Bill Text: NY A05308 | 2011-2012 | General Assembly | Introduced
Bill Title: Establishes the nurse practitioners modernization act which allows the practice of registered professional nursing by a certified nurse practitioner to include diagnosis and performance without collaboration of a licensed physician.
Spectrum: Partisan Bill (Democrat 32-1)
Status: (Engrossed - Dead) 2012-06-19 - REFERRED TO RULES [A05308 Detail]
Download: New_York-2011-A05308-Introduced.html
S T A T E O F N E W Y O R K ________________________________________________________________________ 5308 2011-2012 Regular Sessions I N A S S E M B L Y February 15, 2011 ___________ Introduced by M. of A. GOTTFRIED, GUNTHER, PAULIN, LIFTON, LUPARDO, ENGLEBRIGHT, GABRYSZAK, SPANO, HOOPER, SCHROEDER, N. RIVERA, JAFFEE, SCARBOROUGH, ROSENTHAL, CAHILL, PRETLOW, ORTIZ -- Multi-Sponsored by -- M. of A. BING, BRENNAN, CUSICK, GALEF, HEVESI, LATIMER, LAVINE, LENTOL, PEOPLES-STOKES, REILLY -- read once and referred to the Committee on Higher Education AN ACT to amend the education law, in relation to services performed by nurse practitioners THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: 1 Section 1. Short title. This act shall be known and may be cited as 2 the "nurse practitioners modernization act". 3 S 2. Subdivision 3 of section 6902 of the education law, as added by 4 chapter 257 of the laws of 1988, is amended to read as follows: 5 3. (a) The practice of registered professional nursing by a nurse 6 practitioner, certified under section six thousand nine hundred ten of 7 this article, may include the diagnosis of illness and physical condi- 8 tions and the performance of therapeutic and corrective measures within 9 a specialty area of practice[, in collaboration with a licensed physi- 10 cian qualified to collaborate in the specialty involved, provided such 11 services are performed in accordance with a written practice agreement 12 and written practice protocols. The written practice agreement shall 13 include explicit provisions for the resolution of any disagreement 14 between the collaborating physician and the nurse practitioner regarding 15 a matter of diagnosis or treatment that is within the scope of practice 16 of both. To the extent the practice agreement does not so provide, then 17 the collaborating physician's diagnosis or treatment shall prevail]. 18 (b) Prescriptions for drugs, devices and immunizing agents may be 19 issued by a nurse practitioner, under this subdivision and section six 20 thousand nine hundred ten of this article[, in accordance with the prac- 21 tice agreement and practice protocols]. The nurse practitioner shall EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD01405-02-1 A. 5308 2 1 obtain a certificate from the department upon successfully completing a 2 program including an appropriate pharmacology component, or its equiv- 3 alent, as established by the commissioner's regulations, prior to 4 prescribing under this subdivision. The certificate issued under section 5 six thousand nine hundred ten of this article shall state whether the 6 nurse practitioner has successfully completed such a program or equiv- 7 alent and is authorized to prescribe under this subdivision. 8 (c) [Each practice agreement shall provide for patient records review 9 by the collaborating physician in a timely fashion but in no event less 10 often than every three months. The names of the nurse practitioner and 11 the collaborating physician shall be clearly posted in the practice 12 setting of the nurse practitioner. 13 (d) The practice protocol shall reflect current accepted medical and 14 nursing practice. The protocols shall be filed with the department with- 15 in ninety days of the commencement of the practice and may be updated 16 periodically. The commissioner shall make regulations establishing the 17 procedure for the review of protocols and the disposition of any issues 18 arising from such review. 19 (e) No physician shall enter into practice agreements with more than 20 four nurse practitioners who are not located on the same physical prem- 21 ises as the collaborating physician. 22 (f)] Nothing in this subdivision shall be deemed to limit or diminish 23 the practice of the profession of nursing as a registered professional 24 nurse under this article or any other law, rule, regulation or certif- 25 ication, nor to deny any registered professional nurse the right to do 26 any act or engage in any practice authorized by this article or any 27 other law, rule, regulation or certification. 28 [(g)] (D) The provisions of this subdivision shall not apply to any 29 activity authorized, pursuant to statute, rule or regulation, to be 30 performed by a registered professional nurse in a hospital as defined in 31 article twenty-eight of the public health law. 32 S 3. This act shall take effect on the one hundred eightieth day after 33 it shall have become a law; provided, however, that effective immediate- 34 ly, the addition, amendment and/or repeal of any rule or regulation 35 necessary for the implementation of this act on its effective date are 36 authorized and directed to be made and completed on or before such 37 effective date.