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Monday, May 10, 2010

THE ATTACK PLAN OF SOPP...STATE BY STATE ISSUES AS OF 2009- EXTREMELY IMPORTANT FOR ALLIED HEALTH PROFESSIONALS TO REVIEW

http://www.audiologist.org/component/content/article/15-legislative-alerts/184-ama-scope-of-practice-partnership-important-update.html
American Medical Association - Advocacy Resource Center
January 2009
Scope of Practice Campaign
Trends for 2009 State Legislative/Regulatory Sessions
(By state)
State
Scope of Practice Issue
Alabama
Advance Practice Nurses: independent prescribing rights
Arizona
Optometrists: mandatory PreK vision screenings
Arkansas
Advance Practice Nurses: independent practice
California
Advance Practice Nurses: independent practice
California
Naturopaths: prescribing privileges
California
Physical Therapists: direct access (or expansion thereof)
California
Psychologists: independent prescribing rights
Colorado
Advance Practice Nurses: Certified Nurse Anesthetists: independent practice
Colorado
Advance Practice Nurses: independent prescribing rights
Colorado
Chiropractors: ability to refer to selves as “physicians”
Colorado
Naturopaths: licensure
Connecticut
Advance Practice Nurses: independent practice
Delaware
Midwives: Lay Midwives: licensure
Delaware
Pharmacists: collaborative management (similar to NPs)
Florida
Advance Practice Nurses: authority to prescribe controlled substances
Florida
Optometrists: authority to perform surgery
Florida
Optometrists: mandatory PreK vision screenings
Florida
Physical Therapists: direct access (or expansion thereof)
Florida
Podiatrists: authority to treat the ankle and all soft tissue structures below the knee governing the function of the foot and ankle
Florida
Psychologists: independent prescribing rights
Georgia
Nonphysician Providers (generally): use of lasers
Georgia
Psychologists: independent prescribing rights
Hawaii
Optometrists: mandatory PreK vision screenings
Hawaii
Psychologists: independent prescribing rights
Idaho
Midwives: Lay Midwives: licensure
Idaho
Naturopaths: licensure
Idaho
Optometrists: authority to perform surgery
Idaho
Optometrists: expansion of authority to perform injections
Illinois
Naturopaths: licensure
Illinois
Optometrists: mandatory PreK vision screenings
Illinois
Pharmacists: collaborative management (similar to NPs)
Illinois
Physical Therapists: direct access (or expansion thereof)
Illinois
Psychologists: independent prescribing rights
Illinois
Speech Language Pathologists: authority to perform treatment functions independently
American Medical Association - Advocacy Resource Center
January 2009
2
State
Scope of Practice Issue
Indiana
Advance Practice Nurses: Certified Nurse Anesthetists: prescriptive authority
Indiana
Advance Practice Nurses: Certified Nurse Anesthetists: independent practice
Indiana
Midwives: Lay Midwives: licensure
Indiana
Surgical Assistants: licensure
Iowa
Advance Practice Nurses: authority to supervise the use of fluoroscopic x-ray systems by radiologic technologists and students
Iowa
Advance Practice Nurses: Certified Nurse Anesthetists: authority to perform any medical procedure, including but not limited to, interventional pain management
Iowa
Optometrists: mandatory PreK vision screenings
Iowa
Pharmacists: authority to administer immunizations
Iowa
Physician Assistants: independent practice
Kansas
Pharmacists: authority to administer immunizations
Kansas
Physical Therapists: direct access (or expansion thereof)
Kentucky
Audiologists: direct access
Kentucky
Physical Therapists: direct access (or expansion thereof)
Louisiana
Advance Practice Nurses: Certified Nurse Anesthetists: independent practice
Maine
Pharmacists: authority to administer immunizations
Maine
Pharmacists: collaborative management (similar to NPs)
Maryland
Anesthesia Assistants: licensure
Massachusetts
Nonphysician Providers (generally): use of lasers
Massachusetts
Nonphysician Providers (generally): administration of certain injectable materials including, but not limited to, flourescein dye, collagen or Botulinium toxin
Massachusetts
Optometrists: authority to prescribe certain therapeutic pharmaceutical agents
Michigan
Advance Practice Nurses: general scope expansions
Michigan
Chiropractors: authority to determine differential diagnosis; access to imagine technology
Michigan
Chiropractors: authority to treat the entire body, including joints and extremities not currently permitted
Michigan
Nonphysician Providers (generally): Physician employment by
Michigan
Pharmacists: collaborative management (similar to NPs)
Michigan
Physical Therapists: direct access (or expansion thereof)
Michigan
Physical Therapists: protection of POPTS (physician owned physical therapy services)
Michigan
Speech Language Pathologists: licensure
Minnesota
Advance Practice Nurses: independent prescribing rights
American Medical Association - Advocacy Resource Center
January 2009
3
State
Scope of Practice Issue
Minnesota
Nonphysician Providers (generally): Physician employment by
Minnesota
Nonphysician Providers (generally): use of lasers
Minnesota
Psychologists: independent prescribing rights
Minnesota
Speech Language Pathologists: authority to perform treatment functions independently
Mississippi
Optometrists: authority to perform surgery
Mississippi
Psychologists: independent prescribing rights
Missouri
Midwives: Lay Midwives: licensure
Missouri
Naturopaths: licensure
Missouri
Psychologists: independent prescribing rights
Montana
Psychologists: independent prescribing rights
Nebraska
Advance Practice Nurses: independent practice
Nebraska
Optometrists: authority to perform surgery
Nebraska
Optometrists: authority to prescribe certain therapeutic pharmaceutical agents
Nebraska
Optometrists: expansion of authority to perform injections
Nebraska
Optometrists: authority to prescribe therapeutic contact lenses
Nebraska
Psychologists: independent prescribing rights
Nevada
Alternative Medicine Practitioners/CAM: general scope of practice expansions without registration/regulation/licensure
Nevada
Nonphysician Providers (generally): Physician employment by
Nevada
Physical Therapists: direct access (or expansion thereof)
Nevada
Physical Therapists: protection of POPTS (physician owned physical therapy services)
Nevada
Podiatrists: general scope of practice expansions
Nevada
Psychologists: independent prescribing rights
New Hampshire
Naturopaths: prescribing privileges
New Jersey
Physical Therapists: direct access (or expansion thereof)
New Mexico
Acupuncturists: expanded prescriptive authority
New Mexico
Optometrists: authority to perform surgery
New Mexico
Optometrists: expansion of authority to perform injections
New Mexico
Physician Assistants: independent practice (primary care and family medicine)
New Mexico
Psychologists: removal of Board of Medicine oversight of prescriptive authority/ability to prescribe off label
New York
Advance Practice Nurses: Certified Nurse Anesthetists: independent practice
New York
Chiropractors: scope of practice expansions within workers’ compensation
New York
Dentists: authority to perform cosmetic surgery in oral maxillofacial region; unrelated to dental health
American Medical Association - Advocacy Resource Center
January 2009
4
State
Scope of Practice Issue
New York
Naturopaths: licensure
New York
Optometrists: authority to prescribe certain therapeutic pharmaceutical agents
New York
Podiatrists: authority to treat the ankle
North Carolina
Audiologists: general scope expansions
North Carolina
Chiropractors: general scope expansions
North Carolina
Midwives: Lay Midwives: licensure
North Carolina
Naturopaths: licensure
North Dakota
Advance Practice Nurses: Nurse Practitioners: mandatory listing as primary care providers (PCPs) by Medicaid
Ohio
Advance Practice Nurses: prescriptive authority – Schedule II drugs
Ohio
Naturopaths: licensure
Ohio
Nonphysician Providers (generally): Physician employment
Ohio
Optometrists: prescription authority
Ohio
Pharmacists: collaborative management (similar to NPs)
Ohio
Physician Assistants: increasing Medicaid reimbursement rules (APRN parity)
Ohio
Psychologists: independent prescribing rights
Oklahoma
Advance Practice Nurses: Certified Nurse Anesthetists: authority to perform any medical procedure, including but not limited to, interventional pain management
Oklahoma
Naturopaths: licensure
Oklahoma
Nonphysician Providers (generally): Physician employment by
Oklahoma
Pharmacists: collaborative management (similar to NPs)
Oklahoma
Physical Therapists: direct access (or expansion thereof)
Oklahoma
Psychologists: independent prescribing rights
Oregon
Chiropractors: general scope expansions
Oregon
Naturopaths: prescribing privileges
Oregon
Psychologists: independent prescribing rights
Pennsylvania
Audiologists: expand scope to include diagnosis, treatment, and management of hearing and balance disorders
Pennsylvania
Nonphysician Providers (generally): administration of certain injectable materials including, but not limited to, flourescein dye, collagen or Botulinium toxin
Pennsylvania
Optometrists: authority to prescribe certain therapeutic pharmaceutical agents
Pennsylvania
Optometrists: mandatory PreK vision screenings
South Carolina
Advance Practice Nurses: general scope expansions
American Medical Association - Advocacy Resource Center
January 2009
5
State
Scope of Practice Issue
South Carolina
Chiropractors: general scope expansions
South Carolina
Naturopaths: licensure
South Carolina
Optometrists: authority to perform surgery
South Carolina
Podiatrists: authority to treat the ankle and all soft tissue structures below the knee governing the function of the foot and ankle
Tennessee
Naturopaths: licensure
Tennessee
Nonphysician Providers (generally): administration of certain injectable materials including, but not limited to, flourescein dye, collagen or Botulinium toxin
Tennessee
Psychologists: independent prescribing rights
Texas
Nonphysician Providers (generally): use of lasers
Texas
Optometrists: authority to perform surgery
Texas
Physician Assistants: lessening of supervision requirements by an MD and/or DO
Texas
Advance Practice Nurses: independent practice
Texas
Physical Therapists: direct access (or expansion thereof)
Texas
Acupuncturists: licensure
Utah
Midwives: Direct Entry Midwives: general scope expansions
Utah
Physical Therapists: direct access (or expansion thereof)
Utah
Psychologists: independent prescribing rights
Vermont
Advance Practice Nurses: Certified Nurse Anesthetists: independent practice
Virginia
Advance Practice Nurses: Nurse Practitioners: gives the state Nursing Board sole authority to interpret the practice of NPs
Virginia
Advance Practice Nurses: Nurse Practitioners: change supervision requirement to collaboration and consultation
Virginia
Naturopaths: licensure
Washington
Advance Practice Nurses: general scope expansions
Washington
Optometrists: mandatory PreK vision screenings
Washington D.C.
Optometrists: authority to perform surgery
West Virginia
Optometrists: authority to perform surgery
Wisconsin
Advance Practice Nurses: general scope expansions
Wisconsin
Audiologists: expand scope to include diagnosis, treatment, and management of hearing and balance disorders
Wisconsin
Chiropractors: general scope expansions
Wisconsin
Naturopaths: licensure
Wisconsin
Pharmacists: collaborative management (similar to NPs)
Wisconsin
Psychologists: independent prescribing rights

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