Maryland 2023 Regular Session

Maryland Senate Bill SB213

Introduced
1/23/23  
Refer
1/23/23  
Report Pass
3/13/23  
Engrossed
3/16/23  
Refer
3/17/23  
Report Pass
3/30/23  
Enrolled
4/5/23  
Chaptered
5/3/23  

Caption

Health Occupations - Clinical Nurse Specialists - Prescribing

Impact

The enactment of SB213 is expected to have a significant impact on health care delivery in Maryland. By allowing clinical nurse specialists to prescribe medication and equipment, the bill aims to improve patient access to care, particularly for those with complex health needs who rely on the expertise of CNSs. This change is anticipated to ease the burden on physicians, streamline the prescribing process, and enhance clinical outcomes. It also reflects a trend toward empowering advanced practice nursing professionals to play a more integral role in patient care.

Summary

Senate Bill 213 aims to expand the scope of practice for clinical nurse specialists (CNS) in Maryland by granting them the authority to prescribe drugs and durable medical equipment. This bill establishes a clear definition of 'clinical nurse specialist' and outlines the regulations under which they can operate. The legislation also amends the Maryland Pharmacy Act to include CNSs within the group of authorized prescribers, which aligns their capabilities more closely with those of nurse practitioners and other advanced practice providers.

Sentiment

The reception of SB213 appears to be largely positive among healthcare professionals and nursing organizations, who see it as a progressive step toward expanding the abilities of nurse specialists. Advocates of the bill emphasize the need for more accessible health services and the important role clinical nurse specialists play in managing chronic conditions and providing comprehensive care. However, some concerns may arise regarding the training and oversight of CNSs in their new prescribing role, indicating that discussions around safeguarding patient safety and care quality will continue.

Contention

Despite the general support for SB213, notable points of contention may revolve around the adequacy of training for clinical nurse specialists in pharmacology and the potential need for supervision or collaboration with physicians when prescribing. While proponents argue that increasing the scope of practice will enhance the efficiency of healthcare delivery, critics may express apprehension over potential risks associated with allowing CNSs to prescribe without a physician's direct involvement, particularly in more complex clinical cases.

Companion Bills

MD HB278

Crossfiled Health Occupations - Clinical Nurse Specialists - Prescribing

MD HB276

Carry Over Health Occupations - Clinical Nurse Specialists - Prescribing Authority

Previously Filed As

MD HB278

Health Occupations - Clinical Nurse Specialists - Prescribing

MD SB513

Health Occupations - Clinical Nurse Specialists - Prescribing Authority

MD HB276

Health Occupations - Clinical Nurse Specialists - Prescribing Authority

MD HB273

Health Occupations - Environmental Health Specialists - Revisions

MD SB399

Health Occupations - Environmental Health Specialists - Revisions

MD HB19

Health Occupations - Nursing - Loan Repayment, Education, and Sunset Extension (Building Opportunities for Nurses Act of 2025)

MD HB285

Clinical nurse specialist; practice agreements.

MD SB216

Health Occupations - Nursing - Loan Repayment, Education, and Sunset Extension (Building Opportunities for Nurses Act of 2025)

MD HB1208

Health Occupations - Health Care Workforce Expansion

MD SB2108

Nurse practitioners; physician assistants and clinical nurse specialists; allow to prescribe home health services.

Similar Bills

TX HR1301

Commending the members of the Texas Military Department who have performed COVID-19 testing, vaccination, and verification services at the State Capitol during the 87th Legislative Session.

CA AB1119

Teacher credentialing: dual credentialing.

CA SB1316

School employees: state special school personnel: salaries.

HI HB2619

Relating To Agricultural Biosecurity.

HI HB2405

Relating To Peer Support Specialists.

HI SB3094

Relating To Peer Support Specialists.

CA AB1288

Registered environmental health specialists.

CA SB803

Mental health services: peer support specialist certification.