On March 11, 2020, Florida law passed two bills that would expand the ability of nurses in advance (“APRN”) and pharmacists to diagnose and treat certain diseases. These bills, which were rejected by both the Florida Medical Association and the American Medical Association, were passed because Floridians are interested in the spread of COVID-19. The invoices will be submitted for approval by Florida Governor Ron DeSantis. If he signs them, they will become a law. A written protocol signed by all parties, which constitutes the mutual agreement of the doctor or dentist and the RNAP, may include: 2. the type of practice, the place of practice, including primary and satellite sites; and House Bill 389 expands the ability of pharmacists to diagnose and treat patients as part of a protocol with a supervising physician. In particular, pharmacists were able to conduct, order and evaluate clinical and laboratory tests. In addition, in certain circumstances, they may initiate, modify or discontinue medication for a chronic condition and check for minor non-chronic diseases. To obtain this extended practice, the pharmacist must be certified by the Pharmacy Board, have acquired a pharmacist or have been in the office for five years, have an active and uncontaminated license, have completed a 20-hour accredited course, have a compliant registration maintenance system in place and perform these services as part of a practice agreement with a physician who meets certain requirements. Pharmacists with this extended practice must maintain an additional $250,000 in professional coverage and submit a copy of their cooperation agreement to the Florida Board of Directors. Health care providers should monitor these bills. If they become law and health care providers are considering being associated with these newly approved agreements, the right arrangements must be developed and the legal and legal authorities respected.
Health care providers should exercise caution and caution in managing risks, as is the case with the first extension of areas of practice. House Bill 607 allows ES APRNs to practice independently of physicians if they meet certain requirements. Currently, APRNs have a wide range of practices, but they must train under a protocol agreement with a supervisory physician. According to the bill, an APRN who spent five years under the direction of a surveillance physician, has 2,000 clinic hours, has a clear license and has no disciplinary history, can apply to practice regardless of medical supervision. The care board may also have additional requirements. In addition, NRAs may be allowed to sign death certificates and be subject to the same reporting requirements for adverse incidents as physicians. Background: Twenty states, including Florida, require nurses to maintain a Collaborative Practice Agreement (CPA) with a physician as part of the state`s professional license. Professional licensing can increase prices and restrict access to services.
Details of the conditions and costs of participating in a CPA for suppliers are poorly understood. This study looked at three specific objectives: 1) to study the impact of cooperation agreements on the costs and delivery of health services and similar models of regulation of health professionals.