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CMA joins 97 specialty and state medical societies in letter to VA about plan to allow advanced practice registered nurses to practice independently

The California Medical Association (CMA) joined 97 specialty and medical societies to send a letter to the Department of Veteran Affairs (VA) expressing concerns with a proposed rule that would allow advanced practice registered nurses (APRN) to practice independently in the VA health system. CMA also submitted an additional letter opposing the proposed regulations. The agency announced at the end of May that it wants to expand the scope of practice for APRNs to allow them to order and read diagnostic tests, administer anesthesia, prescribe medications and manage acute and ...

Bills to expand nurse practitioners', optometrists' scope of practice stall in Assembly committee

A bill that would have allowed nurse practitioners (NP) to practice independently and prescribe drugs without physician oversight is finished, at least for the year. Senate Bill 323 was voted down 8-4 on June 30 in the Assembly Business and Professions (B&P) Committee. The committee agreed to take it up again on July 14, but the bill was pulled from the hearing by its author, Senator Ed Hernandez (D-Azusa). The California Medical Association (CMA) and the California Academy of Family Physicians led the fight against SB 323. Senator Hernandez also pulled ...

California Medical Association responds to vote on Senate Bill 622

After today’s vote in the Senate Business, Professions and Economic Development Committee, California Medical Association President Luther F. Cobb, M.D., responded with the following statement regarding Senate Bill 622: "The amount of training to perform eye surgery stipulated by SB 622, even with the amendments adopted today, is still inadequate to ensure patient safety. Medical doctors perform hundreds more procedures and have tens of thousands more hours of training than what would be required of optometrists under this bill. All Californians deserve to have well-trained physicians to provide high-quality care, ...

Medical board approves amendment to regulation allowing PAs to conduct surgery without immediate physician supervision

The Medical Board of California approved an amendment to California administrative law that would allow physicians assistants (PA) to perform surgery without the immediate physical presence of a supervising physician. Existing law permits PAs to act as first or second assistant in surgery under the supervision of a physician. In 2011, a concern was raised by a PA licensee to the Physician Assistant Board that the current regulation did not reflect current medical community standards and that the law was unclear on the degree of physician supervision required of a ...

Dangerous bill putting patients in harm's way barely passes Assembly Committee

Sacramento – After an initial vote held SB 491 (Hernandez) in the Assembly Business, Professions & Consumer Protection Committee last week, a reconsideration vote was granted and today the bill moved out of committee. SB 492 (Hernandez), a related bill dealing with expanded scope of practice for optometrists, was held in committee. On behalf of the California Medical Association (CMA) and the Coalition for Patient Access and Quality Care, CMA President Paul R. Phinney, M.D., issued the following statement: “While SB 492 was held in committee, patients should be deeply ...

Nurse practitioner scope-of-practice bill fails in committee

A bill that would give California's nurse practitioners more autonomy failed on a vote of 6-3 Tuesday in an Assembly Business, Professions and Consumer Protection Committee. The bill (SB 491) would allow nurse practitioners to open practices without any oversight from a trained medical doctor and prescribe dangerous, addictive drugs without supervision. Although the bill failed to pass committee today, it was granted reconsideration and will be voted on again next week. While an important part of the health care delivery system, nurse practitioners simply do not have adequate training ...

Scope of practice bills to be heard on July 2, urge your legislator to OPPOSE these bills

The California Medical Association (CMA) is urging physicians to contact legislators and ask for NO votes on SB 491, SB 492 and SB 493. These three bills will expand scope of practice of nonphysician practitioners and remove necessary physician supervision, ultimate harming patients and decreasing quality of care. These bills may be heard in the Assembly Business, Professions and Consumer Protection Committee as early as July 2. Senate Bill 491 (Hernandez) would allow nurse practitioners to open practices without any oversight from a trained medical doctor and prescribe dangerous, addictive ...