If enacted, SB 371 will alter existing statutes related to the operational framework of APRNs within the state healthcare system. It stipulates specific conditions under which psychiatric mental health APRNs can practice without a practice agreement, enhancing their autonomy while not expanding their scope of practice. Furthermore, the Indiana State Board of Nursing is mandated to file a report with the General Assembly about those who practice without a formal agreement, which may improve oversight and understanding of the effects of independent practice amongst APRNs.
Summary
Senate Bill 371 amends existing Indiana law concerning advanced practice registered nurses (APRNs), particularly those specializing in psychiatric mental health. The bill establishes clearer guidelines for how these nurses must interact with other healthcare practitioners, specifically addressing provisions for those who wish to practice independently without a formal practice agreement. The legislation requires APRNs to provide notice to patients if they are practicing independently, thereby promoting transparency in client-provider relationships. This bill aims to enhance access to mental health services while ensuring that APRNs maintain appropriate standards of practice.
Contention
Despite the intent to improve mental health care access, there may be points of contention regarding the balance of independence and oversight for APRNs. While supporters argue that this legislation allows for more efficient delivery of mental health services, critics may raise concerns about the potential quality of care and oversight available for patients when APRNs operate independently. Ensuring that these nurses are well-prepared and equipped to manage complex cases without a supervisory structure may spark debates among healthcare professionals and legislators.
Provides for physician assistants executing emergency certificates relative to alleged mental illness or substance abuse. (8/1/17) (EN NO IMPACT See Note)