Louisiana Association of Nurse Practitioners
Not Just Healthcare, Exceptional Care!

Emergency Rules Passed by LSBN

Posted 13 days ago

Please see the relaxation of Collaborative Practice Agreement rules (emergency section in red). This was just released by LSBN. 

In essence, the rules in cases of declared emergency or disaster, means that you can work in sites that were not previously reported to the board, under your current collaborative practice agreement. Please feel free to email me if you have any questions at president@lanp.org. In addition, if you have not joined the LANP Health Policy Facebook group - now is a great time to do so!

  • 4513.   Authorized Practice
  1. Changes in Prescriptive Authority. The APRN shall notify the board in writing requesting approval of all changes regarding physicians and practice sites including the addition and deletion of any collaborating physicians within 30 days.
  2. Prior to adding new collaborating physician(s) or dentists(s) and sites concurrently (i.e. new employment) to prescriptive authority privileges, the APRN shall notify the board in writing requesting approval on forms provided by the board including an Attestation of APRN Collaborative Practice. A collaborative practice agreement on a form and template provided by the board and signed by the APRN and CPs must be retained on site at all times.
  3. Exception to 4513.D.8.a: in cases of a declared emergency or disaster, as defined by the Louisiana Health Emergency Powers Act, La. R.S. 29:760 et seq., or as otherwise provided in title 29 of the Revised Statutes of 1950, an APRN practicing with a previously approved collaborating physician at a new site otherwise not previously reported to the board may continue to practice during the time of the declared emergency or disaster under the parameters of the signed collaborative practice agreement.   
  4. Prior to requesting the addition or replacement of collaborating physicians or dentist(s) at a site that has previously been submitted to the board, the APRN shall notify the board in writing requesting approval on forms provided by the board including an Attestation of APRN Collaborative Practice. A collaborative practice agreement on a form and template provided by the board and signed by the APRN and CPs must be retained on site at all times.
  5. Failure to abide by all provisions of this part may result in disciplinary action.

Comments

April Davis 4 days ago   Remove

What about those of us that work in the Federal system?

Esther Dejong 3 days ago   Remove

Hi, have you seen that the Governor of Tennessee issued an executive order in response to the national emergency of COVID that gives all APRNs full practice authority. Additionally the order includes the need for insurance providers to cover medically necessary telemedicine visits
This is the order: "The provisions of Tennessee Code Annotated, Section 63-7-123, Tenn. Comp. R. & Regs. 1000-04-.04, Tenn. Comp. R. & Regs. 0880-06-.01 through Tenn. Comp. R. & Regs. 0880-06-.03, and Tenn. Comp. R. & Regs. 1050-02-.15 are hereby suspended to the extent necessary to relieve nurse practitioners who have been issued a certificate of fitness to write and sign prescriptions or issue drugs from the following requirements: (1) filing a notice with the Board of Nursing containing the name of the nurse practitioner, the name of the licensed physician collaborating with the nurse practitioner, and a copy of the formulary describing the categories of legend and non-legend drugs to be prescribed or issued by the nurse practitioner;(2) having charts reviewed; and (3) having remote sites visited by collaborating physicians every thirty (30) days.

Health insurance carriers are urged to provide coverage for the delivery of clinically appropriate, medically necessary covered services via telemedicine to all providers, irrespective of network status or originating site. Providers are urged to follow the new guidance from the federal Centers for Medicare and Medicaid Services regarding equipment and everyday communications technologies that may be used for the provision of telemedicine services."
The ACNM is encouraging us to send a letter to our Governor to request that he do the same. Is LANP considering such a request?


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