J-LSMS 2021 | Summer

SCOPE OF PRACTICE NURSE PRACTITIONERS

LEGISLATIVE TIMELINE

HB 495

HB 442

APRIL 2ND

Representative Barry Ivey (R-Baton Rouge) introduces HB 495 to provide nurse practitioners with full practice authority.

House of Representatives heavily amends the bill and approves it by a 61-41-2 vote.

26 states and the District of Columbia have independent practice

APRIL 22ND

HB 495 passes out of the House Health and Welfare Committee by a vote of 10-6-1 with Representatives Kenny Cox, Raymond Crews, Julie Emerson, Jason Hughes, Travis Johnson, Wayne McMahen, Dustin Miller, Pat Moore, Joseph Stagni and Chris Turner all voting for the bill. Voting with the LSMS and the Physicians Coalition of LA – Representatives Robby Carter, Michael Echols, Ed Lavadain III, Bob Owen, Thomas Pressly, and Larry Selders. Chairman Larry Bagley did not vote, and Representative Roy Daryl Adams was absent from the committee.

24 states do not have independent practice

APRIL 28TH

NURSE PRACTITIONER BILLS FILED IN LOUISIANA 2010-2021

HB 442 passes the House Health and Welfare committee by a vote of 13-4 with Representatives Larry Bagley, Roy Daryl Adams, Kenny Cox, Raymond Crews, Julie Emerson, Jason Hughes, Travis Johnson, Ed Lavadain III, Wayne McMahen, Dustin Miller, Pat Moore, Joseph Stagni and Chris Turner all voting for the bill. Voting with the LSMS and the Physicians Coalition of LA – Representatives Robby Carter, Michael Echols, Thomas Pressly, and Larry Selders.

Year

Bill

Author(s)

Summary

Action

Authorized a NP to provide health care to a minor without the consent of the minor's spouse, parent or guardian

2010

HB1046

Wilmont

Voluntarily deferred

2012

HB951

Wilmont

Exempted certain NPs from a collaborative practice agreement

Never heard

Moved NPs under the jurisdiction of the Louisiana State Board of Medical Examiners Called for a study group between the LSBN and LSBME to look at NP's in underserved areas

2013

SB192

Erdey

Voluntarily deferred

MAY 5TH

2014

HR199

Johnson

Never heard

House of Representatives heavily amends the bill and approves it by a 61-41-2 vote.

2015

HB416

Barrow

Exempted certain NPs from a collaborative practice agreement

Never heard

The LSBME cannot limit an NPs ablity to practice via a collaborative practice agreement

Never heard in senate committee Never heard in senate committee

2015

HB486

Johnson

Created a study group to make recommendations concerning the creation of a scope of practice review committee

2016

HCR86

Hoffman

MAY 19TH

HB 495 heavily amended yet again and passes out of the Senate Health and Welfare Committee by a vote of 4-3 with Senators Regina Barrow, Gerald Boudreaux, Bob Hensgens, and Jay Luneau voting for the bill. Voting with the LSMS and the Physicians Coalition of LA – Senators Patrick McMath, Beth Mizell, and Rogers Pope. Chairman Fred Mills did not vote.

2016

HB620

Wilmont

Exempted certain NPs from a collaborative practice agreement

Never heard

2016

SB187

Barrow

Exempted certain NPs from a collaborative practice agreement

No House floor vote

2016

SB206

T. Carter

Exempted certain NPs from a collaborative practice agreement

Never heard

Created a study group to make recommendations concerning the creation of a scope of practice review committee

2017

HCR59

Hoffman

Never heard

Exempted NPs in hospitals and nursing homes from a collaborative practice agreement Exempted NPs in hospitals and nursing homes from a collaborative practice agreement

2018

HB483

Stagni

Voluntarily deferred

MAY 11TH

The House of Representatives rejects the bill with a final vote of 39-39-27.

2018

SB435

Mills

Died on Senate floor

2019

HB276

Johnson

Provides NPs with broad-based global signature authority

Died on House floor

2020

HB864

Ivey

Removes the collaborative practice agreement in its entirety.

Died in House committee

MAY 20TH

2021

HB495

Ivey

Removes the collaborative practice agreement in its entirety.

Died on Senate floor

HB 495 reported with amendments to the full senate where it sat for three weeks never to be debated as it was DOA. There was simply too much opposition to the bill and members did not want to vote. ■

2021

HB181

Miller

Expands the scope of practice for psychiatric nurse practitioners

Passed with amendments

Allows nurse practitioners to write home health orders without a physician's approval

2021

HB187

Bagley

Passed with amendments

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J LA MED SOC | VOL 173 | SUMMER 2021 9

J LA MED SOC | VOL 173 | SUMMER 2021

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