Florida Association of Nurse Practitioners
MEASLES INFO Measles Handout
| OPPAGA Study | 2014 FTC Healthcare Competition |
IOM Report| Robert Graham Center PCP Shortage Report
FL Tax Watch Brief | FL Tax Watch ARNP Summit Report | National Governor's Report
Medicare Savings with NPs (2016) | FL Tax Watch Economic Benefits of ARNP Independent Practice(2017)
FLANP is a pro-active group of Nurse Practitioners and health care advocates who are working to improve access to health care for Florida's citizens.
March 1, 2017
Legislative Session begins March 7, 2017
Bills of interest
HB 7011: Introduces Independent Practice for ARNPS
CS HB129: (Placensia) Allows NPs to be Medical Directors and gain signature authority
SB 96: (Steube) Allows NPs to be Medical Directors
S634/HB 645: (Campbell, Lee): Allows NPs to sign Certificates of Involuntary Commitment (Baker Act)
January 1, 2017
ARNPs may apply for a DEA License Beginning today. The ARNP must have a protocol filed with the Board of Nursing that states the ARNP has authority to prescribe controlled substances.
The 3 hour CE requirement is due when you renew your ARNP license.
VA Approves Full Practice Authority for NPs
The U.S. Department of Veterans Affairs (VA) issued a final rule granting veterans direct access to care by Advanced Practice Registered Nurses (APRNs) who work in the VA health system. Read the full story here:
DEA and Legislative Updates click here
Formulary Committee Votes for no further restrictions to ARNP formulary.
The Florida Board Of Nursing (BON) Formulary Committee met this afternoon in Orlando. The committee voted unanimously to make no further recommendations to restrict the prescribing of controlled substances by Florida Nurse Practitioners. This concludes the Formulary Committee's deliberations and the recommendations will go before the BON during their August 5th meeting in Orlando.
Bill to Allow NPs to Prescribe Suboxone Passes
The Senate voted 92-2 for the Comprehensive Addiction and Recovery Act, which would give nurses and physician assistants new authority to treat drug addiction, require physicians to check prescription drug monitoring programs for patients' opioid history and improve access to a drug used to reverse overdoses. The legislation is headed for President Barack Obama's desk, and he is expected to sign the bill.
read more here
Happy Nurses Week!
April 10, 2016
Grassroots Opportunity to Walk for Re-Election Campaign April 16 For Rep Plasencia
Click here for details
HB /SB 423 Authorizing ARNPs and PAs to obtain a DEA license and prescribe DEA regulated medication passes Florida Legislature.
This bill will improve access to care for millions of Floridians, especially in rural and underserved areas of Florida. We salute Representative Cary Pigman MD, Senator Denise Grimsley RN, the lobbying team of the Florida Coalition of Advanced Practice Nurses, and all the efforts of every person who contributed to this endeavor for over 23 years.
FLANP wishes to especially acknowledge our lobbyist Chris Floyd for his tireless efforts and great work on this bill.
For more details of the new DEA prescribing bill click here.
DEA BILL PASSES!!!!!!!
Historic Day for ARNPS
March 8, 2016
Urgent! DEA Prescribing in Jeopardy. Email and call Senate President Andy Gardiner and your senator today! Click here to begin.
March 2, 2016
HB423 Drug Prescription by ARNPs ( Pigman) passed the house floor today and now moves over to the senate.
March 1, 2016
SB 1250 Behavioral Health ( Latvala) Passed to the senate floor today.
SB 676 Access to Health Care (Grimsley) Pending reference review, on senate floor.
SB 572 Involuntary Examination Under the Baker Act (Altman) Placed on calendar, second reading senate floor.
HB 423 Drug Prescription by ARNPs (Pigman)Third reading calendar, house floor.
HB 325 Baker Act (Campbell,Plasencia) Received in senate February 10th
February 17, 2016
SB 676 Access to Health Care (Grimsley) passed its final committee today. It now moves to the senate floor. This bill will allow ARNPs to obtain a DEA license and prescribe DEA regulated medications. Florida is the only state that restricts ARNPS from this practice.
SB 572 Involuntary Examination Under the Baker Act (Altman) passed its second committee and now moves to the Appropriations Committee. This bill will allow ARNPs to sign a certificate of involuntary commitment for patients who are suicidal or homicidal.
January 28, 2016
SB 676 (Grimsley) was moved past the Appropriations Subcommittee on Health and Human Services directly into Appropriations Committee. This removes one stop on its way to the Senate floor.
January 26, 2016
SB 676 Access to Health Care (Grimsley) passed Banking and Finance committee today. Next stop Appropriations Subcommittee on Health and Human Services. This bill grants ARNPs and PAs the ability to obtain a DEA license
January 21, 2016
HB 423 Drug Prescription by ARNPs (Pigman) passed its last committee of reference today and now moves to house floor.
HB 325 Baker Act (Campbell,Plasencia) passed its last committee of reference today and now moves to house floor.
January 12, 2015
Senate President Andy Gardiner Issues Press Release Supporting SB 676
January 11, 2015
Opening Day of Legislative Session
SB 676 (Grimsley) Passes Health Policy Committee
This bill allows ARNPs and PAs to obtain a DEA License and prescribe DEA regulated Medications.
December 1, 2015
HB 423 (Pigman) Drug Prescription by ARNPs passed the first committee of reference today.There are two more committee stops.
November 17, 2015
SB572 Baker Act (Altman) / HB 325 Baker Act ( Campbell,Placensia) Pass first committees of reference today. Each bill has two more committees to pass.
November 8-14, 2015
Happy Nurse Practitioner Week!
Opportunity to go on Haiti Mission Trip. Link to info here
November 4, 2015
The following bills have been filed and are moving through the committee process.
SB 676 Grimsley. Health Care
SB 572 Altman. Involuntary Examination under the Baker Act
HB 423 Pigman Drug Prescription by ARNPS and PAs
HB 325 Campbell. Involuntary Examination under the Baker Act
October 22, 2015
HB 423: Drug Prescription by Advanced Registered Nurse Practitioners & Physician Assistants Filed Today
GENERAL BILL by Rep Pigman
Drug Prescription by Advanced Registered Nurse Practitioners & Physician Assistants; Read the bill here
October 20, 2015
SB 152 Ordering of Medications. Passes Health Policy Committee
Senator Denise Grimsley filed a bill to allow ARNPS to order DEA medications in hospital settings. It was heard today in the Health Policy committee and passed unanimously. Read more here.
October 4, 2015
Suicide prevention webinar. Click here for free webinar details.
September 25, 2015
Senate Bill 0210 DEA prescribing bill filed.
Senator Denise Grimsley has filed S 0210 to allow NPs and PAs to obtain and use a DEA license in Florida.
The bill has been referred to Health Policy, Banking and Insurance, and Rules.
You can read about the bill here:
Committees have already begun to meet for the 2016 legislative session. Legislative Session will begin this year on January 15.
July 16, 2015
Announcing free CE opportunity
Earn 7 free CEs
Nurse Practitioner Education in Developmental Disabilities
Sponsored by the Florida Developmental Disabilities Council
Click here to go to the web site
June 24, 2015
Please help our member by taking this survey for her DNP project.
June 22, 2015
HB 27A Tabled for Time Being
Senator Bean Calls for the Creation of a Joint Legislative Task Force on Health Care Policy Innovation
Senator Aaron Bean has called for the creation of a Joint Task Force on Health Care to “thoroughly Examine Health Care Policy Proposals” during the Legislative Interim.
FLANP looks forward to working with Senator Bean as we move forward n these issues.
If Florida is to be able to provide its citizens health care, it is imperative that barriers to nurse practitioner practice be removed. Nurse Practitioners are part of the solution to the primary care shortage in our state. The longer we delay modernization of Florida’s outdated nurse practitioner laws, the longer citizens must suffer with needless delays in care.
You can read the press release here:
June 12, 2015
HB 27 A Passes House Floor Moves on to Senate
We are pleased to announce that HB 27A has passed the House. 97 Yays, 2 Nays.
It now will be sent to the Senate.
Please email your senators and ask them to support HB 27A. It will be a close vote.
Rep Pigman has done a brilliant job of moving this bill through the house. Today Rep Daphne Campbell RN also testified n the bill’s behalf and swayed several votes.
You can watch the testimony here:
Testimony Starts at 36:55
June 10, 2015
HB 27A passed the health and human service committee today and is on the special order calendar for tomorrow June 11. This bill will allow ARNPS and PAs to obtain a DEA license and prescribe DEA regulated medications. The bill was also heard in a workshop today in the Senate Health Policy Committee.
Bill 27A Filed for Special Session
Today, Representative Cary Pigman MD filed Special Session bill 27A. Bill 27A will give all advanced practice registered nurses (ARNPs in Florida) the ability to obtain a DEA license and prescribe all schedules of DEA medications. It will restrict chronic pain management to physicians only.
You can read the contents of the bill here.
Special Session starts June 1.
May 19, 2015
Drop Restrictions on Florida's Nurse Practitioners
Excellent article by USF Nursing Dean
May 15, 2015
HB 281 on Special Order Calendar!
There will be a special session this year from June 1=June 20. Sixteen items will be on the agenda including HB 281(Pigman) . This bill allows for ARNPS and PAs to obtain a DEA license.
Maryland Wins Full Practice Authority
Maryland APRNS win Independence!
Maryland became the 21st state to pass Full Practice Authority for NPs. Read about it here.
Happy National Nurses Week
April 28, 2015
House Ends Session Early
In a surprise move today, the Florida House ended their session “Sine Die”.
This means any bills that were in the house and had not been passed over to the senate are essentially dead. And any bills that had not passed over to the House from the Senate are also dead, including SB 614, the DEA Licensure bill.
FLANP is analyzing the issue and looking at our options. There will be a special session to implement a budget as is required by the constitution. We expect that Medicaid issues will be a large part of the budget negotiations.
Florida legislators need to understand that the primary care physician shortage is already affecting the citizens of this state. Any budget negotiations should include allowing ARNPs to practice to the full extent of their education and training and without supervision.
For more on this issue please go to this link.
Measles Update. Click here for DOH Alert
Florida Nurse Practitioners Activating Advocacy for Change
WATCH THIS VIDEO AND PLEASE SHARE
April 20, 2015
SB 614 Passes Rules Committee and Heads to Floor. Watch the video here.
The bill has had several changes made to it and amendments attached to it. We are monitoring the changes closely.
April 15, 2015
SB 614 (Grimsley) DEA on Agenda for April 20, 2015 in Senate Rule Committee.
Thank you for all your help in getting this bill on the agenda.
April 9, 2015 Urgent Act Now!
Well it is crunch time and we have been asked to email the senate Rules Committee (Simmons, chair) on SB 614. This is the bill that allows ARNPs and physicians assistants (PAs) to get a DEA license to be able to prescribe DEA Medications.
HB 547 (Pigman) Passes to House Floor!
Watch Rep Pigman in action as he makes the case for ARNPs! Dr Pigman starts at 1:19.
March 31, 2015
DEA Bill 614 (Grimsley) Passed the Regulated Industries Committee on an 8-2 vote. Next stop Rules Committee.
March 28, 2015
HB 547(Pigman) Full Practice Authority Bill Passes 1st committee
HB 547 passed its first committee in the house by a vote of 9 Yeas to 4 Nays. The room was packed as the discussion took place over why ARNPs should have full practice authority. FLANP Board Chair Stan Whittaker and lobbyist Chris Floyd have been relentlessly working this issue at the capitol. There was extensive discussion over the bill . Watch the entire testimony here.
March 18, 2015
HB 547(Pigman) Full Practice Authority Bill
HB 547 was tabled after extensive discussion about amendments to the bill. Chair Oliva decided to table the bill to discuss at a future date. Please check back for updates
SB 614 (Grimsley) DEA Bill Passed 1st Committee
Senate Bill 614 passed the Senate Health Policy Committee today on a four to 3 vote. It now moves to Regulated Industries Committees.Thank you to all who supported this bill and thank you to Senator Grimsley for your hard work on this bill.
HB 335 Psychiatric Nurses (Plasencia)
House Bill 335 was amended last week. Currently the Baker Act law allows an RNs with a Masters in psychiatric nursing and two years post graduate experience under physician protocol to sign a Baker Act order. This has been the law for several decades. The amended version of HB 335 would take away the right of these very nurses from signing a Baker Act unless they are certified as nurse practitioners. The bill would allow psychiatric mental health nurse practitioners to release a Baker Act. FLANP did not actively support this bill as our analysis shows it may limit access to health care for patients needing a Baker Act for protection from self or harming others.
HB 547 (Pigman) is up for hearing in the Health Innovation Subcommittee March 18.This bill would allow for Full Practice Authority of ARNPs.
March 14, 2015
DEA Bill Up for Hearing
Call to Action SB 614 DEA Licensure up in Health Policy Tuesday March 17
Senate Bill 614 is up to be heard Tuesday March 17 in Health Policy
We have several supports for this bill on the committee but it will be a close vote.
The following senators need to be persuaded to vote for this important bill. Please email them ask your family and friends to do the same.
Senator Aaron Bean (R): firstname.lastname@example.org
Senator Eleanor Sobel (D): email@example.com
Senator Don Gaetz (R): firstname.lastname@example.org
Senator Bill Galvano (R): email@example.com
Senator Arthenia L. Joyner (D): firstname.lastname@example.org
Nebraska Becomes 20th state to allow Full Practice Authority for NPs.
Nebraska Governor Pete Ricketts signed into law LB 107, legislation that brings Full Practice Authority to Nurse Practitioners in the state. This bill will bring full and direct access to NP care for Nebraska patients, and makes Nebraska the twentieth state in the nation, plus the District of Columbia, with Full Practice Authority for NPs.
February 25, 2015
Federal Trade Commission Wins Anti-Competitive Case.
In a huge win the Supreme Court sided with the Federal Trade Commission (FTC) in a case that pitted the North Carolina Dental Board against teeth whitening establishments. The Dental Board had issued a cease and desist order to teeth whitening establishments stating that they were practicing dentistry without a license. The FTC argued that the Dental Board was comprised of competitors who made a rule solely for the purpose of stifling competition. The argued that such boards must be overseen by non-interested parties in the state in order to ensure that rules are not anti-competitive. The AANP had issued an Amicus Brief to the Supreme Court on this issue. Florida NPs are ruled by a joint board of medicine and nursing. The Board has not met in several years. Read the opinion here
February 2, 2015
HB 547 Full Practice Authority Bill Introduced in House
HB 547 was introduced today by Rep. Cary Pigman MD. This bill is a Full Practice Authority bill with some similar language as Senator Grimsley’s DEA bill. HB 547 changes the term ARNP to APRN for Advanced Registered Nurse Practitioner, as in conformance with the National Council of State Boards of Nursing Consensus Model. It then adds a new category of INDEPENDENT APRN (IAPRN). An APRN can apply to become an IAPRN after 2000 hours of supervised practice by a physician within the last 3 years.
DEA Bill introduced in Senate
SB 614 was introduced today by Senator Denise Grimsley MBA RN and allows for ARNPS to obtain a DEA license.
January 15, 2015
Rep Pigman / Senator Grimsley file Facility Prescribing Bills
HB 281 SB 532
Was filed January 15th by Representative Cary Pigman MD. It adds ARNPs and PAs into Florida Statute 893 and would allow PAs and ARNPS to prescribe DEA medications under supervision of a licensed physician in a facility. It also clarifies language for inpatient hospital care. Senator Grimsley's bill clarifies in statute that PAs and ARNPs may order DEA medications in a hospital. The bills are similar but not identical
AANP Winners Announced
Congratulations to Rep Cary Pigman MD who won AANP NP Advocate of the Year award and Stan Whittaker ARNP who won AANP NP of the Year award.
Both winners exemplify the best in health care today. We salute their contribution to the nurse practitioner profession.
Happy Nurse Practitioner Week!
Governor Scott has signed a proclamation making November 9-15, 2014 Nurse Practitioner Week in Florida. You can read the proclamation here. FLANP Salutes all NPs in Florida and our nation. Thank you for all you do to keep our state healthy.
October 25, 2014
Updated Ebola Information.Click here for the latest from the White House and the CDC. FLANP has been tapped to be part of Florida's Department of Health Ebola communication network. We will post timely info on the web site and eblast information out to interested parties.
Legislative Walks a Success
FLANP participated in several walks for the re-election and election of senators in our state. Members distributed information to voters about the candidates. These walks gave FLANP members the opportunity to get up close and personal with our elected representatives. Many members of senate leadership were in attendance at these walks and they listened intently to FLANP issues. Thank you to all who were able to participate.
August 9, 2014
Stan Whittaker receives Nurse Practitioner of the Year Award.
In recognition of his hard work in clinical practice, preceptorship and legislative advocacy, FLANP awarded Stan Whittaker the Nurse Practitioner of the Year award. This award is given each year to am NP who exemplifies leadership as a nurse practitioner. We congratulate Stan on this award and wish to show our appreciation for his tireless work both in the clinical setting and advocacy arenas on behalf of nurse practitioners.
August 8-9, 2014
Representative Pigman Addresses Sunshine Conference Receives Legislator of the Year Award
Rep Cary Pigman was presented with the Legislator if the Year Award Saturday August 9,2014 for his tireless work to remove nurse practitioner practice restrictions. He addressed a packed house of Nurse Practitioners who listened attentively to Rep. Pigman’s ideas and insights.
Rep Pigman addressed the need to remove the supervisory language from Florida’s outdated nursing regulations as well as the need to grant NPs DEA licenses. Florida is the only state in the nation that prevents NPs from obtaining DEA licenses and the state is considered to be the worst for restrictions on practice. “All of these things add up to limited health care access”, stated Rep Pigman. “House Leadership is committed to allowing NPs to practice to their fullest extent of education and training”.
FLANP is grateful to Rep Pigman for speaking at the annual conference and FLANP looks forward to supporting House Leadership’s efforts to change the status quo.
July 8, 2014
DEA Publishes Final Rules Rescheduling Tramadol to Schedule IV
Effective August 18, 2014
The US Drug Enforcement Administration today published its Final Rule in the Federal Register placing tramadol into Schedule IV effective August 18, 2014.
A number of states in the country including Arkansas, Mississippi and New York have already placed tramadol as a controlled substance.
Acknowledging that changes such as these take time to implement, the DEA extended the usual effective date for this type of change from 30 to 45 days to provide what it considers to be "reasonable time for registrants to comply with handling requirements for a schedule IV" drug, such as moving tramadol products into a warehouse cage or adjusting suspicious monitoring systems to include tramadol orders.
Effective August 18, 2014 all manufacturers will be required to print the designation "C-IV" on every bottle and it is unlawful for commercial containers of tramadol to be distributed without that designation. In addition, all DEA registrants will be required to take an inventory of all tramadol stock in compliance with 21 C.F.R. § 1304.11(d).
May 2, 2014 Legislative Wrap Up
The 2014 Legislative Session ended May 2, 2014 at 10:30 PM. The last few hours were spent with many bills passing back on forth between House and Senate. One of those bills was 7113.
Initially Senator Hays unfortunately introduced an amendment to strip the ARNP language from the bill. The senate approved this amendment on voice vote and sent it back to the house. The House would not cave in and did not accept the bill as amended.
April 25, 2014 HB 7113 Passes House
By a vote of 74-42 HB 7113 passed on the house floor today. The bill will now be referred to the Senate.
A last minute amendment by Rep. Campbell added Physician Assistants into the Baker Act portion of bill.
Yesterday an attempt was made by a group unfriendly to nursing to remove ARNPs from the bill, but that amendment was withdrawn. The bill now moves to the Senate.
Read the press release from Rep. Dr Pigman here
April 23, 2014 Omnibus Bill To Be Heard on House Floor
HB 7113, the new Omnibus bill will be heard Thursday 4/24/2014 on the House floor. If it is passed, it will move to the senate.
April 23, 2014 Florida Medicaid Health Care Alert
Provider Type(s): Area 2A & 2B
Attention: Community Mental Health, Dental, Therapy and Durable Medical Equipment
The Statewide Medicaid Managed Care Managed Medical Assistance Program (MMA) is starting in Region 2, (Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla and Washington) effective May 1, 2014. AHCA, Region 3 Medicaid Field Office, invites Community Mental Health, Dental, Therapy and Durable Medical Equipment providers in Area 2A and 2B to participate in weekly provider-specific calls regarding the roll out of the MMA program. On each week's call you will have an opportunity to send in questions and concerns you may be having with the MMA program and/or MMA plans for the region office to answer or to assist in resolution
April 16, 2014
HB 7071 Now in Omnibus Bill HB 7113/ Baker Act Bill Postponed
In an interesting move, House law makers took parts of HB 7071 and amended them on to HB 7113. Other health related bills were also amended creating an “omnibus” bill. The amended language includes a provision for certified NPs to obtain independent status after 2000 hours of post graduate work, includes DEA licensure as well as Baker Act authority and ability to sign Death Certificates. In this new bill, CRNAs will still be required to work under supervision.
The Baker Act was temporarily postponed. We hope the senate understands the need to be able to protect suicidal persons from doing harm to themselves, and the need to protect the public from homicidal patients. Often the primary care provider is the one to identify these situations. Primary care providers must have the ability to protect the patient and the public.
April 4, 2014
Baker Act Bill SB 1544 to be heard Tuesday April 8
This bill will allow for ARNPS to sign certificate of involuntary examinations under the Baker Act for patients who are suicidal and homicidal. Please email or call the members of this committee to ask for their support of this bill.
April 4, 2014
Susan Lynch voted AANP Florida State Representative.
Congratulations to Susan Lynch for becoming the American Association of Nurse Practitioners State Representative. Susan is also CEO and Vice Chair of Public Affairs for FLANP. We know she will do a great job advocating for change in our state legislature.
April 1, 2014
Senator Garcia Adds ARNPs into SB 1646 Tele-medicine
Senator Garcia offered an amendment to SB 1646/Tele-medicine this morning to include ARNPs, PAs and pharmacists as providers of tele-medicine services.
We are so appreciative of Senator Garcia's hard work and effort on this important amendment.
We are also proud of the work FLANP lobying team!
SB 1352 Passes by One Vote!
SB 1352 sponsored by Senator Denise Grimsley RN passed the senate Health Policy Committee on a 5-4 vote. The next stop is in the Senate Judiciary Committee. Watch your email for action alerts. Please thank Senator Grimsley for her continued efforts
This bill allows ARNPs to obtain a DEA license, changes the ARNP title to APRN and allows psychiatric NPs to release a baker act.
This is a historic day for NPs in Florida. The DEA bill has never before been granted a hearing in a committee, and today it was heard and passed its first committee. We must continue our hard work on this effort for the sake of all our patients. Thank you to all who wrote these senators.
SB 1352 Senate APRN Bill to be heard on Tuesday March 25
The Senate Health Policy Committee will meet Tuesday. SB 13552 to grant APRNS DEA licensure will be heard during this meeting. Please contact the committee’s legislators and ask them to support.