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Advanced Practice Nurses Keep Pushing for Expanded Practice

February 5th, 2020 by Mike Vasilinda

Every Tuesday and Wednesday Advanced Registered Nurse Practitioners are walking the halls of the Capitol, looking for sympathetic lawmakers.

Florida is in the minority when it comes to states allowing Nurse Practitioners to practice without a doctor’s supervision, but they are facing an uphill battle to win the authority from lawmakers.

Advanced Registered Nurse Practitioners come to the Capitol by the hundreds each week.

Their goal is change the law that requires doctors to supervise them.

It’s expensive.

“Up to $50,000 a year,” said Naples ARNP Doreen Cassarino.

“That’s before they even open their doors,” added Davie ARNP Vicky Stonegale.

And nurse practitioners told us supervision doesn’t mean what you think it does.

“They don’t need to sign our charts, sign our orders. We practice, basically, independently,” said Fort Meyers ARNP Arlene Wright.

Doctors do sign off on what care the NP’s can provide.

Allowing the nurse practitioners, who have either a masters degree or a Ph.D to practice on their own is a top priority of the House Speaker.

“There is no data that in anyway supports that this is in any way dangerous and would not be effective,” said Oliva.

The legislation may or may not reduce the cost of medicine, but it will improve access.

Sponsors have said Advanced Registered Nurse Practitioners will go a long way in helping patients in rural counties get care without having to travel to larger cities.

There is no Senate companion.

“When I was running my husband’s medical practice, we had two nurse practitioners as part of our practice,” said Senator Gayle Harrell.

Harrell is the chair of the Senate Health Policy Committee.

“But their education is not the same as that of a physician,” said Harrell.

But the CEO of the ARNP’s national office David Hebert said the Senator is wrong.

“They do the same things a primary care physician can do. They diagnose, they treat and they prescribe in all 50 states,” said Hebert.

And because of such strong feelings on both sides, the legislation will likely to go down to the wire and be part of any end of session horse trading.

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