The proposed amendments will be made to multiple sections of the Massachusetts General Laws, specifically Chapters 175, 176A, 176B, and 176G. By permitting APRNs to undertake tasks related to diagnostic evaluations and medical necessity determinations, the legislation could streamline administrative processes within healthcare settings. This is particularly relevant in areas where there may be a shortage of physicians, thereby fostering a more accessible health service environment. However, the bill explicitly states that it does not intend to expand the scope of practice for APRNs beyond their current framework established in section 80B of chapter 112.
Summary
House Bill H1140, presented by Representative Daniel M. Donahue, aims to remove barriers to patient care within Massachusetts by allowing advanced practice registered nurses (APRNs) to fulfill requirements traditionally mandated to be completed by physicians. This encompasses diagnostic evaluations, medical necessity determinations, certifications, and other actions necessary for health services coverage and reimbursement. The bill seeks to expand access to healthcare services by leveraging the skills of APRNs, thereby addressing the increasing demand for healthcare providers in the state.
Contention
As with many healthcare-related bills, H1140 may face contention primarily revolving around the scope of practice for healthcare providers. While proponents argue that APRNs are adequately trained to perform these evaluations and that the bill will enhance patient care access, opponents may raise concerns about the adequacy of care provided without direct physician oversight. The discussions surrounding this bill could reflect broader themes in healthcare policy regarding the balance between administrative efficiency, provider abilities, and patient safety.