Stay Attentive — Keep an Eye on the Legislative Developments in Your State

As a few state legislatures are wrapping up their 2024 sessions, others continue to introduce legislation ranging from scope of practice to out-of-network billing.

Scope of Practice

Minnesota

Senate File 4303 would allow an advanced practice registered nurse (APRN) to practice without a collaborative agreement with a physician after completing 2,080 clinical hours.

Mississippi

House Bill (HB) 1652 would allow an APRN who completes 5,000 clinical practice hours to be exempt from maintaining a collaborative agreement with a physician.

HB 1490 would allow an APRN to practice without a collaborative agreement with a physician, under any of the following conditions:

• If an APRN completes 10,000 clinical practice hours under the direct supervision of a physician or nurse practitioner (NP) who has practiced for at least 10 years.
• If an APRN completes 3,000 clinical practice hours in critical care units, emergency departments, or medical-surgical floors and completes 2,000 clinical practice hours under the direct supervision of a physician or NP who has practiced for at least 10 years.

New Hampshire

HB 1222 would eliminate the requirement for a physician assistant to maintain a collaborative agreement with a physician.

New York

Assembly Bill 9301 would enjoin the state of New York into the interstate medical licensure compact and the nurse licensure compact. The interstate medical licensure compact allows physicians who meet the compact’s eligibility requirements to practice medicine in other compact states.

Access to Healthcare

Minnesota

House File 4046 would create the Minnesota Commission for Equitable Health Care. This commission would be tasked with evaluating Minnesotans' experience with and access to healthcare services, regardless of coverage. The commission would evaluate how care is organized and financed and submit recommendations to the Minnesota legislature.

Out-of-Network / Surprise / Balance Billing

Colorado

Senate Bill 24-163 would make changes to the arbitration requirements for out-of-network health insurance claims in Colorado by requiring the arbitration process to include a batching process, by which multiple claims may be considered jointly and under the same arbitration fee as part of one payment determination in alignment with federal law.

The American College of Radiology® (ACR®) has partnered with Fiscal Note, a legislation and regulation tracking service, to provide continuous, comprehensive updates on radiology and healthcare-related legislation. To stay current on state legislative developments relevant to radiology, view the ACR policy map.

For more information about state legislative activities, or if you’d like to have access to Fiscal Note contact Eugenia Brandt, ACR Senior Government Affairs Director, or Dillon Harp, ACR Senior Government Relations Specialist.