Amendment ID: S2519-23
Amendment 23
Supporting access, value, and equity in health care
Messrs. Pacheco and O'Connor move that the proposed new draft be amended by inserting the following sections:-
"SECTION __. 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 __. 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 __. 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 __. 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 __. 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 __. 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 __. 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 __. 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 __. 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 __. 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 __. 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 __. 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 __. 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 __. 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 __. 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 __. 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 __. 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, 2020.