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NY Abolishes Written Practice Agreement for NPs

Alexandra Wilson Pecci, for HealthLeaders Media, April 22, 2014

A new law in New York State does not expand nurse practitioners' scope of practice, but it does eliminate the need for a written collaborative agreement between a physician and an NP, which in reality is little more than a financial agreement.

The piece of paper that has for years tethered nurse practitioners to physicians will no longer be required in New York State as of January 1, 2015 thanks to the passage of the Nurse Practitioners Modernization Act.

Specifically, the law eliminates the written practice agreement between physicians and nurse practitioners who have more than 3,600 hours of practice experience.

According to Stephen Ferrara, DNP, FNP, FAANP, Executive Director of the Nurse Practitioner Association New York State, the law doesn't eliminate the natural collaboration that occurs between nurse practitioners and physicians, nor does it expand NP's scope of practice.


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He also doesn't expect there to be a rush of NPs opening their own practices. But the new law does remove the need for the written collaborative agreement, as well as eliminate the requirement for a retrospective chart review every three months, Ferrara says.

"For those nurse practitioners who do want to have their own practice, it gives them peace of mind that they don't have to have their own practice that's hinging on another provider that has nothing to do with those patients," he says.

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