AB 890 (Woods) Nurse Practitioner bill will remove standardized procedure and provide a scope of practice definition for Nurse Practitioner. In addition, AB 890 will also – as written February 2020 – do the following and more:

  1. Create a NEW – Advance Practice Registered Nursing Board with 3 MDs +/- surgeons, 4 NPs and 2 members of the public. 
  2. Established a transition to practice (TTP) of 3 years or 4600 hours
  3. Require National Board Certification 
  4. Require NPs to use an identified standard Spanish phrase to describe the NP
  5. Require an addition 3 years added to the 3 year TTP for NPs practicing outside the identified settings (i.e., hospital, health facility, clinic, and-or medical corporation)

It is very important that you READ the bill for yourself before discussing it with other NPs and/or your local elected officials. The bill passed out of the Assembly this month. You should reach out to your local elected Senator when you are ready to discuss the bill. If you don’t know who your elected official is go to – http://findyourrep.legislature.ca.gov 

To read AB 890 click here – https://leginfo.legislature.ca.gov/fa…/billTextClient.xhtml…

Currently, 22 states and the District of Columbia allow NPs to diagnose, treat patients and prescribe medications without a physician’s supervision. NPs practice in a variety of health care settings, including hospitals, nursing facilities, clinics and private practices. State law determines the extent to which NPs can work independent of a physician.

Almost 80 percent of NPs in the U.S. – 204,000 out of 262,000 – practice primary care, compared to 33 percent of physicians (Health Affairs – online September 4, 2018). In 2016, the US Department of Veterans Affairs announced new regulations permitting full practice authority for the nearly 6,000 advanced practice nurses in its workforce. The VA made this change in policy due to an acute provider shortage within its system, resulting in delays in care. The regulations allow NPs working in a VA facility “to practice to the full extent of their education, training, and certification, regardless of state restrictions that limit such full practice authority.” 

Moore On Health believes in increasing #DirectAccessToCare for the people of California by allowing #NursePractitioners to gain #FullPracticeAuthority. #AB890 has several areas of concern and although there is not such thing as a perfect bill we must not set forth precedents that will negatively impact our profession and other States seeking #FPA. 

 

18301215_1179287452194615_3412082466091868286_nOn May 8, 2017 Moore On Health attended the California Association for Nurse Practitioners Lobby Day. There were over 100 nurse practitioners, representing various districts across California, met at the Sheraton Grand Hotel in Sacramento for a morning program reviewing and discussing various legislative bills such as;

  •  Assembly Bill 1560 (Friedman), sponsored by CANP, which would increase the number of NPs a physician is permitted to supervise from 4 to 18. This bill would expand the ability for NPs to work in multiple settings, often in medically underserved areas and clinic systems that may only have one MD working as a medical director but multiple physical locations providing patient care.
  • Senate Bill 554 (Stone), which would codify recent federal law that allows allow NPs and PAs to receive a waiver from the DEA and the authority to prescribe medication for opioid addiction treatment.
  • Assembly Bill 1368 (Calderon), which would authorize a physician to designate a physician assistant or nurse practitioner to sign any required authorization form for Medi-Cal benefits and services.

18300981_1179459048844122_7909605236250403165_nThe morning program also included the announcement of Assembly Member Susan Talamantes Eggman as the recipient of CANP’s 2016 Nurse Practitioner Advocate of the Year award. Following the presentation, attendees made their way to the Capitol to take part in scheduled meetings with members of the Senate and Assembly.

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APRN BUTTON IN COLOR PICMoore On Health believes that the CURES Database is a best practice for Nurse Practitioners. CURES is the acronym for Controlled Substance Utilization Review and Evaluation System  California’s prescription drug monitoring system. 

According to the State of California Department of Justice Office of the Attorney General – CURES 2.0 (Controlled Substance Utilization Review and Evaluation System) is a database of Schedule II, III and IV controlled substance prescriptions dispensed in California serving the public health, regulatory oversight agencies, and law enforcement. CURES 2.0 is committed to the reduction of prescription drug abuse and diversion without affecting legitimate medical practice or patient care. Do not put off registering with CURES another day. Identifying a medical provider prescriber may save a life. The combination of California’s Nurse Practitioners armed with the latest best practices and routinely using the CURES database will lead to better patient outcomes.

To begin your CURES registration click on the link below.

https://cures.doj.ca.gov/registration/confirmEmailPnDRegistration.xhtml

Also, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and confidentiality and disclosure provisions of California law cover the information contained in CURES 2.0.

Access to CURES 2.0 is limited to licensed prescribers and licensed pharmacists strictly for patients in their direct care; and regulatory board staff and law enforcement personnel for official oversight or investigatory purposes.