HOUSE DOCKET, NO. 2879        FILED ON: 1/20/2017

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 2451

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Paul J. Donato and Kay Khan

_________________

To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:

The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act to contain health care costs and improve access to value based nurse practitioner care as recommended by the IOM and FTC.

_______________

PETITION OF:

 

Name:

District/Address:

Date Added:

Paul J. Donato

35th Middlesex

1/20/2017

Kay Khan

11th Middlesex

1/20/2017

Denise Provost

27th Middlesex

12/20/2017

Geoff Diehl

7th Plymouth

12/20/2017

José F. Tosado

9th Hampden

12/20/2017

Michael J. Finn

6th Hampden

12/20/2017

Smitty Pignatelli

4th Berkshire

12/20/2017

John W. Scibak

2nd Hampshire

12/20/2017

Frank A. Moran

17th Essex

12/20/2017

Leonard Mirra

2nd Essex

12/20/2017

Mathew Muratore

1st Plymouth

12/20/2017

Angelo J. Puppolo, Jr.

12th Hampden

12/20/2017

Jason M. Lewis

Fifth Middlesex

12/20/2017

Tackey Chan

2nd Norfolk

12/20/2017

Michael D. Brady

Second Plymouth and Bristol

12/20/2017

William C. Galvin

6th Norfolk

12/20/2017

David Paul Linsky

5th Middlesex

12/20/2017

Marjorie C. Decker

25th Middlesex

12/20/2017

James R. Miceli

19th Middlesex

12/20/2017

David F. DeCoste

5th Plymouth

12/20/2017

Bradford R. Hill

4th Essex

1/30/2017

Paul Tucker

7th Essex

12/20/2017

Carmine L. Gentile

13th Middlesex

12/20/2017

Joseph D. McKenna

18th Worcester

12/20/2017

James J. O'Day

14th Worcester

12/20/2017

Brian M. Ashe

2nd Hampden

12/20/2017

James M. Cantwell

4th Plymouth

12/20/2017

Adrian Madaro

1st Suffolk

12/20/2017

Bradley H. Jones, Jr.

20th Middlesex

12/20/2017

Jack Lewis

7th Middlesex

12/20/2017

Elizabeth A. Poirier

14th Bristol

12/20/2017

Chris Walsh

6th Middlesex

12/20/2017

Daniel M. Donahue

16th Worcester

12/20/2017

John J. Lawn, Jr.

10th Middlesex

12/20/2017

Sarah K. Peake

4th Barnstable

12/20/2017

Daniel J. Ryan

2nd Suffolk

12/20/2017

Danielle W. Gregoire

4th Middlesex

12/20/2017

Paul Brodeur

32nd Middlesex

12/20/2017

Jennifer E. Benson

37th Middlesex

12/20/2017

Thomas M. Stanley

9th Middlesex

12/20/2017

Angelo L. D'Emilia

8th Plymouth

12/20/2017

Denise C. Garlick

13th Norfolk

12/20/2017

Kenneth I. Gordon

21st Middlesex

12/20/2017

Steven Ultrino

33rd Middlesex

12/20/2017

Solomon Goldstein-Rose

3rd Hampshire

12/20/2017

Joseph W. McGonagle, Jr.

28th Middlesex

12/20/2017

William L. Crocker, Jr.

2nd Barnstable

12/20/2017

David M. Rogers

24th Middlesex

12/20/2017

Frank I. Smizik

15th Norfolk

12/20/2017

Edward F. Coppinger

10th Suffolk

12/20/2017

Colleen M. Garry

36th Middlesex

12/20/2017

Stephen Kulik

1st Franklin

12/20/2017

Christine P. Barber

34th Middlesex

12/20/2017

Jay R. Kaufman

15th Middlesex

12/20/2017

Patricia A. Haddad

5th Bristol

12/20/2017

Barbara A. L'Italien

Second Essex and Middlesex

12/20/2017

Daniel Cullinane

12th Suffolk

12/20/2017

Gailanne M. Cariddi

1st Berkshire

12/20/2017

Kate D. Campanale

17th Worcester

12/20/2017

Peter V. Kocot

1st Hampshire

12/20/2017

Joan B.  Lovely

Second Essex

12/20/2017

Sean Garballey

23rd Middlesex

12/20/2017

John C. Velis

4th Hampden

12/20/2017

Thomas A. Golden, Jr.

16th Middlesex

12/20/2017

Claire D. Cronin

11th Plymouth

12/20/2017

Aaron Michlewitz

3rd Suffolk

12/20/2017

Paul McMurtry

11th Norfolk

12/20/2017

Steven S. Howitt

4th Bristol

12/20/2017

Walter F. Timilty

Norfolk, Bristol and Plymouth

12/20/2017

John H. Rogers

12th Norfolk

12/20/2017


HOUSE DOCKET, NO. 2879        FILED ON: 1/20/2017

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 2451

By Representatives Donato of Medford and Khan of Newton, a petition (accompanied by bill, House, No. 2451) of Paul J. Donato, Kay Khan and others relative to practitioners licensed to practice medicine or advanced practice nursing and improving access to value based nurse practitioner care.  Public Health.

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Ninetieth General Court
(2017-2018)

_______________

 

An Act to contain health care costs and improve access to value based nurse practitioner care as recommended by the IOM and FTC.

 

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
 

SECTION 1. Section 1 of chapter 94C of the General Laws, as appearing in the 2014 Official Edition, is hereby amended by inserting after the definition for Marihuana the following definition:-

Medication Order, an order entered on a patient's medical record maintained at a hospital, other health facility, or ambulatory health care setting registered under this chapter and that is dispensed only for immediate administration at the facility to the ultimate user by an individual who under chapter 94C administers such medication.

SECTION 2. The definition of Practitioner, in said section 1 of said chapter 94C, as so appearing, is hereby amended by adding the following subsection:-

(d) A nurse practitioner authorized by section 80E of chapter 112 and registered pursuant to subsection (f) of section 7 to distribute, dispense, conduct research with respect to, or use in teaching or chemical analysis, a controlled substance in the course of professional practice or research in the commonwealth.

SECTION 3. Section 7 of said chapter 94C, as so appearing, is hereby amended in subsection (f) by adding in lines 121, 124 and 125 after the word podiatrist, the following words: - nurse practitioner

SECTION 4. Said section 7 of said chapter 94C, as so appearing, is hereby further amended in subsection (g) by striking out in line 137 the words: nurse practitioners and for

SECTION 5. Said subsection (g) of section 7 of said chapter 94C, as so appearing, is hereby further amended by striking out in line 147 the words: nurse practitioners and

SECTION 6. Section 9 of said chapter 94C, as so appearing, is hereby amended in subsection (a) by inserting in line 1 after the word podiatrist, the following words:- nurse practitioner,

SECTION 7. Said subsection (a) of section 9 of said chapter 94C, as so appearing, is hereby further amended in line 3 by striking out the words “nurse practitioner and”

SECTION 8. Said section 9 of said chapter 94C, as so appearing, is hereby further amended in subsection (b) by inserting in line 29 after the words “nurse-midwifery,” the following words:- advanced practice nursing

SECTION 9. Section 18 of said chapter 94C, as so appearing, is hereby amended in lines 10, 27, 54 and 55 by adding after the words “to practice medicine’ the following words:- or advanced practice nursing

SECTION 10. Said section 18 of chapter 94C, as so appearing, is hereby further amended in line 25, 34 and 35 by adding after the words “physician” the following words:- or nurse practitioner

SECTION 11. Said section 18 of chapter 94C, as so appearing, is hereby further amended by striking out, in lines 38 and 39, the words “a physician who is licensed to practice medicine” and by inserting in place thereof the following words:- a practitioner who is licensed to practice medicine or advanced practice nursing

SECTION 12. Said section 80B of chapter 112, as so appearing, is hereby further amended in the seventh paragraph by adding the following sentence:- Notwithstanding provisions in this section to the contrary, the board shall promulgate regulations independent of the board of registration in medicine which govern the provision of nurse practitioner services and related care, including, but not limited to, the ordering and interpreting of tests, the ordering and evaluation of treatment and therapeutics and any registration as a practitioner, under chapter 94C

SECTION 13. Section 80E of chapter 112, as so appearing, is hereby amended by striking out in lines 1, 7 and 8 the following words:- nurse practitioner or

SECTION 14. Said section 80E of chapter 112, as so appearing, is hereby further amended by adding the following sentence:- Pursuant to section 80B, a nurse practitioner may be registered to distribute, dispense, conduct research with respect to, or use in teaching or chemical analysis, a controlled substance in the course of professional practice or research in the commonwealth in accordance with regulations promulgated by the board of registration in nursing after consultation with the commissioner of public health.

SECTION 15. Section 80I of chapter 112 of the General Laws inserted by section 113 of chapter 224 of the acts of 2012 is hereby amended by striking out the second and third sentences.

SECTION 16. Section 3 of chapter 176R of the General Laws, as so appearing, is hereby

amended by striking out said section in its entirety and inserting in place thereof the following:—

Section 3. A participating provider nurse practitioner practicing within the scope of his license

shall be considered qualified within the carrier’s definition of primary care provider to an

insured.

SECTION 17. The department of public health and the board of registration in nursing shall

promulgate regulations under sections 80B, 80E and 80I of chapter 112 and sections 1, 7,9 and

18 of chapter 94C of the General Laws by December 31, 2018.