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The Nurse Practitioner Modernization Act (NPMA) became state law in 2022 after a concerted lobbying and organizing campaign. NYSNA and its coalition allies, including, Nurse Practitioner Association –NYS, and legislative allies advocated to make a 2014 law permanent and expand the independent scope of NP practice. They won. 

Key provisions of the NPMA include: 

  • NPs with more than 3,600 hours of experience DON’T need a written agreement or collaborative relationship in order to practice. This applies to NPs practicing in all specialties. 
  • No practice protocols on form 4NP need to be filed for NPs with less than 3,600 hours. 

NEXT STEPS 

While the passage of the law is good, more needs to be done. The independence of experienced Nurse Practitioners with 3,600 hours of experience will sunset on April 1, 2024. This means that experienced NPs will again have to seek out relationships with a physician or hospital in order to practice. Also, one key part of the legislation did not pass. Advocates will continue to push for the ability of NPs with less than 3,600 hours of experience to enter into relationships for oversight with experienced NPs. 

Nurse Practitioners (NPs) are advanced practice RNs who are trained and qualified to engage in an expanded scope of practice that includes the diagnosis of patient conditions, assessments of patient health, and prescription of medications. The Nurse Practitioner title has long been established nationally and in New York. NPs play a vital role in providing high quality care to patients in a wide range of settings, particularly in medically underserved communities. 

NPMA OVERVIEW 

If you have any questions about the Nurse Practitioner Modernization Act, e-mail Nick Arture at nicholas.arture@nysna.org.