Pennsylvania House Bill HB1825

Pennsylvania 2023-2024 Regular Session

• Introduced: 1/31/24
• Refer: 1/31/24

Caption

Further providing for title, for definitions, for State Board of Nursing, for dietitian-nutritionist license required, for unauthorized practices and acts not prohibited, for temporary practice permit, for graduates of schools of other states, territories or Dominion of Canada, for persons entitled to practice, for certified registered nurse practitioners and qualifications, for scope of practice for certified registered nurse practitioners, for prescriptive authority for certified registered nurse practitioners, for Drug Review Committee, for professional liability, for reporting of multiple licensure, for continuing nursing education, for punishment for violations, for refusal, suspension or revocation of licenses, for reinstatement of license and for injunction or other process; and providing for the expiration of the State Board of Nursing's power to license certified registered nurse practitioners.

Impact

The impact of HB 1825 on state laws is significant as it alters the relationship between nursing practices and medical oversight. It is designed to empower APRN-CNPs to practice independently, which may address the shortage of primary care providers in the state, especially in underprivileged areas. Additionally, by reducing restrictions on practicing without a collaborative agreement with physicians after sufficient experience, the bill could lead to an increase in the availability of healthcare services, thereby improving access and efficiency in the healthcare system in Pennsylvania.

Summary

House Bill 1825 focuses on amending existing regulations related to nursing practice in Pennsylvania, specifically addressing the roles and responsibilities of advanced practice registered nurses, known as APRN-CNPs. The bill proposes changes to the requirements for certification, scope of practice, and prescriptive authority of these practitioners. It aims to streamline the process for nurses seeking to practice independently and to enhance patient care by enabling APRN-CNPs to operate more flexibly within their designated population focus areas. The proposed amendments include provisions for biennial renewals, the establishment of a Drug Review Committee, and requirements for continuing education to maintain licensure.

Sentiment

The sentiment surrounding HB 1825 is mixed, with supporters championing the bill as a progressive step towards modernizing healthcare delivery and enhancing the role of APRN-CNPs in patient care. Proponents argue that it recognizes the competence of these professionals and responds to the growing demand for healthcare services. Conversely, some critics express concerns about patient safety and the quality of care that could result from reduced physician oversight. This debate underscores existing tensions within the medical community regarding autonomy and collaborative care models.

Contention

Notable points of contention regarding HB 1825 center around the balance between expanding APRN-CNP authority and ensuring adequate patient protection. Critics question whether removing the requirement for collaborative agreements with physicians could compromise the quality of care. Additionally, the establishment of the Drug Review Committee raises concerns about the regulation of medications that APRN-CNPs can prescribe. Advocates for the bill counter that such measures are essential for meeting healthcare needs and addressing service gaps without undermining patient safety.