New York bill directed at NPs' scope of practice.
A bill currently in the New York legislature would eliminate the
need for a written practice agreement with a physician once a nurse
practitioner has about three years of full-time experience. At issue is
not just the autonomy of the state's nearly 16,000 NPs, but also
whether removing the written agreement rule would make it easier to fill
the growing shortage of primary care providers, as health reforms and
increasing numbers of people with insurance coverage are fueling the
demand for those providers. New York currently requires that an
NP's collaborating doctor review at least one medical chart every
three months. Doctors' groups argue removing the requirement would
erode patient safety.