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APRN LACE dialogue for CNSs
Blog is about the changes and updates related to the implementation of the Advanced Practice Registered Nurse Consensus Model for Regulation and the Licensure, Accreditation, Certification and Education changes that will need to take place over the next few years.
Tuesday, August 16, 2011
The Federal Trade Commission is engaged in the dialogue
Florida is paving the way with discussions regarding the limitation of APRN practice but....
 
The legislation that put in place additional restrictive practices on the APRN in Florida unfortunately still stands. The movement to lift the restrictions has failed. If you were not aware of the situation you are not alone. Let me give you some of the background and hopefully some of you from Florida can fill in the blanks I have left open. In 2008 the APRN group in Florida attempted to get more open practice acts and function in an LIP status. Unfortunately it backfired and the legislation that was passed increased the restrictions on the need for supervision in practice. The bill in 2008 actually limited the number of clinics that a physician could supervise...thereby reducing the number of APRNs they could provide oversight for and decreasing the pool of available collaborating physicians. This was argued to decrease access to health care and increase costs.
 
HB4103 was put forward to return the process to the status of pre-2008..meaning that the APRN would still need supervision but that the pool of available physicians would be broadened again.
 
The FTC chimed in at the request of those who supported the bill and they identified that indeed the return to pre-2008 standards and expectations would reduce costs and increase access. They agreed that the APRN can and does provide safe and effective care and the level of oversight was a restriction of practice (see the LACE page for a copy of the letter sent by the FTC in March to the committee).
 
Unfortunately the bill died in the Health and Human Services Access subcommittee in July. The battle has been lost in this case...but not the war. Now the FTC is aware of the situation with APRNs and that bodes well for future furors and fights.
 
Hang in there Florida...you have become a paving stone on the path to success. Through your current dilemma we will prevail and it will in fact assist you and all of us in the future.
 
About the Author

Kelly A Goudreau DSN, RN, ACNS-BC
Kelly A Goudreau DSN, RN, ACNS-BC is an Associate Editor for the Clinical Nurse Specialist Journal and has been a participant on behalf of NACNS in the development of the APRN Consensus Model and subsequent discussions about implementation of the LACE entity.

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