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Written Protocol: Procedures designed by physician and NP then approved by State Medical Board

Nurse Practitioner Practice Scope. Written Protocol: Procedures designed by physician and NP then approved by State Medical Board Physician Supervision or Collaboration: Supervising physician not require to be on site Independent Practice: NP may set up a practice without physician involvement.

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Written Protocol: Procedures designed by physician and NP then approved by State Medical Board

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  1. Nurse Practitioner Practice Scope • Written Protocol: Procedures designed by physician and NP then approved by State Medical Board • Physician Supervision or Collaboration: Supervising physician not require to be on site • Independent Practice: NP may set up a practice without physician involvement “Scope of Practice Laws in Healthcare: Rethinking the Role of Nurse Practitioners”. CA Healthcare Foundation AAPA.org. State Practice Environment. January 2013

  2. Nurse Practitioner Prescription Regulations by State • Written Protocol: Procedures designed by physician and NP then approved by State Medical Board • Physician Supervision or Collaboration: Supervising physician not require to cosign or direct • Independent Practice: NP may prescribe without physician involvement “Scope of Practice Laws in Healthcare: Rethinking the Role of Nurse Practitioners”. CA Healthcare Foundation AAPA.org. State Practice Environment. January 2013

  3. Nurse Practitioner Controlled Substance Regulations by State • Not Allowed: NPs may not prescribe any controlled substance • Allowed: Controlled substances may be prescribed within standard prescription regulations “Scope of Practice Laws in Healthcare: Rethinking the Role of Nurse Practitioners”. CA Healthcare Foundation AAPA.org. State Practice Environment. January 2013

  4. Physician Assistant Practice by Scope • Written Protocol: Procedures designed by physician and PA then approved by State Medical Board • Physician Supervision or Collaboration: Supervising physician not require to be on site AAPA.org. Federal and State Advocacy, State Laws and Regulations. January 2013

  5. Physician Assistant Prescription Regulations by State • Additional Qualifications: These may include DEA registration, Pharmacology training, or waiting periods • Individually Determined by Medical Board: PAs apply and are considered on an individual basis • Written Protocol: Procedures designed by physician and PA then approved by State Medical Board • Physician Supervision or Collaboration: Supervising physician not require to be on site AAPA.org. Federal and State Advocacy, State Laws and Regulations. January 2013

  6. Physician Assistant Controlled Substance Regulations by State • Additional Qualifications: These may include DEA registration, Pharmacology training, or waiting periods • Limited Amounts Only: Restricted days worth of prescriptions and limited or no refills • Individually Determined by Medical Board: PAs apply and are considered on an individual basis • Allowed: Controlled substances may be prescribed within standard prescription regulations AAPA.org. Federal and State Advocacy, State Laws and Regulations. January 2013

  7. TeleMedicine Licensing by State • Requires standard in state license: To care for patients in the state a standard license must be received • Board may issue a telemedicine license: Special licenses can be applied for through State Medical Boards • Must Register with the board: TeleMedicine license issued by board upon registration Federation of State Medical Boards. TeleMedicine Overview Board-by-Board Approach. August 2012

  8. TeleMedicine Legislation of Note by State • State governments are becoming aware of the need for compensation for telemedicine. • Several states are working toward laws requiring insurance to accept telemedicine services to varying levels. Federation of State Medical Boards. TeleMedicine Overview Board-by-Board Approach. August 2012

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