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Lay Midwives Want Licensure, APNs Pushing for Independent Practice
Posted on: 5/12/2017

Your ISMS legislative team is hard at work in Springfield, advocating against inappropriate scope-of-practice bills and supporting patient protections.

Dangerous legislation would license lay midwives

Legislation to license undertrained midwives has again surfaced in Springfield, and must be stopped!

Senate Bill 1754 would allow lay midwives to become licensed by the Illinois Department of Financial and Professional Regulation. Currently, only nurse midwives are licensed.

ISMS is opposed to this legislation due to safety concerns for the mother and baby. Simply put, lay midwives do not have adequate training to provide medical services.

ISMS is actively working to oppose SB 1754 in the Senate and will keep you informed about any new developments.

APNs want pathway to full independent practice – your help needed 

Legislation has been introduced in Springfield (Senate Bill 642) that would remove the requirement that most advanced practice nurses (APNs)practicing outside of a hospital or ambulatory surgical treatment center maintain a collaborative agreement with a physician.

Essentially, this bill would allow APNs to provide the same level of care as family physicians, pediatricians, obstetricians, and other specialists – completely independent from any physician collaboration! 

The legislation would also grant full prescriptive authority for APNs, including Schedule II drugs like opioids and benzodiazepines.

ISMS is opposed to this bill.

ISMS attempted to negotiate to allow further practice flexibility for APNs if they were to meet additional education and training requirements. However, the written practice agreement with a physician for prescriptions of Schedule II opioids and benzodiazepines would remain in place. ISMS’ proposal would also prohibit APNs from advertising themselves as "Dr." 

The APNs walked away from negotiations, rejecting the proposal.

Allowing non-physician practitioners to expand their scope of practice through legislation rather than through education and training is not good public policy for improving access to quality care, particularly for those who suffer from multiple medical conditions.

Please contact your state representative and state senator today and urge them to reject independent practice for APNs and vote NO on Senate Bill 642.

*This initiative does not include Certified Registered Nurse Anesthetists (CRNAs).

Read ISMS’ white paper

Network Adequacy & Transparency Act lined up for Senate vote

The Illinois House recently passed the Network Adequacy and Transparency Act (NAT Act) with an overwhelming majority.

Now the legislation (House Bill 311) is under consideration in the Illinois Senate and gaining momentum. A Senate vote could come soon! 

Read our House Bill 311 Position Paper

CALL TO ACTION: Contact your State Senator TODAY and urge them to support and co-sponsor House Bill 311. 

As the spring legislative session continues, ISMS will keep you informed with Physician Advocate and the Legislative Action Hub. Stay tuned! 

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