
Current Status: Failed
Introduction Date: 2025-02-04
Last Action Date: Action Postponed Indefinitely. 2025-02-04
Summary: This bill amends the Physician Assistant Act to expand the scope of practice for physician assistants in New Mexico by allowing experienced physician assistants to supervise newly licensed physician assistants. The bill includes amendments to the definitions and supervision requirements, including the addition of a “supervising physician assistant” role for those with at least three years of clinical practice and board approval. It also revises the rules surrounding physician assistant supervision and collaboration with licensed physicians, ensuring that supervisory responsibilities can be temporarily delegated and establishing clear guidelines for prescribing, administering, dispensing, and distributing medications. Additionally, the bill mandates that the Board of Medicine create rules for approving supervising physician assistants and ensuring that physician assistants have appropriate malpractice insurance.
Location: US-NM
Title: Advanced practice registered nurses; revise certain provisions related to, including collaboration requirement.
Current Status: Failed
Introduction Date: 2025-01-10
Last Action Date: Died In Committee. 2025-02-04
Description: An Act To Amend Section 73-15-3, Mississippi Code Of 1972, To Include Advanced Practice Registered Nurses In The Statement Of Purpose Of The Mississippi Nursing Practice Law; To Amend Section 73-15-5, Mississippi Code Of 1972, To Delete Certain Definitions And Revise Certain Definitions In The Nursing Practice Law Regarding Advanced Nursing Practice; To Amend Section 73-15-9, Mississippi Code Of 1972, To Revise The Composition Of The Mississippi Board Of Nursing To Include A Certified Registered Nurse Anesthetist As A Member; To Amend Section 73-15-20, Mississippi Code Of 1972, To Revise Certain Provisions Relating To The Practice Of Advanced Nursing Practice Nurses; To Provide That An Advanced Practice Registered Nurse Shall Be Exempt From The Requirement Of Entering And Maintaining A Collaborative/Consultative Relationship With A Licensed Physician Or Dentist After Completing 3,600 Practice Hours; To Provide That Certified Registered Nurse Anesthetists Shall Be Exempt From Maintaining A Collaborative/Consultative Relationship With A Licensed Physician Or Dentist Upon Completion Of 8,000 Clinical Practice Hours; To Provide That Advanced Practice Registered Nurses And Certified Registered Nurse Anesthetists May Apply Hours Worked Before The Effective Date Of This Act To Fulfill Their Respective Hour Requirement; To Conform Certain Provisions With The Mississippi Medical Cannabis Act; To Amend Section 73-15-29, Mississippi Code Of 1972, To Include Advanced Practice Registered Nurses In The Provisions Relating To Grounds For Disciplinary Actions Against Nurses; To Amend Section 41-21-131, Mississippi Code Of 1972, To Conform To The Provisions Of This Act; And For Related Purposes.
Location: US-MS
Title: Nurse practitioners; authorize certain to practice to the full extent of their education and training if they provide services to Medicaid recipients.
Current Status: Failed
Introduction Date: 2025-01-16
Last Action Date: Died In Committee. 2025-02-04
Summary: This bill states that an advanced practice registered nurse who is required to have a collaborative/consultative relationship with a licensed physician must notify the board immediately regarding changes in the collaborative/consultative relationship. If changes leave the advanced practice registered nurse without a board-approved collaborative/consultative relationship with a physician or dentist, the advanced practice nurse may not practice as an advanced practice registered nurse.
Description: An Act To Create New Section 73-15-20.1, Mississippi Code Of 1972, To Authorize Certified Registered Nurse Practitioners (Crnp) To Practice To The Full Extent Of Their Education And Training If They Are Eligible To Provide Services To Medicaid Recipients, Subject To The Requirements Of This Section; To Provide That A Crnp Shall Be Eligible To Apply For Full Practice Authority If The Crnp Has Accumulated At Least 10,000 Hours Of Documented Clinical Practice As A Crnp And The Crnp Has Not Completed More Than 25% Of Their Clinical Hours Through Virtual Or Telehealth Modalities; To Provide That The Mississippi Board Of Nursing Shall Develop A Rigorous Application And Review Process For Crnps Seeking Full Practice Authority; To Provide That A Crnp Granted Full Practice Authority Under This Section Shall Be Enrolled As A Medicaid Provider And Eligible To Receive Direct Reimbursement For Covered Services Provided To Medicaid Recipients; To Amend Sections 73-15-5 And 73-15-20, Mississippi Code Of 1972, To Conform To The Preceding Provisions; And For Related Purposes.
Location: US-MS
Title: Health care; authorizing Certified Registered Nurse Anesthetist to provide interventional pain management services and operate certain facilities under specified conditions. Effective date.
Current Status: In Senate
Introduction Date: 2025-02-03
Last Action Date: Second Reading referred to Health and Human Services. 2025-02-04
Summary: This bill amends the Oklahoma Interventional Pain Management and Treatment Act to expand the scope of practice for Certified Registered Nurse Anesthetists (CRNAs). It authorizes CRNAs with a Nonsurgical Pain Management certification to practice interventional pain management—excluding surgical techniques—in collaboration with a licensed physician, provided on-site consultation is available. CRNAs may also operate freestanding pain management facilities in collaboration with a board-certified physician and perform certain procedures such as fluoroscopy and peripheral nerve blocks. However, CRNAs are prohibited from prescribing or dispensing opioids or other controlled substances for offsite use. The bill includes updated definitions, statutory language, and will take effect November 1, 2025.
Location: US-OK
Title: Patient's Right to Informed Health Care Choices Act and prohibitions against deceptive advertising; extend repealers on.
Current Status: Failed
Introduction Date: 2025-01-20
Last Action Date: Died In Committee. 2025-02-04
Summary: This bill extends and updates provisions under the "Patient’s Right to Informed Health Care Choices Act" in Mississippi. It reenacts Sections 41-121-1 through 41-121-9 of the Mississippi Code, which regulates advertisements for healthcare services, and extends the repealer date for the act to ensure its continued enforcement. Amendments include minor grammatical corrections to Section 41-121-3 and provisions to extend the repealer dates for laws that hold healthcare practitioners accountable for violations of the act, ensuring they remain grounds for disciplinary action.
Description: An Act To Reenact Sections 41-121-1 Through 41-121-9, Mississippi Code Of 1972, Which Are The Patient'S Right To Informed Health Care Choices Act Relating To Advertisements For Health Care Services; To Amend Reenacted Section 41-121-3, Mississippi Code Of 1972, To Inform The Code Publisher Of Nonsubstantive Grammatical Corrections; To Amend Section 41-121-11, Mississippi Code Of 1972, To Extend The Date Of The Repealer On The Patient'S Right To Informed Health Care Choices Act; To Amend Sections 73-6-19, 73-9-61, 73-15-29, 73-19-23, 73-21-97, 73-26-5, 73-27-13 And 73-39-77, Mississippi Code Of 1972, To Extend The Date Of The Repealers On Those Provisions That Make Violations Of The Patient'S Right To Informed Health Care Choices Act By Health Care Practitioners Specific Grounds For Disciplinary Action Against Licensees; To Bring Forward Sections 27-71-5, 27-71-7, 27-71-15, 27-71-29, 67-1-41, 67-1-45, 67-1-51, 67-1-53, 67-1-55, 67-1-57, 67-1-73, 97-31-47 And 97-31-49, Mississippi Code Of 1972, Which Relate To Alcoholic Beverages, For The Purpose Of Possible Amendment; And For Related Purposes.
Location: US-MS
Title: Advanced practice registered nurses; revise provisions relating to the collaborative relationship requirement.
Current Status: Failed
Introduction Date: 2025-01-20
Last Action Date: Died In Committee. 2025-02-04
Summary: This bill amends Section 73-15-5 and Section 73-15-20 of the Mississippi Code of 1972 to update definitions and provisions related to advanced nursing practice. It eliminates certain definitions and revises others in the Nursing Practice Law. It specifies that a physician or dentist involved in a collaborative/consultative relationship with an Advanced Practice Registered Nurse (APRN) cannot charge or require payment for this role. After completing specific clinical practice hours (5,000 for most APRNs and 8,000 for Certified Registered Nurse Anesthetists), an APRN can be exempt from the collaborative/consultative relationship requirement. It also allows APRNs to apply prior clinical practice hours toward fulfilling these requirements.
Description: An Act To Amend Section 73-15-5, Mississippi Code Of 1972, To Delete Certain Definitions And Revise Certain Definitions In The Nursing Practice Law Regarding Advanced Nursing Practice; To Amend Section 73-15-20, Mississippi Code Of 1972, To Revise Certain Provisions Relating To The Practice Of Advanced Practice Registered Nurses; To Provide That The Physician Or Dentist With Whom An Advanced Practice Registered Nurse Has Entered Into A Collaborative/Consultative Relationship Shall Not Charge Or Require Any Payment From The Advanced Practice Registered Nurse For Serving In That Capacity With The Advanced Practice Registered Nurse; To Provide That After An Advanced Practice Registered Nurse, Except A Certified Registered Nurse Anesthetist, Has Completed Not Less Than 5,000 Clinical Practice Hours In A Collaborative/Consultative Relationship With A Physician Or With An Advanced Practice Registered Nurse Who Has Completed Not Less Than 5,000 Clinical Practice Hours, The Advanced Practice Registered Nurse Is Exempt From The Requirement Of Entering And Maintaining A Collaborative/Consultative Relationship With A Licensed Physician Or Dentist; To Provide That After A Certified Registered Nurse Anesthetist Has Completed Not Less Than 8,000 Clinical Practice Hours In A Collaborative/Consultative Relationship With A Physician Or With An Advanced Practice Registered Nurse Who Has Completed Not Less Than 5,000 Clinical Practice Hours, The Certified Registered Nurse Anesthetist Is Exempt From Maintaining A Collaborative/Consultative Relationship With A Licensed Physician Or Dentist; To Provide That Advanced Practice Registered Nurses May Apply Hours Worked Before The Effective Date Of This Act To Fulfill Their Respective Clinical Practice Hour Requirements; And For Related Purposes.
Location: US-MS
Title: Physician assistants; allowing certain physician assistants to practice without supervision; specifying prescriptive authority. Effective date.
Current Status: In Senate
Introduction Date: 2025-02-03
Last Action Date: Second Reading referred to Health and Human Services. 2025-02-04
Summary: This bill amends various sections of Oklahoma law to enhance the role and responsibilities of physician assistants (PAs). It clarifies which prescriptions for controlled dangerous substances pharmacists may dispense and modifies several provisions of the Physician Assistant Act. Key changes include expanding the Physician Assistant Committee, specifying prescriptive authority for PAs, and allowing PAs with certain postgraduate clinical experience to practice without supervision. The bill also specifies the reporting method for clinical hours and makes language gender-neutral. It also updates the death certificate provisions to clarify PA authority, conforms to language in the Uniform Controlled Dangerous Substances Act, and addresses PA authority to prescribe controlled substances. Additionally, it repeals a section related to physician supervision and practice agreements for PAs. The bill aims to streamline the practice of PAs and enhance their scope of responsibilities.
Location: US-OK
Title: Advanced practice registered nurses; revise collaboration requirement.
Current Status: Failed
Introduction Date: 2025-01-20
Last Action Date: Died In Committee. 2025-02-04
Summary: This bill amends the Mississippi Nursing Practice Law to include advanced practice registered nurses (APRNs) in its purpose and updates definitions and provisions related to advanced nursing practice. It removes the requirement for certified nurse practitioners, certified nurse midwives, and clinical nurse specialists to maintain collaborative or consultative relationships with licensed physicians or dentists after completing 3,600 practice hours, allowing hours worked before the act's effective date to count toward this requirement. The act also includes APRNs in disciplinary provisions, revises related statutes for consistency, and makes further updates to support the independence and regulation of the advanced nursing practice.
Description: An Act To Amend Section 73-15-3, Mississippi Code Of 1972, To Include Advanced Practice Registered Nurses In The Statement Of Purpose Of The Mississippi Nursing Practice Law; To Amend Section 73-15-5, Mississippi Code Of 1972, To Delete Certain Definitions And Revise Certain Definitions In The Nursing Practice Law Regarding Advanced Nursing Practice; To Amend Section 73-15-20, Mississippi Code Of 1972, To Revise Certain Provisions Relating To The Practice Of Advanced Nursing Practice Nurses; To Provide That A Certified Nurse Practitioner, Certified Nurse Midwife Or Clinical Nurse Specialist Shall Be Exempt From The Requirement Of Entering And Maintaining A Collaborative/Consultative Relationship With A Licensed Physician Or Dentist After Completing 3,600 Practice Hours; To Provide That A Certified Nurse Practitioner, Certified Nurse Midwife Or Clinical Nurse Specialist May Apply Hours Worked Before The Effective Date Of This Act To Fulfill Their Hour Requirement; To Amend Section 73-15-29, Mississippi Code Of 1972, To Include Advanced Practice Registered Nurses In The Provisions Relating To Grounds For Disciplinary Actions Against Nurses; To Amend Section 41-21-131, Mississippi Code Of 1972, To Conform To The Provisions Of The Act; And For Related Purposes.
Location: US-MS
Title: Advanced practice registered nurses; to revise provisions related to APRNS / nurse anesthetists.
Current Status: Failed
Introduction Date: 2025-01-20
Last Action Date: Died In Committee. 2025-02-04
Summary: This bill amends the Mississippi Nursing Practice Law to include advanced practice registered nurses (APRNs) in its statement of purpose and revises related definitions. It updates the composition of the Mississippi Board of Nursing to include a certified registered nurse anesthetist (CRNA) and modifies provisions regarding advanced nursing practice. CRNAs with at least 8,000 clinical practice hours are exempt from maintaining collaborative relationships with physicians or dentists, and hours worked before the act's effective date may count toward this requirement. The act aligns certain provisions with the Mississippi Medical Cannabis Act, includes APRNs in grounds for disciplinary actions, and updates related statutes for consistency.
Description: An Act To Amend Section 73-15-3, Mississippi Code Of 1972, To Include Advanced Practice Registered Nurses In The Statement Of Purpose Of The Mississippi Nursing Practice Law; To Amend Section 73-15-5, Mississippi Code Of 1972, To Delete Certain Definitions And Revise Certain Definitions In The Nursing Practice Law Regarding Advanced Nursing Practice; To Amend Section 73-15-9, Mississippi Code Of 1972, To Revise The Composition Of The Mississippi Board Of Nursing To Include A Certified Registered Nurse Anesthetist As A Member; To Amend Section 73-15-20, Mississippi Code Of 1972, To Revise Certain Provisions Relating To The Practice Of Advanced Nursing Practice Nurses; To Provide That Certified Registered Nurse Anesthetists Who Have Completed Not Less Than 8,000 Clinical Practice Hours Are Exempt From Maintaining A Collaborative/Consultative Relationship With A Licensed Physician Or Dentist; To Provide That Certified Registered Nurse Anesthetists May Apply Hours Worked Before The Effective Date Of This Act To Fulfill The Clinical Practice Hour Requirement; To Conform Certain Provisions With The Mississippi Medical Cannabis Act; To Amend Section 73-15-29, Mississippi Code Of 1972, To Include Advanced Practice Registered Nurses In The Provisions Relating To Grounds For Disciplinary Actions Against Nurses; To Amend Section 41-21-131, Mississippi Code Of 1972, To Conform To The Provisions Of The Act; And For Related Purposes.
Location: US-MS
Title: State Board of Physicians - Naturopathic Doctors - Prescriptive Authority and Administration of Medication
Current Status: Sine Die - Failed
Introduction Date: 2025-01-30
Last Action Date: Hearing 3/04 at 1:00 p.m.. 2025-02-03
Summary: This bill amends the scope of naturopathic medicine by allowing naturopathic doctors to prescribe certain medications, including prescription drugs and controlled substances classified under Schedule III, IV, or V. It also repeals the Naturopathic Doctors Formulary Council within the Board of Physicians and changes the list of drugs that naturopathic doctors are authorized to administer. Additionally, the bill modifies the methods by which naturopathic doctors can administer medications, expanding their role in patient care.
Description: Repealing the Naturopathic Doctors Formulary Council within the Board of Physicians; altering the drugs that may be administered by a naturopathic doctor; and altering the methods by which a naturopathic doctor may administer medication.
Location: US-MD
Title: Revise the law governing the practice of optometry
Current Status: In Senate
Introduction Date: 2025-01-28
Last Action Date: Referred to committee Health. 2025-01-29
Summary: The bill allows licensed optometrists to use, prescribe, and administer therapeutic pharmaceutical agents through approved medical devices, such as punctal plugs and ocular inserts. It also permits optometrists to perform certain procedures, including non-intravenous injections, chalazion removal, low-risk skin lesion biopsies, conjunctival cyst excision, and specific laser surgeries. The state vision professionals board will establish infection control standards and training requirements, mandating at least 32 hours of instruction for laser procedures. Optometrists must demonstrate compliance with these training requirements to the board.
Description: To amend sections 4725.01, 4725.011, 4725.02, 4725.09, 4725.11, 4725.12, 4725.121, 4725.13, 4725.15, 4725.16, 4725.18, 4725.19, 4725.20, 4725.21, 4725.23, 4725.231, 4725.24, 4725.25, 4725.26, 4725.27, 4725.31, 4725.34, 4725.35, 4725.501, 4725.531, and 4725.59, to enact section 4725.012, and to repeal section 4725.131 of the Revised Code to revise the law governing the practice of optometry.
Location: US-OH
Title: AN ACT EXPANDING THE SCOPE OF PRACTICE OF HOMEOPATHIC PHYSICIANS.
Current Status: In House
Introduction Date: 2025-01-24
Last Action Date: Referred to Joint Committee on Public Health. 2025-01-24
Summary: This bill proposes amending Title 20 of the general statutes to expand the scope of practice for homeopathic physicians.
Description: To expand the scope of practice of homeopathic physicians.
Location: US-CT
Title: Advanced practice registered nurses.
Current Status: Failed
Introduction Date: 2025-01-13
Last Action Date: The bill has been marked as inactive on the legislature website and no further activity is expected. The date chosen for this action is system generated by FN and is set to 1 day after the most recent action.. 2025-01-24
Summary: This bill removes the requirement for advanced practice registered nurses (APRNs) to have a practice agreement with a collaborating physician or operate under a collaborative practice agreement or hospital governing board privileges. It also eliminates provisions related to the audit of such practice agreements. Additionally, the bill allows APRNs with prescriptive authority to prescribe Schedule II controlled substances specifically for weight reduction or obesity management.
Description: Removes the requirement that an advanced practice registered nurse (APRN) have a practice agreement with a collaborating physician. Removes a provision requiring an APRN to operate under a collaborative practice agreement or the privileges granted by a hospital governing board. Removes certain provisions concerning the audit of practice agreements. Allows an APRN with prescriptive authority to prescribe a schedule II controlled substance for weight reduction or to control obesity. Makes conforming changes.
Location: US-IN
Title: Senate Bill 25
Current Status: In Senate
Introduction Date: 2025-01-22
Last Action Date: Referred to Consumer Protection & Professional Licensure. 2025-01-22
Location: US-PA
Title: AN ACT CONCERNING ADVANCED PRACTICE REGISTERED NURSE SCOPE OF PRACTICE.
Current Status: In Senate
Introduction Date: 2025-01-22
Last Action Date: Referred to Joint Committee on Public Health. 2025-01-22
Summary: This bill proposes amendments to section 20-87a of the general statutes to expand the scope of practice for advanced practice registered nurses (APRNs). It allows APRNs relocating to the state with at least 2,000 hours of prior practice to work independently. Additionally, APRNs licensed under section 20-94a may sign forms related to services within their practice scope and provide behavioral health services they are trained to deliver without requiring physician supervision. The bill’s purpose is to reduce barriers to healthcare access.
Description: To reduce barriers to health care services by expanding the scope of practice of advanced practice registered nurses.
Location: US-CT
Title: Advanced practice registered nurses.
Current Status: Failed
Introduction Date: 2025-01-08
Last Action Date: The bill has been marked as inactive on the legislature website and no further activity is expected. The date chosen for this action is system generated by FN and is set to 1 day after the most recent action.. 2025-01-22
Summary: This bill removes the requirement for an advanced practice registered nurse (APRN) to have a practice agreement with a collaborating physician. It also eliminates the provision that required APRNs to operate under a collaborative practice agreement or the privileges granted by a hospital governing board, along with certain provisions related to the audit of practice agreements. The bill allows APRNs with prescriptive authority to prescribe a schedule II controlled substance for weight reduction or to control obesity and makes conforming changes.
Description: Removes the requirement that an advanced practice registered nurse (APRN) have a practice agreement with a collaborating physician. Removes a provision requiring an APRN to operate under a collaborative practice agreement or the privileges granted by a hospital governing board. Removes certain provisions concerning the audit of practice agreements. Allows an APRN with prescriptive authority to prescribe a schedule II controlled substance for weight reduction or to control obesity. Makes conforming changes.
Location: US-IN
Title: Establishes certification procedures for the profession of nurse anesthesia
Current Status: In Senate
Introduction Date: 2025-01-16
Last Action Date: REFERRED TO HIGHER EDUCATION. 2025-01-16
Summary: This bill establishes certification procedures for the profession of nurse anesthesia, outlining the requirements for obtaining certification to practice as a certified registered nurse anesthetist (CRNA). It specifies that an individual must file an application, hold a license as a registered professional nurse, meet the necessary educational qualifications, and pay an initial certification fee of $50. Additionally, the bill sets a triennial registration fee of $30 for maintaining certification.
Description: Establishes certification procedures for the profession of nurse anesthesia; provides for the issuance of a certification to practice as a certified registered nurse anesthetist upon the filing of an application, having a license as a registered professional nurse, having the appropriate educational requirements and paying the fifty dollar initial certification fee and the triennial thirty dollar registration fee.
Location: US-NY
Title: Makes conforming changes reflecting the previously authorized scope of practice of nurse practitioners
Current Status: In Assembly
Introduction Date: 2025-01-14
Last Action Date: REFERRED TO HIGHER EDUCATION. 2025-01-14
Summary: This bill updates various New York laws to reflect the previously authorized scope of practice for nurse practitioners (NPs), allowing them to perform duties traditionally reserved for physicians. These updates include permitting NPs to evaluate students for concussions and cardiac risks, certifying medical conditions for disability parking permits, conducting physical exams for school bus drivers, and providing medical exemptions for vehicle window tinting and safety restraints. The bill clarifies that these changes do not expand or restrict the existing scope of practice for any healthcare professional.
Description: Makes conforming changes reflecting the previously authorized scope of practice of nurse practitioners; adds nurse practitioners as persons who can authorize or make certain determinations authorized to be made or determined by physicians.
Location: US-NY
Title: Advanced Practice Registered Nurse practice authority
Current Status: In Senate
Introduction Date: 2024-12-11
Last Action Date: Referred to Committee on Medical Affairs (Senate Journal-page 46). 2025-01-14
Summary: This bill grants full practice authority to Advanced Practice Registered Nurses (APRNs) who meet specific criteria, allowing them to independently perform medical and nonmedical acts without a practice agreement. To qualify, APRNs must complete 2,000 clinical hours post-licensure, possess malpractice insurance, and submit documentation of compliance to the board. The board must review applications promptly and approve those meeting the requirements. Full practice authority enables APRNs to order and interpret diagnostics, prescribe medications and treatments, perform nursing-related nonmedical acts, and engage in national scope standards. Additionally, APRNs with full practice authority can certify medical conditions, issue orders for hospice and home health services, delegate tasks, and perform other specified medical actions typically requiring a practice agreement.
Description: A Bill To Amend The South Carolina Code Of Laws By Adding Section 40-33-31 So As To Provide The Board Of Nursing May Grant Full Practice Authority To Advanced Practice Registered Nurses Who Meet Certain Criteria, To Provide Requirements Of The Board, And To Provide Definitions; By Amending Section 40-33-20, Relating To Definitions Concerning The Practice Of Nursing, So As To Make Conforming Changes And Other Revisions; By Amending Section 40-33-34, Relating To Advanced Practice Registered Nurse Application Requirements, Practice Agreements, Allowed Medical Acts, And Prescriptive Authority, Among Other Things, So As To Make Conforming Changes And Other Changes; By Amending Section 40-33-42, Relating To Delegation Of Tasks To Unlicensed Assistive Personnel, So As To Make Conforming Changes; And By Amending Section 40-33-110, Relating To Grounds For Discipline Of Licensees, So As To Make Conforming Changes.
Location: US-SC
Title: Physician assistants
Current Status: In Senate
Introduction Date: 2024-12-11
Last Action Date: Referred to Committee on Medical Affairs (Senate Journal-page 43). 2025-01-14
Summary: This bill amends the South Carolina Code of Laws to expand the authority and scope of practice for physician assistants (PAs). It allows qualified PAs with specific postgraduate experience to practice under attestation statements, revises collaboration and location requirements, and permits licensed out-of-state PAs to provide emergency care with limited liability. The bill also updates the composition of the State Board of Medical Examiners to include two PAs, revises definitions, expands PAs' duties, and adjusts prescription and misconduct regulations. Additionally, it mandates third-party reimbursement for PA services under certain conditions, removes outdated supervisory requirements, and includes PAs in protocols for emergency treatments, student-athlete concussion protocols, and lifesaving medication use in schools.
Description: A Bill To Amend The South Carolina Code Of Laws By Adding Section 40-47-937 So As To Provide Physician Assistants Who Meet Certain Postgraduate Clinical Experience And Practice Experience May Practice Pursuant Only To An Attestation Statement, And To Provide For The Functions, Locations, And Collaboration Requirements Allowed Under These Practice Arrangements; By Adding Section 40-47-939 So As To Provide That Certain Physician Assistants Licensed In Other Jurisdictions May Provide Emergency Care In This State Under Certain Circumstances, And To Limit Their Liability For Providing Such Care; By Amending Section 40-47-10, Relating To The State Board Of Medical Examiners, So As To Revise The Composition Of The Board To Include Two Physician Assistants, To Provide For Their Manner Of Appointment And The Filling Of Vacancies, And To Limit Their Terms Of Service; By Amending Section 40-47-20, Relating To Definitions Concerning The Medical Practice Act, So As To Revise Various Definitions; By Amending Section 40-47-113, Relating To Requirements Concerning Physician-Patient Relationships And The Prescribing Of Drugs, So As To Make Conforming Changes; By Amending Section 40-47-195, Relating To Supervising Physicians And Scope Of Practice Guidelines, So As To Remove Certain Limitations Imposed On Supervising Physicians; By Amending Section 40-47-196, Relating To The Delegation Of Tasks To Certified Medical Assistants, So As To Make Technical Changes; By Amending Section 40-47-910, Relating To Definitions In The South Carolina Physician Assistants Practice Act, So As To Revise Necessary Definitions; By Amending Section 40-47-915, Relating To The Application Of The South Carolina Physician Assistants Practice Act, So As To Revise Requirements Concerning Physician Assistants Students; By Amending Section 40-47-935, Relating To Acts And Duties Authorized To Be Performed By Physician Assistants, So As To Clarify And Expand The Authorized Acts And Duties; By Amending Section 40-47-965, Relating To Requirements For Writing Prescriptions For Drugs, Controlled Substances, And Medical Devices By Physician Assistants, So As To Revise The Requirements; By Amending Section 40-47-1000, Relating To The Unlawful Holding Of Oneself Out As A Physician Assistant, So As To Provide For The Lawful And Unlawful Use Of Certain Abbreviations Indicative Of Licensure As A Physician Assistant; By Amending Section 40-47-1005, Relating To Misconduct Mandating Revocation Or Denial Of A Physician Assistant License, So As To Specifically Authorize The Board To Discipline Physician Assistants For Misconduct, To Revise The Bases For Misconduct, And To Provide Remedies Available To The Board Upon Finding Misconduct; By Amending Section 40-47-1020, Relating To Third-Party Reimbursement To Physician Assistants, So As To Make Such Payments Mandatory In Certain Circumstances, And To Provide Insurance Companies And Third-Party Payers May Not Impose More Restrictive Or Contradictory Practice, Education, Or Collaboration Requirements; By Amending Section 44-80-120, Relating To The Authority Of Physician Assistants To Create, Execute, And Sign Post Forms, So As To Remove Obsolete Scope Of Practice And Supervising Physician Requirements; By Amending Section 44-99-10, Relating To Definitions Concerning Emergency Anaphylaxis Treatments, So As To Remove Obsolete Language; By Amending Section 59-63-75, Relating To Concussion Protocol For Student Athletes, So As To Include Physician Assistants Among Persons Authorized To Remove Student Athletes Suspected Of Having Sustained A Concussion From Competition, And To Remove Obsolete Language; And By Amending Section 59-63-95, Relating To The Prescription Of Lifesaving Medications To Be Maintained And Used By Public Schools, So As To Make Conforming Changes.
Location: US-SC
Title: Establishing a prescribing psychologist certification in Washington state.
Current Status: In House
Introduction Date: 2024-12-23
Last Action Date: First reading, referred to Health Care & Wellness.. 2025-01-13
Summary: This bill states that the Board of Prescribing Psychologists should adopt rules to carry out its functions, examine applicants' qualifications, administer annual examinations, and establish standards for their certification. The board may allow applicants to take the examination upon granting their doctoral degree before completing their internship for supervised experience. Procedures for reviewing education and training credentials, establishing standards for certification, and denying, modifying, suspending, or revoking certification are also established. The board must maintain a current list of license and certification numbers, keep a record of its proceedings, and adopt a code of ethics for psychologists and licensed psychological associates. Professional liability insurance is required for licensed psychologists or associates. The board may also require remediation of deficiencies in training or practice patterns if they could jeopardize public health, safety, or welfare.
Location: US-WA
Title: Advanced practice registered nurses.
Current Status: Failed
Introduction Date: 2025-01-09
Last Action Date: The bill has been marked as inactive on the legislature website and no further activity is expected. The date chosen for this action is system generated by FN and is set to 1 day after the most recent action.. 2025-01-10
Summary: This bill states that the Indiana Medical Licensing Board is required to review complaints about physician collaborative practice agreements with advanced practice registered nurses (APRNs). APRNs can only work with licensed practitioners specializing in the same area and within their specialty scope. Physicians can collaborate with more than four APRNs, but must not collaborate with them simultaneously.
Description: Requires the Indiana medical licensing board to accept and review complaints concerning physician collaborative practice agreements with advanced practice registered nurses (APRNs). Provides that an APRN may only: (1) operate in collaboration with a licensed practitioner who specializes in the same practice area as the advanced practice registered nurse; and (2) practice within the scope of the APRN's specialty. Allows a physician to enter into a collaborative agreement with more than four APRNs but prohibits the physician from collaborating with more than four APRNs at the same time.
Location: US-IN
Title: Certified registered nurse anesthetists.
Current Status: Failed
Introduction Date: 2025-01-08
Last Action Date: The bill has been marked as inactive on the legislature website and no further activity is expected. The date chosen for this action is system generated by FN and is set to 1 day after the most recent action.. 2025-01-09
Description: Allows a certified registered nurse anesthetist (CRNA) to administer anesthesia under the direction of and in the immediate presence of a physician, podiatrist, or dentist. (Under current law, a CRNA may administer anesthesia under the direction of and in the immediate presence of a physician.) Provides that a physician, podiatrist, or dentist is not liable for any act or omission of a CRNA who administers anesthesia. Makes corresponding changes.
Location: US-IN
Title: Relates to collaborative prescriptive authority for psychologists
Current Status: In Senate
Introduction Date: 2025-01-08
Last Action Date: REFERRED TO HIGHER EDUCATION. 2025-01-08
Description: Allows a licensed psychologist to apply to the department of education for conditional prescribing certification if the psychologist meets certain requirements; allows the department of education to waive certain requirements for an applying psychologist; provides that a conditional prescribing certification shall be valid for a period of two years.
Location: US-NY
Title: Relates to the use of fluoroscopy by physician assistants
Current Status: In Senate
Introduction Date: 2025-01-08
Last Action Date: REFERRED TO HEALTH. 2025-01-08
Description: Relates to the use of fluoroscopy by physician assistants.
Location: US-NY
Title: Relates to limited-scope radiographers
Current Status: In Senate
Introduction Date: 2025-01-08
Last Action Date: REFERRED TO HEALTH. 2025-01-08
Description: Authorizes a holder of a license to perform limited-scope radiography to practice radiography at urgent care centers under the supervision of a licensed practitioner or licensed registered radiologic technologist; defines limited-scope radiographer as a person licensed to practice radiography limited to chest, extremities, skull/sinus, and spine/sacrum at urgent care centers; makes related provisions.
Location: US-NY
Title: Physician Assistant-Various
Current Status: Failed
Introduction Date: 2023-02-10
Last Action Date: Session Sine Die. 2025-01-07
Summary: This bill, which amends the Physician Assistant Practice Act of 1987, permits a physician assistant to prescribe, dispense, order, administer, and procure drugs and medical devices without delegation of such authority by a physician. Such ability includes prescribing of Schedule II, III, IV, and V controlled substances. In order to prescribe Schedule II, III, IV, or V controlled substances, a physician assistant must obtain a mid-level practitioner controlled substances license. When a written collaboration agreement is required, delegation of prescriptive authority by a physician is not required. This bill also stipulates that a physician assistant who files with the Department of Financial and Professional Regulation a notarized attestation of completion of at least 250 hours of continuing education or training and at least 2,000 hours of clinical experience after first attaining national certification does not require a written collaborative agreement. It also details the specified scope of practice of a physician assistant with optimal practice authority and allows a physician assistant to hold more than one professional position.
Description: Amends the Physician Assistant Practice Act of 1987. Changes the definition of "physician assistant", "physician assistant practice", "board", and "collaborating physician". Removes the definition of "disciplinary board" and changes references from the "disciplinary board" to the Illinois State Medical Board throughout the Act. Provides that a physician assistant shall be deemed by law to possess the ability to prescribe, dispense, order, administer, and procure drugs and medical devices without delegation of such authority by a physician. Provides that such ability shall include prescribing of Schedule II, III, IV, and V controlled substances. Provides that to prescribe Schedule II, III, IV, or V controlled substances under the Act, a physician assistant shall obtain a mid-level practitioner controlled substances licenses. Provides that when a written collaboration agreement is required under the Act, delegation of prescriptive authority by a physician is not required. Provides that a physician assistant who files with the Department of Financial and Professional Regulation a notarized attestation of completion of at least 250 hours of continuing education or training and at least 2,000 hours of clinical experience after first attaining national certification shall not require a written collaborative agreement. Provides the specified scope of practice of a physician assistant with optimal practice authority. Provides that a physician assistant shall be able to hold more than one professional position. Makes changes in provisions concerning the physician assistant title, collaboration requirements, and the written collaborative agreement. Makes other changes and corresponding changes to the Act and to the Illinois Controlled Substances Act.
Location: US-IL
Title: Register Entry
Type: Final
Citations: Board Of Nursing
Agency: Department of State
Publication Date: Feb 01, 2025
Summary: This final rule impacts the scope of practice for Advanced Practice Registered Nurses (APRNs) and Certified Nurse Midwives (CNMs). Key amendments include confirming that CNMs may perform out-of-hospital births, including home births, clarifying return-to-practice requirements for APRNs who have been inactive for more than five years, and increasing the minimum number of supervised clinical hours required in APRN educational programs. The board held public hearings and comment periods, but no public comments were received. The amendments have been finalized without further substantive changes and will take effect ten days after publication in the Delaware Register of Regulations.
Description: Board Of Nursing
Location: US-DE
Title: Register Entry
Type: Final
Citations: Education Requirements For Advanced Registered Nurse Practitioner (ARNP) Licensure
Agency: Department of Health
Publication Date: Jan 15, 2025
Summary: The Washington State Department of Health's Board of Nursing issued a final rule amending WAC 246-840-010, 246-840-340, and 246-840-342, effective January 26, 2025, addressing education requirements for Advanced Registered Nurse Practitioner (ARNP) licensure. The amendments clarify that a graduate degree refers to a master's or doctoral degree, make technical edits to definitions, and introduce exemptions for education requirements under board procedure B09.06(II). The rule ensures that ARNP applicants meet specific criteria, including national certification, graduate education, and supervised clinical practice, with interstate endorsement processes adjusted to recognize prior qualifications. These amendments refine the scope of practice by aligning licensing standards with national benchmarks and facilitating licensure for experienced ARNPs from other states.
Description: Education Requirements For Advanced Registered Nurse Practitioner (ARNP) Licensure
Location: US-WA
Title: Register Entry
Type: Proposed
Citations: Prescribing Psychologists
Agency: Iowa Board of Medicine
Publication Date: Dec 25, 2024
Description: Prescribing Psychologists
Location: US-IA
Title: Register Entry
Type: Proposed
Citations: Scope And Standards Of Practice Of Advanced Practice Registered Nurses
Agency: Kentucky Board of Nursing
Publication Date: Jan 01, 2025
Summary: This proposed notice amends 201 KAR 20:057 to update the scope and standards of practice for Advanced Practice Registered Nurses (APRNs) in Kentucky. It introduces requirements for prescribing controlled substances, including documentation in the Prescription Drug Monitoring Program (PDMP) and collaboration with physicians for controlled substance prescribing authority (CAPA-CS). The amendments clarify the use of electronic systems for reporting and align practice standards with updated materials and regulatory guidelines. Provider reimbursement is indirectly addressed by ensuring compliance with prescriptive authority standards.
Description: Scope And Standards Of Practice Of Advanced Practice Registered Nurses
Location: US-KY