Legislature(2015 - 2016)BUTROVICH 205
04/08/2015 01:30 PM Senate HEALTH & SOCIAL SERVICES
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| Audio | Topic |
|---|---|
| Start | |
| SB74 | |
| SB53 | |
| SB90 | |
| HB4 | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| + | SB 53 | TELECONFERENCED | |
| *+ | SB 90 | TELECONFERENCED | |
| + | HB 4 | TELECONFERENCED | |
| += | SB 74 | TELECONFERENCED | |
SB 53-ADVANCED PRACTICE REGISTERED NURSES
1:43:24 PM
CHAIR STEDMAN announced the consideration of SB 53.
1:43:51 PM
SENATOR CATHY GIESSEL, sponsor of SB 53, explained that the bill
updates Alaska's 34-year-old statutory title from "Advanced
Nurse Practitioner" (ANP) and "Nurse Anesthetist" (NA) to now be
called "Advanced Practice Registered Nurse" (APRN). She drew
attention to a chart that identifies the various current titles
for practicing nurses and the new titles proposed in the bill.
She said the statutes have not kept up on the titles.
Nationally, the titles are becoming more unified. The use of the
APRN title will increase clarity of practice roles, insurance
billing, Medicare, and Veterans Administration procedures, and
interaction with agencies.
She concluded that nothing in the bill changes scope of
practice, certification or licensing requirements, nor changes
fee structures to the board.
1:48:06 PM
JANE CONWAY, Staff, Senator Cathy Giessel, Alaska State
Legislature, presented the sectional analysis of SB 53. She read
from the following:
Section 1 amends AS 08.02.010 and adds APRNs to the
list of professions that are required to use their
professional titles on stationery, signs, or other
advertising.
Sections 2-4 are conforming amendments that change the
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 5 amends AS 08.68.100(a) by requiring that the
Board of Nursing regulations pertaining to APRNs
include the practices of APRNs who practice as
certified registered nurse anesthetists, certified
clinical nurse specialists, certified nurse
practitioners, or certified nurse midwives and makes
conforming amendments.
Section 6 amends AS 08.68.160 by adding advanced
practice registered nursing to the licenses issued
under AS 08.68 and changes the term "professional
nursing" to "registered nursing."
Section 7 adds a new subsection to AS 08.68.170 that
sets out the qualifications for an advanced practice
registered nursing license.
Section 8 repeals and reenacts AS 08.68.190 concerning
license examinations and adds an advanced practice
registered nursing examination to the licensing
examinations conducted under AS 08.68.
Section 9 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to advance practice registered nurse."
Section 10 amends AS 08.68 by adding a paragraph
requiring the Department of Commerce, community and
Economic Development to set fees related to advanced
practice registered nursing and deletes "vocational"
nursing.
Section 11 amends AS 08.68.230(a) by removing
"licensed professional nurse" from the titles
authorized for persons licensed under AS 08.68.
Section 12 amends AS 08.68.230 by adding new
subsections authorizing the use of the titles
"advanced practice registered nurse", "certified
registered nurse anesthetist", "certified clinical
nurse specialist", "certified nurse practitioner", or
"certified nurse midwife" and associated initials.
Section 13 amends AS 08.65.265 to add advanced
practice registered nurses to the persons authorized
to supervise a practical nurse.
Section 14 adds impersonation of an advanced practice
registered nurse as a grounds for denial, suspension,
or revocation of a nursing license.
Section 15 requires institutions that are applying for
accreditation of advanced practice registered nurse
training to provide certain information to the Board
of Nursing.
Section 16 adds impersonation of an advanced practice
registered nurse as a grounds for denial, suspension,
or revocation of a certificate to practice as a nurse
aide.
Sections 17-19 add advanced practice registered
nursing to the licenses issued by the board, and
change the term "professional nursing" to "registered
nursing" in AS 08.68.360 - 08.68.390, which declare
the unlicensed practice of nursing a public nuisance
and provide for injunctive relief.
Section 20 adds advanced practice registered nurses to
the licensees who may delegate certain nursing duties.
Section 21 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse" and makes a
related technical change.
Section 22 defines the practice of advanced practice
registered nursing.
Section 23-25 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse" and make other
related technical amendments.
Section 26 adds advanced practice registered nurses to
persons who are considered justified in conduct that
would otherwise be considered the use of force when
delivering emergency medical care.
Sections 27-28 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 29 adds advanced practice registered nurses to
those licensees immune from civil liability for an act
or omission in delivering patient care services while
escorting an injured or sick person whose life is in
danger in a conveyance that is not an ambulance.
Section 30 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 31 adds advanced practice registered nurses to
those practitioners authorized to draw blood for tests
of persons charged with sex offenses.
Sections 32-33 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurses."
Section 34 clarifies that nurse-midwives and direct
entry midwives are certified.
Sections 35-38 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse" and make other
related technical amendments.
Section 39 changes the term "registered professional
nursing" to "registered nursing."
Section 40 clarifies that nurse-midwives must be
certified to be a provider under AS 21.87.
Section 41 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Sections 42-43 clarifies that nurse-midwives are
certified and makes other technical amendments.
Sections 44-46 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 47 adds advanced practice registered nurses to
the definition of health care provider in statutory
provisions concerning prisons.
Section 48 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 49 adds advanced practice registered nurses to
licensees with particular training who may assess a
child with respect to the waiver under a statutory
provision concerning home and community based medical
assistance.
Section 50 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse" and makes a
related technical change.
Section 51 adds advanced practice registered nurses to
practitioners who are not liable for providing
information to the Department of Health and Social
Services for the purpose of providing services to
certain children and makes a related technical change.
Sections 52-54 add advanced practice registered nurses
to practitioners who may under statutory provisions
concerning mental health commitment, determine if a
person may be administered psychotropic medication
without the person's consent, and add advanced
practice registered nurses with particular training to
the definition of mental health professionals for
those statutory provisions.
Section 55 adds advanced practice registered nurses to
practitioners who may review a health care plan for an
assisted living home resident.
Sections 56-59 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 60 repeals specific statutes.
Section 61 sets July 1, 2015 as the effective date for
the bill.
1:54:08 PM
CHAIR STEDMAN opened public testimony.
DR. CARRIE DOYLE, Clinical Nurse Specialist, Alaska Clinical
Nurse Specialist Association (ACNSA), testified in support of SB
53. She said she is also a member of the Alaska Advanced
Practice Registered Nurses (APRN) Alliance, which is comprised
of all four APRN specialties, University of Alaska - Anchorage,
and the Board of Nursing. She related that nationwide, there are
four types of APRN. This bill will bring Alaska into alignment
with a national move called the APRN Consensus Model. She listed
the types of nurse practitioners contained in the bill.
She related that the Consensus Model was developed by the
National Council of State Boards of Nursing in conjunction with
an APRN work group. The Consensus Model seeks uniformity in APRN
licensure, accreditation, certification, and education.
1:56:25 PM
LAURA SARCONE, Co-Chair, Advanced Practice Registered Nurses
(APRN) Alliance, testified in support of SB 53. She repeated
much of the previous testimony. She said that eleven states are
already in full compliance with the Consensus Model and another
eleven states are three-quarters of the way to compliance.
Alaska is half-way there and SB 53 "brings us over the finish
line" by updating old titles. She thanked the sponsor and urged
the passage of the bill.
CHAIR STEDMAN closed public testimony.
SENATOR GIESSEL stated that the fiscal note contains receipt
services; three professional groups will pay for the expenses of
enacting the bill.
CHAIR STEDMAN held SB 53 in committee.