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2018 New York State Legislative Priorities

DNR Clean-Up Bill (S. 7713 Hannon / A. 10345 Gottfried): Authorizes a patient's attending nurse practitioner to witness the patient's execution of a health care proxy. Memo of Support. These bills have passed the Senate and Assembly as of June 2018 and are pending the Governor's action. 

Workers Compensation Legislation: To recognize nurse practitioners as providers in the New York State Workman's Compensation System. Memo of Support

  •  S.1122 Valesky / A. 7301 Paulin: Relates to diagnosis, care and treatment of injured employees by certified nurse practitioners. The bill authorizes the diagnosis, care and treatment of injured employees by certified nurse practitioners under the workers' compensation program. The inclusion of certified nurse practitioners to conduct healthcare services consistent with their scope and training will afford injured workers greater access to care and more provider options across New York State. Click here to read The NPA's Memo of Support.
  •  S.6349 Alcantara: Relates to the workers' compensation board's authority to resolve medical bill disputes.
  • A. 8387 Pretlow: Relates to extending the authority of the board to resolve medical bill disputes.

                          

Clinical Preceptorship Tax Credit (S.4611 Murphy/A. 6920 Gunther): Establishes a clinical preceptorship personal income tax credit for certain health care professionals who provide community-based instruction to students. Click here to read The NPA's Memo of Support.

Title VIII LLC Bill (S. 4125 LaValle / A. 1943 Peoples-Stokes): Authorizes certain licensed health service professionals to form limited liability companies.

 

2017 New York State Legislative Priorities

DNR Bill (S.1869 Hannon / A. 7277 Gottfried): Authorizes nurse practitioners to execute orders not to resuscitate and orders relating to life sustaining treatments. Click here to read The NPA's Memo of Support. The bill was passed and signed into law on November 29, 2017 and will be effective May 2018. 

Workers Compensation Bill (S.1122 Valesky / A. 7301 Paulin): Relates to diagnosis, care and treatment of injured employees by certified nurse practitioners. The bill authorizes the diagnosis, care and treatment of injured employees by certified nurse practitioners under the workers' compensation program. The inclusion of certified nurse practitioners to conduct healthcare services consistent with their scope and training will afford injured workers greater access to care and more provider options across New York State. Click here to read The NPA's Memo of Support.

NP Civil Service Bill (A.834 Gunther/S.3567 Hannon): An act to require the director of the classification and compensation division of the civil service department to establish various classifications for nurse practitioners. Click here to read The NPA's Memo of Support. This was signed into law on November 29,  2017.

Automated External Defibrillators (AED) Bill (S.5718 Hannon / A. 7532 (Gottfried):  An act to amend the public health law, in relation to automated external defibrillators and nurse practitioners/physician assistants. Click here to read The NPA's Memo of Support. This bill was signed into law on July 25, 2017.

Mental Health Bill (A.3895 Ortiz): Authorizes nurse practitioners to admit mentally ill patients.

CRNA Bill (A.442 Paulin/S.1385 Gallivan): An act to amend the education law, in relation to certification of certified registered nurse anesthetists. Click here to read The NPAs Memo of Support.

BSN in 10 Bill (A.1842A Morrelle/S.3520A Flanagan): An act to amend the education law, in relation to the educational preparation for practice of professional nursing‬. This is also referred to as "BSN in 10." Click here to read The NPAs Memo of Support. This bill was signed into law on December 18, 2017.

Improper Prisoner Treatment Bill (A.3079 Gottfried/S.112 Hoylman): An act to amend the public health law, the education law and the labor law, in relation to prohibiting participation in torture and improper treatment of prisoners by health care professionals. Click here to read The NPAs Memo of Support.

NP Ordered Home Care Services (A. 2718 Gottfried). An act to reform the Public Health Law and Social Services Law to clarify that it is within the scope of practice of a NP to order home care services for Medicaid recipients. Click here to read The NPAs Memo of Support.

Clinical Preceptorship Tax Credit (S.4611 Murphy/A. 6920 Gunther): Establishes a clinical preceptorship personal income tax credit for certain health care professionals who provide community-based instruction to students. Click here to read The NPA's Memo of Support.

New York State Regulatory Priorities

Many of the barriers facing nurse practitioners in New York State stem from regulations written in the infancy of the nurse practitioner profession. Therefore, certain forms and documents are not provider neutral. Fortunately, the fix for these is not one of new legislation, rather it is working with the various state departments (i.e. Department of Motor Vehicles, Office of Mental Health, etc.) to update their forms. To this, The NPA is committed to the following areas to comprise the regulatory agenda:

  1. Congruency of Practice Authority: Nurse Practitioners will perform functions (and therefore "sign off" on forms) in conjunction with clinical services that is congruent with scope of practice.
  2. Mental Health: Updating Office of Mental Health forms to allow nurse practitioners to admit patients to Inpatient Mental Health Units on a voluntary basis (since no law specifically prohibits nurse practitioners from doing so).  

Additional Resources: Find Bill Numbers

Nurse Practitioner Modernization Act - Law effective January 1, 2015.

Read full description of the law and access the attestation form.


2018 Federal Legislative Priorities  

A bill to amend title XVIII of the Social Security Act to ensure more timely access to home health services for Medicare beneficiaries under the Medicare program (S.445/H.R.1825). Enactment will make it possible for NPs to provide the required certification for Medicare patients under their care. Passage of this legislation will reduce Medicare spending by eliminating duplicative services while also improving the quality and timeliness of care for beneficiaries who need home health care services.

ACO Assignment Improvement Act of 2017 (H.R. 1160). This bill would amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists.

Promoting Access to Diabetic Shoes Act (H.R.1617). This bill would amend title XVIII of the Social Security Act to permit nurse practitioners and physician assistants to satisfy the documentation requirement under the Medicare program for coverage of certain shoes for individuals with diabetes.

National Nurse Act of 2017 (H.R.1651): would designate the Chief Nurse Officer position of the U.S. Public Health Service as the "National Nurse for Public Health." The National Nurse would function alongside the Surgeon General and focus on the priorities of health promotion, improving health literacy, and decreasing health disparities. By creating a more visible Chief Nurse Officer who also serves as National Nurse, this legislation would raise awareness of public health priorities, encourage local involvement of all health professionals in prevention efforts, help improve health outcomes, and enhance the profile of the entire U.S. Public Health Service. Here is The NPAs Memo of Support.

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