Oppose CRNP Independent Practice (SB 25)

The CRNPs are back at it again vying for their independent practice with Senate Bill 25. Your Senator needs to hear from you now that CRNP independent practice is a patient safety issue and should not happen here in Pennsylvania.

Senate Bill 25 would in essence take the physician out of the equation. PAMED vehemently opposes this bill.

The nurses reneged on last year’s deal. Last year, Rep. David Hickernell crafted a legislative proposal that would have created the nation’s first pilot project to assess the efficacy of independent CRNP-led care, specifically in rural areas of Pennsylvania. After many long hours and months of negotiation, we joined together with the Pennsylvania Coalition of Nurse Practitioners in supporting this initiative. The nurses no longer support this pilot project, and are again seeking full independent practice through Senate Bill 25

Additional talking points

  • CRNPs already practice to the full extent of their education and training, which in Pennsylvania means that a CRNP can prescribe all medications and other treatments, diagnose and treat acute health problems, monitor and manage chronic conditions such as diabetes, order blood tests and cultures, order diagnostic imaging studies such as MRIs and CAT scans, provide prenatal care and family planning services, and provide well-childcare and immunizations.
  • The only statutory limitation placed on CRNPs is the “patient safety” requirement that a physician be immediately available should a patient’s clinical complications or test results or condition require a higher level of interpretation (i.e. the current requirement for a collaborative agreement)
  • While CRNPs are valuable members of the health care team, physicians and nurses are not interchangeable. SB 25 would remove physicians from the health care team, and fragment patient care.
  • Survey says…According to a 2019 Patient Poll conducted by Susquehanna Polling and commissioned by the Pennsylvania Medical Society, more than seven out of 10 Pennsylvanians want to keep collaborative agreements between nurse practitioners and physicians.