> New Advance Practice statutes effective
January 1, 2012
New Advance Practice statutes effective January 1,
In 2003, the National Council State
Board of Nursing Advance Practice Registered Nurse (APRN) committee
began a draft APRN vision paper in an attempt to resolve APRN regulatory
concerns. Their purpose was to provide direction to boards of nursing
regarding APRN regulation. During this time the Advanced Practice
Nurse (APN) Consensus Group (which was composed of designees from
23 organizations was working to develop consensus on the issues
surrounding APRNs. In 2006, the NCSBN APRN committee met with the
APRN Consensus Work Group to discuss the NCSBN draft vision paper.
Both groups agreed to continue to dialogue and they continued their
work on their respective vision papers. A subcommittee (APRN Joint
Dialogue Group) was established with 7 members of each group. It
was determined that instead of two papers, one joint paper would
The Consensus Model defines APRN practice, describes
the APRN regulatory model, identifies the titles to be used, defines
specialty, describes the emergence of new roles and population foci,
and presents strategies for implementation. The Consensus Model
was discussed at the Delegate Assemble of NCSBN in the summer of
2008. After discussion the model was adopted by the representatives
of the state boards of nursing from across the country.
The Kansas State Board of Nursing was invited to work
with representatives of several nursing organizations in Kansas.
Three members of the Board of Nursing and staff attended the meetings
during the discussion and development of possible legislative change.
This group reviewed the consensus model and it was referred to during
the process. The ARNP bill was introduced by KSBN and was titled
SB 134. The bill passed the Senate and was referred to the House
Committee on Health and Human Services. It passed that committee
and was then passed by the House of Representatives as amended in
Committee and on the floor. Due to amendments it was referred to
a conference committee. In the conference committee the bill was
gutted and the language was placed in HB 2182 along with 11 other
health care bills. HB 2182 was then passed by both chambers and
signed by Governor Brownback.
There are six proposed changes requested in this bill
which are consistent with the Consensus Model.
1. Title change from Advance Registered Nurse Practitioner
(ARNP) to Advance Practice Registered Nurse (APRN). By changing
the title, it will establish uniformity with other states in the
nation and will be less confusing to APRNs who come to Kansas
2. Change certificate of qualification to licensure.
Certification is granted
to an APRN by an accrediting agency when they have completed specialty
education. KSBN licenses LPN, RN, and LMHT so this would provide
consistency in our process. Also, licensure is one of the four
essential elements of the Consensus Model.
3. Changes categories of APRN to roles. The roles
will continue to be the same as currently in statute. Those four
roles are: Clinical Nurse Specialist, Nurse Anesthetist, Nurse
Midwife, and Nurse Practitioner.
4. Require a Masters or higher degree in an APRN
role. This change in the statute will align Kansas with other
states in the nation. All APRN programs in Kansas confer a Master
degree upon graduation.
5. Continuing education in the APRN role. Presently
ARNP are only required to have continuing nursing education hours
every two years in the RN role. Although APRNs usually obtain
the hours in the advanced role, this will now require them to
receive advance practice continuing nursing education.
6. Any ARNP who is registered to practice prior
to the effect date of this bill will be deemed to be licensed
to practice as an APRN without being required to file an original
application for licensure to remain in practice.
These changes will become effective on January
1, 2012. The Board of Nursing ARNP Committee is in the process of
updating the ARNP regulations to incorporate the changes and to
determine the number of continue nursing education hours needed
for renewal. Continue to watch the web page, newsletter, and board
packet for further updates.