As a few state legislatures are wrapping up their 2024 sessions, others continue to introduce legislation ranging from scope of practice to out-of-network billing.
Scope of Practice
Minnesota
would allow an advanced practice registered nurse (APRN) to practice without a collaborative agreement with a physician after completing 2,080 clinical hours.
Mississippi
would allow an APRN who completes 5,000 clinical practice hours to be exempt from maintaining a collaborative agreement with a physician.
would allow an APRN to practice without a collaborative agreement with a physician, under any of the following conditions:
- If an APRN completes 10,000 clinical practice hours under the direct supervision of a physician or nurse practitioner (NP) who has practiced for at least 10 years.
- If an APRN completes 3,000 clinical practice hours in critical care units, emergency departments, or medical-surgical floors and completes 2,000 clinical practice hours under the direct supervision of a physician or NP who has practiced for at least 10 years.
New Hampshire
would eliminate the requirement for a physician assistant to maintain a collaborative agreement with a physician.
New York
would enjoin the state of New York into the interstate medical licensure compact and the nurse licensure compact. The interstate medical licensure compact allows physicians who meet the compact’s eligibility requirements to practice medicine in other compact states.
Access to Healthcare
Minnesota
would create the Minnesota Commission for Equitable Health Care. This commission would be tasked with evaluating Minnesotans' experience with and access to healthcare services, regardless of coverage. The commission would evaluate how care is organized and financed and submit recommendations to the Minnesota legislature.
Out-of-Network / Surprise / Balance Billing
Colorado
would make changes to the arbitration requirements for out-of-network health insurance claims in Colorado by requiring the arbitration process to include a batching process, by which multiple claims may be considered jointly and under the same arbitration fee as part of one payment determination in alignment with federal law.
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