California Enacts Legislation to Allow Full Independent Practice for NPs
NPs in California have historically practiced under standardized procedures to perform certain overlapping medical functions such as ordering durable medical equipment, certifying disability, approving or modifying a treatment or plan of home health care, furnishing certain drugs or devices, and furnishing buprenorphine. (See Cal. Bus. & Prof. Code 2835.7, 2836.4 (immediately prior to January 1, 2020). California AB 890 (Reg. Sess. 2019-2020) established a pathway for NPs to qualify for independent practice. These statutes were effective January 1, 2021. An NP who seeks to engage in this independent practice must pass a national board certification exam (and potential supplemental exam), hold a certification from an accreditation agency, provide documentation of required educational training, and have completed a transition to practice in California that is a minimum of three full-time equivalent years of practice or 4600 hours. (Cal. Bus. & Prof. Code 2837.103.)
An NP meeting these requirements will be able to provide selected services independently, without standardized procedures, if the services are performed in a clinic, a health facility, certain county medical facilities, a medical group practice, a home health agency, or a hospice facility. In these locations, an NP will be able to perform any of the following:
|