Disability License Plates & Placards

If the home health agency is Medicare- and/or Medicaid-certified, 42 Code of Federal Regulation 484.18 (c) requires a physician signature to order home health services. Kentucky, Louisiana, and North Carolina have adopted statutes limiting the quantity of initial and/or refill prescriptions of opioid controlled substances. These states join a growing list of states that have passed full-practice authority (FPA) with and without exceptions following a period of supervision, collaboration, or consultation with an APRN and/or physician following licensure since enactment of the Patient Protection and Affordable Care Act in 2010 (see Summary of practice authority for NPs). APRN authority to sign death certificates among other documents is particularly important and was accomplished in Arkansas (Act 372; enacted March 2017), Minnesota (HF 2177; effective May 2017), Nevada (Chapter 318; effective January 2018), Texas (SB 919; effective June 2017), and Wyoming (Chapter 160; effective March 2017). North Carolina (Act 2017-111; effective July 2017) enacted legislation adding NPs to the list of providers authorized to sign handicap parking certificates. This law will go into effect January 1, 2018. Oregon reported NPs are authorized to prescribe buprenorphine under federal law.

With the clearly defined crosswalks for pedestrians and students on school grounds, safety factor will be increased greatly. The major importance of FM application development is to provide a decision support system for the decision makers that will make utilities more efficient and effective. Applying for the permit should be a joint decision between you and your doctor. NPs and PAs seeking this authority must complete a required 24-hour training course related to medication-assisted treatment of substance abuse disorder prior to applying to the DEA for a waiver. Controlled substances regulation. In July 2017, Alaska enacted Chapter 2 SSLA 17, mandating PDMP registration by all DEA registered prescribers licensed in the state of Alaska. However, some states authorize home health agencies to accept orders from APRNs when patients are private-paying or non-Medicare/non-Medicaid recipients under state law. As in previous years, professional advanced practice registered nurse (APRN) organizations and Boards of Nursing (BONs) have worked tirelessly in their respective legislative sessions to ensure patients have access to high-quality healthcare services in their states. Signed into federal law in July 2016, CARA expanded access to substance use treatment services by extending the privilege of prescribing buprenorphine in ambulatory settings by NPs and PAs.

Professional corporations. Oregon amended current law, authorizing co-ownership of medical clinics by NPs, physicians, and physician assistants (PAs). Specifically, the corporations' codes were amended to clarify that the majority of directors and shareholders of a medical corporation can be physicians, NPs, or PAs. Can You Renew a Handicap Placard Online? Note that the handicap placard replacement procedure is available to applicants who have lost or damaged their permit, as well as to those who failed to receive their original permit. Major accomplishments in the area of practice authority for NPs during the 2017 legislative session included the passage of global and partial signature authority, recommendation for medical marijuana use, adoption of the APRN Consensus Model recommendations on APRN role recognition and educational programs, as well as clarification on ownership of medical corporations and minor surgical procedure authorization. Global signature authority is generally defined as authorization for recognized APRNs to sign, certify, or endorse all documents related to healthcare within their scope of practice (SOP) provided for their patients.

Signature authority. Six states enacted legislation pertaining to full or partial global and partial signature recognition and authority, including APRN authorization for certain aspects of care. In 2017, over 20 states passed legislation that positively impacted access to and delivery of healthcare to patients nationwide. Although the statutory definition for FPA does not meet the standard for full practice according to the AANP1, the state's sponsoring legislators and APRNs feel the positive impact this new authority will have on access to care outweighs the narrow area of practice where physician consultation is still a requirement. Lawmakers have recognized the importance of APRN practice and their impact on access to and delivery of high-quality healthcare in South Dakota and Illinois. The purpose of the APRN Compact is to provide opportunities for interstate practice by APRNs who meet uniform licensure requirements, facilitation of information exchange between compact states in areas of APRN regulation, investigation, and adverse actions, among other things.3Oklahoma updated statutes to reflect the recommended title “APRN” from advanced practice nurse (APN) throughout the Nurse Practice Act. While many states did not respond to the question, there is initial information on statutory authority (see State response to statutory/regulatory authority).