Bill

Bill > A944


NJ A944

NJ A944
Eliminates certain practice restrictions for advanced practice nurses.


summary

Introduced
01/09/2024
In Committee
01/09/2024
Crossed Over
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill eliminates practice restrictions for advanced practice nurses (APNs), including restrictions that limit the ability of APNs to prescribe medications and administer anesthesia, and establishes new requirements for APNs to prescribe medications. The bill expressly provides that, notwithstanding the provisions of any other law or regulation to the contrary, an APN with greater than 24 months or 2,400 hours of licensed, active, advanced nursing practice will be authorized to practice without a joint protocol with a collaborating provider. With regard to prescribing medications, the bill requires the use of New Jersey Prescription Blanks and satisfying continuing professional education requirements related to pharmacology and prescribing controlled substances. An APN with fewer than 24 months or 2,400 hours of licensed, active, advanced nursing practice in an initial role will be permitted to prescribe medication only if a formal joint protocol with a physician or experienced advanced practice nurse is in place. The bill revises the requirements for APNs to authorize patients for medical cannabis and to issue written instructions for medical cannabis, to provide that the APN will only be required to meet the requirements set forth under the "Jake Honig Compassionate Use Medical Cannabis Act," P.L.2009, c.307 (C.24:6I-1 et al.). Those requirements include: possessing active State and federal registrations to prescribe controlled dangerous substances; being the health care practitioner responsible for the ongoing treatment of a patient's qualifying medical condition; and complying with various other requirements for issuing written instructions for medical cannabis. The bill further provides that every APN who is an APN-Anesthesia and who has completed 24 months or 2,400 hours of licensed, active, advanced nursing practice in an initial role will be authorized to practice as an APN-Anesthesia to the full scope of practice for APNs-Anesthesia, without any requirement for supervision by a licensed physician and without any requirement that the APN-Anesthesia enter into joint protocols with a licensed physician. The bill provides that any State law or regulation that requires the signature or similar endorsement of a physician will be deemed to require the same of an APN, to the extent consistent with an APN's scope of practice. The bill revises and repeals certain sections of law that are obviated by the changes made under the bill.

AI Summary

This bill eliminates practice restrictions for Advanced Practice Nurses (APNs) in New Jersey, allowing them to practice more independently and expand their scope of healthcare services. The legislation removes requirements for joint protocols with physicians and supervision by doctors, granting APNs full practice authority after completing 24 months or 2,400 hours of licensed, active advanced nursing practice. APNs will now be able to prescribe medications, authorize medical cannabis, diagnose and manage patient care, administer various types of anesthesia, and perform medical procedures within their specialized training. The bill requires APNs to complete additional continuing education in pharmacology and maintain specific professional standards, such as using New Jersey Prescription Blanks and meeting certification requirements. The legislation is motivated by healthcare access challenges, particularly in medically underserved areas, and is supported by evidence from other states that have already implemented similar full practice authority for APNs. The bill aims to address professional shortages, improve patient access to care, and recognize the advanced training and capabilities of APNs, drawing in part on lessons learned during the COVID-19 pandemic when practice restrictions were temporarily waived without reported adverse incidents.

Committee Categories

Health and Social Services

Sponsors (43)

Nancy Muñoz (R)* Annette Quijano (D)* Bill Spearman (D)* Reginald Atkins (D),  Rosaura Bagolie (D),  David Bailey (D),  Al Barlas (R),  Clinton Calabrese (D),  Linda Carter (D),  Robert Clifton (R),  Alixon Collazos-Gill (D),  Joe Danielsen (D),  Wayne DeAngelo (D),  Chris DePhillips (R),  Aura Dunn (R),  Dawn Fantasia (R),  Vicky Flynn (R),  Shama Haider (D),  Garnet Hall (D),  Dan Hutchison (D),  Michael Inganamort (R),  Robert Karabinchak (D),  Andrea Katz (D),  Yvonne Lopez (D),  Julio Marenco (D),  Michele Matsikoudis (R),  Barbara McCann Stamato (D),  Cody Miller (D),  Bill Moen (D),  Carol Murphy (D),  Ellen Park (D),  Jessica Ramirez (D),  Verlina Reynolds-Jackson (D),  Gabriel Rodriguez (D),  William Sampson (D),  Alex Sauickie (R),  Gerry Scharfenberger (R),  Alexander Schnall (D),  Heather Simmons (D),  Shanique Speight (D),  Sterley Stanley (D),  Shavonda Sumter (D),  Anthony Verrelli (D), 

Last Action

Introduced, Referred to Assembly Health Committee (on 01/09/2024)

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