Maryland 2023 Regular Session

Maryland House Bill HB278

Introduced
1/25/23  
Refer
1/25/23  
Report Pass
3/6/23  
Engrossed
3/9/23  
Refer
3/10/23  
Report Pass
3/29/23  
Enrolled
4/3/23  
Chaptered
5/3/23  

Caption

Health Occupations - Clinical Nurse Specialists - Prescribing

Impact

The enactment of HB 278 will amend existing provisions within the Health Occupations Article of Maryland's laws, thereby redefining the scope for healthcare practitioners. By allowing clinical nurse specialists to have prescriptive authority, HB 278 is poised to improve the delivery of healthcare, reducing the burden on physicians and facilitating better healthcare for patients who require immediate access to certain medications or equipment. This change may also have financial implications by enabling more streamlined care, thereby potentially lowering healthcare costs for services and treatments that would otherwise require physician oversight.

Summary

House Bill 278, concerning health occupations and the prescribing authority of clinical nurse specialists, aims to expand the scope of practice for these healthcare professionals in Maryland. By defining 'clinical nurse specialist' and detailing their roles, the bill permits these specialists to prescribe drugs and durable medical equipment under regulations set forth by the State Board of Nursing. This legislative change recognizes the integral role clinical nurse specialists play in patient care, particularly for those with complex medical needs. The bill is expected to enhance access to healthcare services and streamline processes within the healthcare system.

Sentiment

Overall, the sentiment surrounding HB 278 appears largely positive, especially among healthcare providers who support the empowerment of clinical nurse specialists. Advocates argue that this bill not only supports healthcare professionals in their roles but also emphasizes patient-centered care. However, there are concerns from certain stakeholders about the implications of expanding prescriptive authority, fearful that it may lead to over-prescription or a dilution of quality control in prescribing practices.

Contention

Some notable points of contention revolve around ensuring appropriate safeguards and protocols are in place as clinical nurse specialists gain prescriptive authority. Critics may point to the need for adequate training and oversight to prevent potential misuse of the expanded powers. Additionally, the bill's implementation will also require careful monitoring to assess its impact on healthcare quality and patient safety as these advanced practice nurses begin to take on greater roles traditionally held by physicians.

Companion Bills

MD SB213

Crossfiled Health Occupations - Clinical Nurse Specialists - Prescribing

MD SB513

Carry Over Health Occupations - Clinical Nurse Specialists - Prescribing Authority

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: workgroup.

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.