New Law Frees Some Experienced New York Nurse Practitioners from Physician Supervision Requirements

As recently reported by Modern Healthcare, the Nurse Practitioner Modernization Act brought about changes to the physician supervision requirements for nurse practitioners in New York with over 3,600 hours of clinical practice experience. Under the new rules, which took effect January 1, 2015, nurse practitioners with 3,600 hours of clinical practice experience will no longer be required to maintain a written collaborative agreement with a physician nor will they be required to submit charts to a physician for review. Instead, these experienced nurse practitioners will be required to maintain an established relationship with a physician or hospital for referral or consultation purposes. The requirements for nurse practitioners with less than 3,600 of clinical practice experience remain unchanged, requiring a written collaborative agreement with a supervising physician be in place.

Proponents of the changes pointed to the ability to provide access to care in areas of provider shortages as well as situations where nurse practitioners had difficulties finding stable physician relationships. Opponents, including the Medical Society of the State of New York, stated that increasing the use of nurse practitioners does not lower costs and pointed to patients of nurse practitioners as tending to have higher utilization rates.

With these recent changes, New York now joins 19 other states and Washington, D.C. that have created “full practice” environments for nurse practitioners through legislation.

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