Maryland Senate Bill SB359

Maryland 2024 Regular Session

• Introduced: 1/16/24
• Refer: 1/16/24

Caption

Advanced Practice Registered Nurse Compact

Impact

The introduction of the APRN Compact will significantly alter the landscape of nursing licensure laws within and across party states. By participating in this Compact, states agree to recognize the APRN licenses issued by other states, provided that APRNs adhere to the scope of practice regulations defined in their home state. This approach seeks to reduce redundancy in obtaining multiple licenses while promoting public health through improved access to nursing care. The Compact’s provisions are expected to streamline the process for APRNs, ensuring that they can provide care where it is most needed, particularly in underserved areas.

Summary

Senate Bill 359 establishes the Advanced Practice Registered Nurse (APRN) Compact, allowing registered nurses with advanced practice credentials to practice in multiple states under uniform regulations. The bill aims to facilitate the movement of APRNs across state lines, thus improving healthcare access and provider mobility. It also mandates the creation of an Interstate Commission to oversee the implementation and administration of the Compact, including the promulgation of uniform rules that apply across all participating states.

Contention

Key points of contention surrounding SB359 include concerns over the adequacy of state-level oversight regarding the qualifications and conduct of APRNs practicing across state lines. Some stakeholders argue that a uniform standard may compromise local oversight and that states should retain authority to regulate their own healthcare providers. Moreover, there are apprehensions regarding the potential disruption of established patient-provider relationships and the complexities of ensuring compliance with regulations that vary by state. The commitment required from states, including a clause that enacts similar legislation in at least six other states for the Compact to become effective, also raises questions about the willingness of states to participate.