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HOUSE DOCKET, NO. 3383 FILED ON: 1/17/2025
HOUSE . . . . . . . . . . . . . . . No. 1140
The Commonwealth of Massachusetts
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PRESENTED BY:
Daniel M. Donahue
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To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act to remove barriers to patient care.
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PETITION OF:
NAME:DISTRICT/ADDRESS :DATE ADDED:Daniel M. Donahue16th Worcester1/17/2025 1 of 3
HOUSE DOCKET, NO. 3383 FILED ON: 1/17/2025
HOUSE . . . . . . . . . . . . . . . No. 1140
By Representative Donahue of Worcester, a petition (accompanied by bill, House, No. 1140) of
Daniel M. Donahue relative to diagnostic evaluation by an advanced practice registered nurse.
Financial Services.
The Commonwealth of Massachusetts
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In the One Hundred and Ninety-Fourth General Court
(2025-2026)
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An Act to remove barriers to patient care.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1 SECTION 1. Chapter 175 of the General Laws, as appearing in the 2022 Official Edition,
2is hereby amended by inserting after section 47UU the following section:-
3 Section 47VV. When any provision in this chapter requires a diagnostic evaluation,
4medical necessity determination, certification, written order, prescription, or treatment
5recommendation by an attending, treating or consulting physician as a condition of coverage or
6reimbursement of health services, that requirement may be fulfilled by an advanced practice
7registered nurse practicing under section 80B of chapter 112. Nothing in this section shall be
8construed to expand the scope of practice of advanced practice registered nurses.
9 SECTION 2. Chapter 176A of the General Laws, as so appearing, is hereby amended by
10inserting after section 8VV the following section:-
11 Section 8WW. When any provision in this chapter requires a diagnostic evaluation,
12medical necessity determination, certification, written order, prescription, or treatment 2 of 3
13recommendation by an attending, treating or consulting physician as a condition of coverage or
14reimbursement of health services, that requirement may be fulfilled by an advanced practice
15registered nurse practicing under section 80B of chapter 112. Nothing in this section shall be
16construed to expand the scope of practice of advanced practice registered nurses.
17 SECTION 3. Chapter 176B of the General Laws, as so appearing, is hereby amended by
18inserting after section 4VV the following section:-
19 Section 4WW. When any provision in this chapter requires a diagnostic evaluation,
20medical necessity determination, certification, written order, prescription, or treatment
21recommendation by an attending, treating or consulting physician as a condition of coverage or
22reimbursement of health services, that requirement may be fulfilled by an advanced practice
23registered nurse practicing under section 80B of chapter 112. Nothing in this section shall be
24construed to expand the scope of practice of advanced practice registered nurses.
25 SECTION 4. Chapter 176G of the General Laws, as so appearing, is hereby amended by
26inserting after section 4NN the following section:-
27 Section 4OO. When any provision in this chapter requires a diagnostic evaluation,
28medical necessity determination, certification, written order, prescription, or treatment
29recommendation by an attending, treating or consulting physician as a condition of coverage or
30reimbursement of health services, that requirement may be fulfilled by an advanced practice
31registered nurse practicing under section 80B of chapter 112. Nothing in this section shall be
32construed to expand the scope of practice of advanced practice registered nurses. 3 of 3
33 SECTION 5. Subsection (a) of section 16 of chapter 176O of the General Laws, as so
34appearing, is hereby amended by inserting after the word “physician”, in line 1, the following
35words:- “or advanced practice registered nurse”.
36 SECTION 6. Said subsection (a) of section 16 of chapter 176O of the General Laws, as
37so appearing, is hereby further amended by striking out, in line 9, the words “treating physician”
38and inserting in place thereof the following words:- “treating provider”.
39 SECTION 7. Subsection (b) of section 16 of chapter 176O of the General Laws, as so
40appearing, is hereby amended by inserting after the words “treating physician”, in line 11, the
41following words:- “, treating advanced practice registered nurse”.