Pennsylvania Senate Bill SB25

Pennsylvania 2025-2026 Regular Session

• Introduced: 1/22/25
• Refer: 1/22/25

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 enactment of SB25 would significantly affect the state’s healthcare framework by enhancing the practice authority of APRN-CNPs, allowing them to operate more independently, particularly in prescribing medications and managing patient care without a formal collaborative agreement with a physician, provided they meet specific criteria. This shift is expected to address the growing demand for healthcare services by making access easier through advanced practices, addressing shortages in certain medical fields, and potentially improving patient care outcomes.

Summary

SB25 updates the Professional Nursing Law in Pennsylvania, specifically focusing on the licensure and regulation of nursing and dietetics. It details the qualifications and the roles of Advanced Practice Registered Nurses-Certified Nurse Practitioners (APRN-CNPs), including their scope of practice and prescriptive authority. The bill also addresses the requirements for licensure reinstatement and supervision, establishing pathways for nurses licensed in other states to practice in Pennsylvania. It aims to streamline regulations that govern nursing practices in the state, ensuring that nursing remains effective and efficient amid evolving healthcare needs.

Sentiment

The general sentiment surrounding SB25 appears to be supportive, especially among nursing professionals and organizations advocating for the advanced practice role of nurses. Proponents argue that the bill is a positive step toward improving healthcare delivery and making better use of nursing resources. Conversely, some concerns have been raised about patient safety and the adequacy of training and oversight provided to nurses practicing independently without collaborative agreements, thus sparking some debate.

Contention

Notable points of contention include the extent to which APRN-CNPs should operate independently of physicians and the implications for patient safety. Critics worry that removing collaborative agreement requirements could lead to inadequate oversight and training deficiencies among APRN-CNPs, potentially compromising patient care. Proponents argue that evidence supports independent practice enhancing accessibility and efficiency in care delivery, particularly in under-served areas.