Advanced practice registered nurses and licensed certified midwives; joint licensing.
Impact
If enacted, SB351 would harmonize the licensing and practice standards for APRNs and LCMs with those of other healthcare professionals, such as physicians and physician assistants. The bill intends to eliminate unnecessary regulatory barriers that can hinder patient access to care. By allowing APRNs and LCMs more prescriptive authority and the ability to practice without a formal agreement with a collaborating physician after a certain period of practice, the bill aims to enhance patient care efficiency, streamline operations within healthcare settings, and reduce delays in treatment for patients requiring immediate medical attention.
Summary
SB351 proposes significant changes to the regulation and practice of advanced practice registered nurses (APRNs) and licensed certified midwives (LCMs) in Virginia. The bill aims to establish joint licensing for these healthcare professionals, enabling them to collaborate more closely with physicians and other healthcare providers. The definition of practices and the scope of authority for APRNs and LCMs will be expanded, allowing for greater autonomy in patient care. This legislative effort is positioned as a means of improving healthcare access, particularly in underserved areas of the state, by leveraging the skills of these practitioners.
Contention
Despite its intentions, SB351 has faced critique and debate among stakeholders in the healthcare industry. Critics argue that the changes to the licensure standards may compromise patient safety by lessening the oversight provided by physicians. Concerns have been raised regarding the level of training and experience required for APRNs and LCMs to independently prescribe medications and make complex clinical decisions. Proponents, however, contend that the bill will improve healthcare delivery and address the growing needs of the population by allowing qualified professionals to practice to the full extent of their training.
Voting_history
The bill faced discussions within the Senate Education and Health committee, where it was reviewed before a vote was taken. On February 8, 2024, SB351 passed smoothly with unanimous support, reflecting a broad consensus on the necessity for legislative updates in health care regulations associated with APRNs and LCMs. The bill is scheduled for further consideration in subsequent legislative sessions as it continues to navigate the legislative process.