Senate Bill 323: A Case Study

It is important that the patient is aware not only of their rights, but of their individual responsibilities.

Good Morning Mr. Chairman and members of the committee. I am here to testify as a proponent to Senate Bill No. 307

Legislative Bill 180 (LB180) allows for the use of Bridge Orders between Juvenile and District courts to address custody between custodial and non-custodial parents. Specifically, when the custodial parent has been deemed unsafe and the non-custodial parent needs to obtain full custody. Another scenario includes when the parents separate during the juvenile court process and one parent has been rehabilitated and the other has not, requiring a custody order to ensure the safety of the child(ren). This White Paper supports passing LB 180. The intended audience of this White Paper is the Nebraska Legislature Judiciary Committee.

It is believed that NPs can overcome challenges with billing and coding, as well as Medicaid and Medicare, third party payers, commercial managed care companies’ reimbursements through appropriate coaching and remaining up to date on regulations. As mentioned earlier, implementing compliant electronic systems, staying well-informed of billing regulations, evaluating weekly reports, and consulting with compliance experts can aid in accurate reimbursement for NPs in primary care.

Bill A.3080 was first introduced in January 2014 and has been re-introduced every year. Since 2014, it has been referred to the corrections committee in the Assembly and the Crime Victims, Crime and Correction committee in the Senate. From 2014 to 2016, the bill was sponsored by Senator Bill Perkins and this year the Senate sponsor is Senator Kevin Parker (A.3080, 2017). As of this year in the Assembly, there are 46 co-sponsors and 11 multi-sponsors all of them being Democrats. For the Senate, there are seven Democratic sponsors as of this year. The bill in both Houses has had trouble moving past the committees they are referred to for several years. On the Corrections committee, seven of the Assemblymembers have co-sponsored

The Assembly Bill No. 746 Chapter 72 was created to amend Section 32261 of the Education Code. As an extension to the Interagency School Safety Demonstration Act of 1985, this law updates the definition of bullying to include the “post on a social network Internet Web site” (A.B. 746, 2011).

To further illustrate, on January 22, 2016, Senator Michelle Kidani, sponsor of Senate Bill 2586: A Bill For An Act, introduce a legislative amendment in Hawaii state. Focusing on ten principles to improve our education system, Senate Bill 2586 requires the Department of Education to:

been restricted on what they can and can’t do including signing certain documents and orders they can prescribe. With the Affordable Care Act the demand for primary care providers is growing (Gadbois, Miller, Tyler, & Intrator, 2015). This means that the need for APRNs is rising and the need change is approaching. In the primary care setting, there is a variety of medical staff working including medical assistance, LPNs, and RNs. This can become more for the APRN when delegating medication administration. When the APRN cannot delegate medication administration the quality of patient care is sacrificed and is not productive in providing care to the patients.

I am supporting H.R. 6261 because enabling the full participation of Nurse Practitioners in primary care will help to increase access in underserved rural and urban areas, reduce the demand for primary care, which is attributable to population growth and aging and expanded health insurance coverage under the Affordable Care Act (ACA) and also contribute to the effort toward improving care especially for people

As resistant as some states’ legislative and regulatory bodies are to grant APNs autonomy of practice, the damage being done by over-regulation is clear (Safriet, 1992). Physicians are forced into a position to either supervise the APN’s practice or be constantly consulted for approval of their practice decisions. Safriet (1992) described that in and of itself, this constant supervision may appear to patients that the APN is not competent to provide adequate or care equivalent to that of a physician. If the role of the APN is to bridge gaps in health care by relieving the medical establishment of some of the patient load by performing the same function as a physician in a primary care setting, it seems wholly unnecessary to restrain their scope of practice in those areas. This type of restrictions affect cost and patient care accessibility (Safriet, 1992). This was a problem stated in the article, however 25 years later, populations of patients remain unseen or cared for and APNs continue to be underutilized (Safriet, 1992). Rigolosi and Salmond (2014) cite the American Association of Nurse Practitioners (AANP) when they state that not utilizing nurse practitioners due to practice restrictions costs $9 billion annually in the US (p. 649).

Advanced practicing registered nurses (APRNs) serve essential roles in providing acute care, pediatric care, maternity care, chronic disease management, adult primary care, and mental health treatment. They are registered nurses who have additional training, education, and certification in a given field of practice. There are many potential issues which can influence their practice setting. This paper covers the legislative issues affecting advanced practice nursing formulates a possible policy change to address that matter. Legislative Issues Affecting Advanced Practice Nursing Legal issues affecting advanced practice nursing refer to the policies or laws enacted by legislatures to give guidelines in the field of advanced practice nursing.

While the demand of healthcare need increasers the United States facing a physician shortage. In recent years the number of nurse practitioners (NPs) and physician assistants (PAs) has significantly increased and they are taking the part in providing healthcare cervices to the majority of patients. I believe nurse practitioners and physician assistants can practice independently from doctors and be free of oversight. Expanding the scope of NPs and PAs is essential to overcome the healthcare crisis we are facing; it will increase patient satisfaction and stabilizing the healthcare economy.

First, the state licensure regulates NP practice and it has been a big issue since NPs are not able to practice to the fullest extent despite of their education and training. NPs practice is regulated by state licensure and only about one-third of the nation has adopted full practice authority licensure and practice laws for NPs (Hain & Fleck, 2014). The American Association of Nurse Practitioners (AANP) reports that, under a full practice authority model, NPs are still required to meet

Nurse Practice Act varies from state to state. Each state has different practices that one must

The health care needs of our society are growing. With the new health care reform changes, more people will be covered by health insurance and more preventative care will be offered to people. Our nation deserves safe and effective care, much of which will be delivered by APRNs. APRNs, have an obligation to the people they serve, to set a standard for licensure, define our role, and standardize our title. Having these facets defined nationally helps other health care professionals to understand and respect the role of the APRN. As APRNs work in direct patient care, having a national standard for licensure recognized by each state would facilitate care across state lines, thereby improving access to health care for