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Bills: The Nurse's List - 2017
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There are 32 members on the AzNA Public Policy Committee which is chaired by AzNA Governmental Affairs Director Denise Link, PhD, NP, FAAN, FAANP. The committee reviews bills as they are introduced during legislative sessions.

To see more about any bill, including the bill content and the bill status, please visit azleg.gov and enter the bill number from the list below into the Bill # Search box in the upper right hand corner.

Committee review process:

  • Bills that address AzNA's Public Policy Agenda are evaluated by several committee members
  • A position to support, oppose or monitor the bill is determined by the Public Policy team
  • AzNA's position is subject to change based upon new information, changes in language, or other circumstances

“Nurses List” bills from this and previous years can be found in the archives on the right side of this page.


2017 AzNA Legislative Report

 

AzNA Lobbyists: Rory Hays, Esq.; Kathy Busby, Esq.

June, 2017

 

Introduction

The first session of the 53rd Legislature adjourned on May 10th. At 122 days it ran only 5 days longer than last year’s session but saw a considerable decrease in bills introduced; 1079 in 2017, 1247 in 2016. Three hundred and fifty-three bills and resolutions were passed, 11 vetoed and 344 signed by the Governor.

After a discouraging session last year, scope of practice issues rose “from the ashes”. The final votes reflected the patience and persistence of nursing advocates: SB 1336 (CRNAs) passed the House 56-2-1 and the Senate 28-0-2; SB 1133 (NPs/Midwives) passed the Senate 30-0-0 and the House 57-0-3.

Action was subdued on general financing and access to care issues as legislators await various Congressional changes to the Affordable Care Act. AHCCCS coverage was expanded to include occupational therapy and adults dental coverage up to $1,000.

Greater attention was paid to conduct of health care regulatory boards with successful outcomes for two bills which should enhance due process for licensees. Unfortunately the passage of HB 2372 (which requires certain fee waivers) may foreshadow more Gubernatorial efforts to impact board organization.

Bills that are passed by house/senate and signed into law by the governor are said to be chaptered and provided a chapter number as reference. 

 

Effective date of legislation without an emergency clause is August 9,2017

Major Bill Projects

In the 2016 session the Association proposed an extensive piece of legislation, attempting to adopt changes to scope of practice for APRNs consistent with the requirements of the national APRN consensus model and compact. The legislation was not successful, in part, because of its complexity and the complaint from many legislators “there are too many moving pieces”.
The 2017 session’s attempt focused on separate legislation for Nurse Practitioners/Nurse Midwives and CRNAs.

SB 1133 Certified nurse midwives; nurse practitioners
Created a statutory title, definition and scope of practice for nurse midwives separate from nurse practitioners. It also removed the term “collaboration” from nurse practitioner and nurse midwife statutes thus clarifying their control over their practices. It clarified the requirement of consultation and referral to appropriate health care professionals when necessary.
Outcome: Chapter 80

SB 1336 Nurse anesthetists; prescribing authority; limitations
Enlarged the definition of physician presence to include within healthcare institutions and provider office and available as necessary. Provided for appropriate prescribing authority for obtaining DEA numbers but precluded prescribing outside institutions, offices and ambulances. Clarified “direction” but providing physicians and surgeons are not liable for acts and omissions of CRNAs.
Outcome: Chapter 182

Support

HB 2076 Advanced directives registry; provider access
Requires Secretary of State to establish a process for health providers to access the Advanced Directive Registry granting certain protections from liability for the state and its contractors.
Outcome: Chapter 154

HB 2134,Schools; children’s camps; sunscreen use
Allows children who attend a public school, child care facility, child care group home or children’s camp to use sunscreen without a note from a licensed healthcare provider.
Outcome: Chapter 193

HB 2307 Controlled substances, prescription monitoring system
Additional funding for the CSMP system; development and direction for use of identifier system; allows data utilization review for controlled substances.
Outcome: Chapter 61

SB 1080 Teenage drivers; communication devices prohibited
Prohibits instructional permit holders and Class G licensees during first six months or until 18th birthday from operating a wireless communication device
Outcome: Chapter 209

SB 1236 psychotropic drugs; foster children
Directed a study of the prescribing of psychotropic for foster children.
Outcome: Was used as a vehicle for a strike-everything amendment on an unrelated subject.

SB 1368 Newborn screening; fees
Increases the maximum fee for newborn screening program’s first specimens and hearing test from $30 to $36.
Outcome: Chapter 339

SB 1437 Agencies; review; GRRC; occupational regulation
Provides ability to raise challenge at the Governor’s Regulatory Review concerning rules that are inconsistent with statutory authority; allows legal challenge to rules not subject to GRCC review.
Outcome: Chapter 138

SB 1452 Health professional regulatory boards
Provides for enhanced due process for health care licensees including: time limits on board complaints; maintenance of Board meeting records and provisions for circumstances of disclosing complaints and disciplinary actions. Limits consecutive terms of Board members.
Outcome: Chapter 191

Oppose/Monitor

HB 2372 Public benefits; fee waivers; requirements
This legislation dealt principally with TANF and other public benefits but also included a provision requiring regulatory boards to waive fees charged for initial licensing to individuals with a family income of 200% of Federal Poverty Level or less.
Outcome: Chapter 323

HB 2426 Community health workers; voluntary certification
Would create a voluntary certification at the Department of Health Services for community health workers.
Outcome: Passed the House 41-17, never heard in Committee in the Senate

 

Key

KEY TO ACTION:

S support
O oppose
M monitor

KEY TO STATUS

A: not yet dropped;
NA not yet assigned to committee;
1 awaits committee action in House or Senate;
2 cleared committee, needs House or Senate vote; 
3 passed, no amendments, to House or Senate;
4 passed,  amended, to House or Senate;
5 cleared second round of House or Senate committee, needs vote of House or Senate;
pass second body (House or Senate) Ready for Gov;
passed both, differs; to conference committee; 
signed,
11/ch session law/Chaptered

= dead

F= fail
Held = may still be alive
SE = striker


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