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NY Abolishes Written Practice Agreement for NPs

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

The word "'independent' really irks a lot of people. That's not what we're trying to do," he says. Instead, NPs, like all primary care providers, work collaboratively with other healthcare providers, referring when they need to, and co-managing patients. "We're saying that really nothing changes as far as the relationship goes."

"It's codifying what we do already and mirrors how practices happen today," he says. "We know that a lot of nurse practitioners are working in primary care…They're functioning as primary care providers already and I think this will enable even more to do so."

Over the years, bills like the Nurse Practitioners Modernization Act have passed in more than a dozen states and the District of Columbia. The New York State law will also sunset in 2021, providing the opportunity to review data collected and make tweaks to the law as needed, which the Nurse Practitioner Association New York State sees as a positive thing.

Ferrara says there are 180,000 NPs in United States, and that allowing them to practice without the need of a written practice agreement is a good thing for patient access and healthcare costs.

"This is clearly where it's going across the United States," he says. "Those are 180,000 potential solutions to access issues that every patient faces in healthcare today."

The law is set to expire on June 30th, 2021.


Alexandra Wilson Pecci is a managing editor for HealthLeaders Media.

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