Bill Summary – FastDemocracy

General Assembly                       Raised Bill No. 5415
       February Session, 2020                LCO No. 1849
     Referred to Committee on PUBLIC HEALTH
     Introduced by:
       (PH)
 AN ACT CONCERNING THE INDEPENDENT PRACTICE OF
 ADVANCED PRACTICE REGISTERED NURSES RELOCATING TO
 CONNECTICUT.
 Be it enacted by the Senate and House of Representatives in General
 Assembly convened:
       Section 1. Subdivisions (2) and (3) of subsection (b) of section 20-87a
    of the general statutes are repealed and the following is substituted in
    lieu thereof (Effective October 1, 2020):
      (2) An advanced practice registered nurse [having been issued a
   license] licensed pursuant to section 20-94a shall [,] (A) collaborate with
   a physician licensed pursuant to chapter 370 for the first three years after
   having been issued such license, [collaborate with a physician licensed
   to practice medicine in this state] or (B) for any registered nurse
   relocating to this state who obtained a license without examination
   pursuant to section 20-94 prior to obtaining a license pursuant to section
   20-94a, (i) collaborate with a physician licensed pursuant to chapter 370
   for the first three years after having been issued such license, or (ii) have
   collaborated with a physician holding a license in good standing in
   another state for not less than three years. In all settings in this state,
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                                                         Raised Bill No.   5415
 such advanced practice registered nurse may, in collaboration with a
 physician licensed [to practice medicine in this state,] pursuant to
 chapter 370, prescribe, dispense and administer medical therapeutics
 and corrective measures and may request, sign for, receive and dispense
 drugs in the form of professional samples in accordance with sections
 20-14c to 20-14e, inclusive, except such advanced practice registered
 nurse licensed pursuant to section 20-94a and maintaining current
 certification from the American Association of Nurse Anesthetists who
 is prescribing and administrating medical therapeutics during surgery
 may only do so if the physician who is medically directing the
 prescriptive activity is physically present in the institution, clinic or
 other setting where the surgery is being performed. For purposes of this
 subdivision, "collaboration" means a mutually agreed upon relationship
 between such advanced practice registered nurse and a physician who
 is educated, trained or has relevant experience that is related to the work
 of such advanced practice registered nurse. The collaboration shall
 address a reasonable and appropriate level of consultation and referral,
 coverage for the patient in the absence of such advanced practice
 registered nurse, a method to review patient outcomes and a method of
 disclosure of the relationship to the patient. Relative to the exercise of
 prescriptive authority, the collaboration between such advanced
 practice registered nurse and a physician shall be in writing and shall
 address the level of schedule II and III controlled substances that such
 advanced practice registered nurse may prescribe and provide a method
 to review patient outcomes, including, but not limited to, the review of
 medical therapeutics, corrective measures, laboratory tests and other
 diagnostic procedures that such advanced practice registered nurse may
 prescribe, dispense and administer.
   (3) An advanced practice registered nurse having (A) been issued a
 license pursuant to section 20-94a, [(B) maintained such license for a
 period of not less than three years, and (C)] and (B) engaged in the
 performance of advanced practice level nursing activities in
 collaboration with a physician for a period of not less than three years
 and not less than two thousand hours in accordance with the provisions
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                                                          Raised Bill No.   5415
 of subdivision (2) of this subsection, may, thereafter, alone or in
 collaboration with a physician or another health care provider licensed
 to practice in this state: (i) Perform the acts of diagnosis and treatment
 of alterations in health status, as described in subsection (a) of this
 section; and (ii) prescribe, dispense and administer medical therapeutics
 and corrective measures and dispense drugs in the form of professional
 samples as described in subdivision (2) of this subsection in all settings.
 Any advanced practice registered nurse electing to practice not in
 collaboration with a physician in accordance with the provisions of this
 subdivision shall maintain documentation of having engaged in the
 performance of advanced practice level nursing activities in
 collaboration with a physician for a period of not less than three years
 and not less than two thousand hours. Such advanced practice
 registered nurse shall maintain such documentation for a period of not
 less than three years after completing such requirements or, for any
 registered nurse who obtained a license without examination pursuant
 to section 20-94 prior to obtaining a license pursuant to section 20-94a,
 for a period of not less than three years after obtaining a license pursuant
 to section 20-94a, and shall submit such documentation to the
 Department of Public Health for inspection not later than forty-five days
 after a request made by the department for such documentation. Any
 such advanced practice registered nurse shall submit written notice to
 the Commissioner of Public Health of his or her intention to practice
 without collaboration with a physician after completing the
 requirements described in this subdivision and prior to beginning such
 practice. Not later than December first, annually, the Commissioner of
 Public Health shall publish on the department's Internet web site a list
 of such advanced practice registered nurses who are authorized to
 practice not in collaboration with a physician.
      This act shall take effect as follows and shall amend the following
      sections:
      Section 1     October 1, 2020              20-87a(b)(2) and (3)
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                                                                         Raised Bill No.        5415
Statement of Purpose:
To allow advanced practice registered nurses to independently engage
in the performance of advanced practice level nursing activities after
collaboration with a physician licensed to practice medicine in this state
or outside of this state for not less than three years and not less than two
thousand hours.
[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
underlined.]
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