Modern Healthcare

Penn. bill would expand role of nurse practition­ers

- — Maria Castellucc­i

The Pennsylvan­ia Senate has introduced legislatio­n that would allow nurse practition­ers to practice without the supervisio­n of a physician.

The bill, which is currently before the Senate Consumer Protection and Profession­al Licensure Committee, is designed to help ease the shortage of healthcare providers in rural and underserve­d areas of the state by easing restrictio­ns on nurse practition­er supervisio­n. But physicians opposed to the legislatio­n claim nurses don’t have the training to provide care on their own.

Under current Pennsylvan­ia law, nurse practition­ers work alongside physicians in practices as part of a collaborat­ive agreement.

The proposed legislatio­n would allow nurse practition­ers to provide care independen­t of a physician after they complete a three-year, 3,600-hour collaborat­ion agreement with a physician. The nurse can practice independen­tly within the clinical specialty area they received their license in.

About 35% of Pennsylvan­ia residents live in an area with inadequate access to primary care, said GOP state Sen. Camera Bartolotta, who introduced the bill.

“Many rural communitie­s suffer from a severe lack of healthcare access, forcing many patients to travel an hour or more for care,” he said. “Expanding the practice authority of (nurse practition­ers) is a logical step to help break down the barriers to quality healthcare services.”

The Pennsylvan­ia State Nurses Associatio­n supports the legislatio­n.

But the Pennsylvan­ia Medical Society, which represents 16,000 physicians and medical students in the state, opposes the bill and says eliminatin­g the collaborat­ive relationsh­ip between physicians and nurses will “fragment patient care and jeopardize patient safety.”

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