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PA Senate and House Introduce Bills to Allow CNPs Full Practice Authority

March 22, 2017

Senator Camera Bartolotta (R-Washington) and Representative Jesse Topper (R-Bedford) have picked up the effort to allow certified nurse practitioners (CNP) to practice to their level of education and training.

Specifically, Senate Bill 25 and House Bill 100 were formally introduced to allow CNPs to practice to the full scope of their license without the need for physician supervision after they have worked under such supervision for three years and 3,600 hours.

The bills also allow CNPs, who are licensed in another state and demonstrate that they have met the three-year/3,600-hour requirements, to practice in Pennsylvania without a collaborative/written agreement.

Allowing full practice authority for CNPs after meeting the three-year/3,600-hour physician collaboration requirements would still make Pennsylvania one of the strictest states in the U.S. that allows practice without the collaborative/written agreement.

Currently, 21 states and the District of Columbia allow CNPs to practice to their full authority.

HAP believes that CNPs do not need unending physician supervision when caring for patients within the boundaries of their training. Meeting the appropriate physician collaboration requirements is a reasonable, responsible approach to helping to meet the growing health care needs for Pennsylvania.

“Pennsylvania hospitals applaud Senator Bartolotta and Representative Topper for their leadership in ensuring that Pennsylvania's most highly trained nurses can provide broader access to essential care,” said HAP President and CEO Andy Carter.

Last session, HAP Board of Directors voted unanimously to support the legislation to include the 3,600 hour and three-year supervision requirement. After being amended in committee with this language, Senate Bill 717, sponsored by now-retired Senator Pat Vance (R-Cumberland), advanced through the Senate but ran out of legislative time to be considered by the House of Representatives.

Questions may be directed to Stephanie Watkins, HAP’s vice president, state legislative advocacy.

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