Michigan Senate Bill SB0268

Michigan 2025-2026 Regular Session

• Introduced: 4/29/25
• Refer: 4/29/25

Caption

Health occupations: advanced practice registered nurses; scope of practice of registered professional nurses who hold specialty certifications as nurse practitioners; modify. Amends secs. 17201, 17210, 17211a & 17212 of 1978 PA 368 (MCL 333.17201 et seq.) & adds sec. 17210a.

Impact

The legislation is expected to positively impact healthcare access by enhancing the capabilities of nurse practitioners and allowing them to exercise their training and expertise without needing direct supervision for certain prescriptions. This could potentially lead to quicker patient care and reduced burden on physicians, thereby addressing the ongoing challenges in healthcare availability. Additionally, the bill may alleviate some pressures in rural and underserved areas, where APRNs can fill essential roles in patient care without the constant oversight of physicians.

Summary

Senate Bill 268 amends the Public Health Code to modify the scope of practice for advanced practice registered nurses (APRNs), particularly those holding specialty certifications as nurse practitioners. The bill clarifies the ability of APRNs to order, receive, and dispense various medications, including complimentary starter dose drugs and controlled substances, with certain conditions applying for delegation from supervising physicians. The law aims to provide APRNs with more autonomy while ensuring patient safety through the involvement of supervising physicians where necessary. This adjustment seeks to address healthcare provider shortages and increase access to care for patients in Michigan.

Contention

One potential area of contention about SB 268 involves concerns over the delegation of authority to APRNs, particularly regarding the prescription of controlled substances without direct physician oversight. Opponents may argue that such autonomy could lead to risks associated with inappropriate prescribing. Furthermore, there may be ongoing debates on the extent of training and qualifications required for APRNs, particularly in high-stakes environments where patient outcomes are at risk. Balancing the need for accessibility with the assurance of safety in medical practices remains a critical discussion point as this bill progresses.