Knowledge Library

Nurse Practitioner Expanded Scope of Practice in California

Beginning in 2023, certified nurse practitioners can apply to practice independently in California.  Assembly Bill 890, which was signed into law in September 2020, went into effect on 1/1/23.  The law created two new categories of Nurse Practitioners (NPs) that can function within a defined scope of practice without standardized procedures. The California Board of Registered Nursing (BRN)recently released the application on February 2nd, so nurse practitioners are now able to apply for expanded scope of practice. The two new Nurse Practitioner categories and their requirements are as follows: 103 NP Works under the provisions outlined in Business and Profession Code...

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The Use of Advanced Practice Providers in a Medical Practice: Update 2020

Physicians work with advanced practice providers (APPs) in a variety of medical settings. Advanced practice providers include physician assistants (PAs), and four classifications of advanced practice registered nurses (APRNs): nurse practitioners (NPs), certified nurse-midwives (CNMs), clinical nurse specialists (CNSs), and certified registered nurse anesthetists (CRNAs). As the healthcare industry is experiencing an ever-increasing aging patient population, fewer physicians, is transitioning to value-based reimbursement, APPs are becoming vital to the success of team-based care. In this article we explore the qualifications of APPs, the benefits of employing APPs, as well as the impact they have on the role of physicians. Advanced...

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Idaho: Advanced Practice Provider Laws and Regulations

Physician Assistants Qualifications [IDAPA 22.01.03. Subsection 021.01-06]: Graduate accredited PA program; bachelor’s degree; NCCPA exam. MD Supervision of Physician Assistant [IDAPA 22.01.04, Subsections 020.01 – 020.06]: Supervising physicians must register with Idaho’s Board of Medicine and generally may supervise no more than three (3) PAs at a time. The Board may authorize a physician to supervise a total of six (6) PAs contemporaneously if necessary, to provide adequate medical care and upon prior petition documenting adequate safeguards to protect the public health and safety. The supervising MD must: Accept full responsibility for the medical acts and patient services provided by...

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Alaska: Advanced Practice Provider Laws and Regulations

Physician Assistants Qualifications [12 AAC 40.400]: Graduate accredited PA program; current NCCPA certificate. MD Supervision of Physician Assistant: Collaborative Plan as defined in 12 AAC 40.410(a)-(j), in part: PA may not practice without at least one collaborative relationship that is documented by a plan on a form provided by the medical board. Must include: Name, license number and specialty of primary supervising physician, at least one alternate collaborative physician, beginning date of employment, physical location of practice, compliance with 12 AAC 40.415 as it pertains to a remote location, and prescriptive authority granted by collaborating physician under the collaborative plan....

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