New Jersey Assembly Bill A223

New Jersey 2022-2023 Regular Session

• Introduced: 1/11/22
• Refer: 1/11/22

Caption

"Consumer Access to Health Care Act"; eliminates requirement of joint protocol with physician for advanced practice nurses to prescribe medication.

Impact

The passage of A223 is expected to enhance access to healthcare services by allowing APNs greater autonomy in prescribing. This move aligns with national recommendations that seek to remove barriers that restrict APNs' scope of practice. It aims to facilitate improved patient access to primary care by streamlining prescription processes. The legislation also includes provisions that any state law requiring a physician's signature should also be recognized as valid with an APN's signature, thereby extending the authority of APNs in healthcare documentation.

Summary

Assembly Bill A223, known as the "Consumer Access to Health Care Act," proposes significant changes to the prescribing practices of advanced practice nurses (APNs) in New Jersey. The bill eliminates the requirement for a joint protocol with a physician before an APN can prescribe medications. Under the new legislation, APNs will be able to prescribe medications if they use the New Jersey Prescription Blank and meet continuing education requirements related to prescribing controlled substances. However, APNs with less than 24 months or 2,400 hours of active practice will still need to establish a formal collaborating agreement with a physician for prescribing purposes.

Contention

Despite the potential benefits, the bill has sparked a debate within the healthcare community. Supporters argue that it empowers APNs and acknowledges their role in the healthcare system, promoting patient-centered care. Conversely, opponents raise concerns that the removal of physician collaboration could compromise patient safety, as they believe that the collaborative relationships are essential for quality care. The contention primarily revolves around balancing the increased autonomy of APNs with the need for oversight and ensuring that patient safety is not sacrificed in the process.