THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL

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PRINTER'S NO. 0 THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL No. Session of INTRODUCED BY CUTLER, DeLISSIO, MILLARD, BENNINGHOFF, COHEN, BAKER, BARRAR, SAYLOR, FREEMAN, CALTAGIRONE, TOPPER, STAATS, GROVE, M. K. KELLER, GABLER, WATSON, MURT, ROZZI, ZIMMERMAN, EVERETT, EVANKOVICH, MOUL AND MILNE, MARCH, REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE, MARCH, AN ACT 1 1 1 1 1 Amending the act of May, 1 (P.L.1, No.), entitled, as amended, "An act relating to the practice of professional nursing; providing for the licensing of nurses and for the revocation and suspension of such licenses, subject to appeal, and for their reinstatement; providing for the renewal of such licenses; regulating nursing in general; prescribing penalties and repealing certain laws," further providing for definitions and for registered nurse, clinical nurse specialist, use of titles and abbreviations; and providing for certified registered nurse anesthetists. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows: Section 1. Section of the act of May, 1 (P.L.1, No.), known as The Professional Nursing Law, is amended by adding a clause to read: Section. Definitions.--When used in this act, the following words and phrases shall have the following meanings unless the context provides otherwise: * * * (1) "Certified Registered Nurse Anesthetist" means a registered nurse licensed in this Commonwealth who is certified

1 1 1 1 0 by the State Board of Nursing as a certified registered nurse anesthetist. Section. Section of the act, amended May, (P.L., No.), is amended to read: Section. Registered Nurse, Clinical Nurse Specialist, Use of Title and Abbreviation "R.N." [or], "C.N.S." or "C.R.N.A."; Credentials; Fraud.--(a) Any person who holds a license to practice professional nursing in this Commonwealth, or who is maintained on inactive status in accordance with section of this act, shall have the right to use the titles "nurse" and "registered nurse" and the abbreviation "R.N." No other person shall engage in the practice of professional nursing or use the titles "nurse" or "registered nurse" or the abbreviation "R.N." to indicate that the person using the same is a registered nurse, except that the title "nurse" also may be used by a person licensed under the provisions of the act of March, ( P.L., No.), known as the "Practical Nurse Law." No person shall sell or fraudulently obtain or fraudulently furnish any nursing diploma, license, record, or registration or aid or abet therein. (b) An individual who holds a license to practice professional nursing in this Commonwealth who meets the requirements under sections. and. of this act to be a clinical nurse specialist shall have the right to use the title "clinical nurse specialist" and the abbreviation "C.N.S." No other person shall have that right. (c) Notwithstanding subsection (a), this section shall not prohibit the use by a person of a descriptive title for nurse assistive personnel. For the purposes of this subsection, the term "nurse assistive personnel" shall mean an individual 0HB0PN00 - -

1 1 1 1 0 providing health care services under the supervision of a professional or practical nurse. (d) An individual who holds a license to practice professional nursing in this Commonwealth who meets the requirements under section. of this act to be a certified registered nurse anesthetist shall have the right to use the title "certified registered nurse anesthetist" and the abbreviation "C.R.N.A." No other person shall have that right. Section. The act is amended by adding a section to read: Section.. Certified Registered Nurse Anesthetist; Qualifications.--(a) The board may certify a licensed registered nurse as a certified registered nurse anesthetist if the nurse satisfies the requirements established by this act. Certification of a certified registered nurse anesthetist by the board shall expire on the same date as the license of that nurse expires. Beginning on the effective date of this section, a nurse shall not qualify for initial certification by the board unless the nurse holds a master's degree, doctoral degree or post-master's certificate from an educational program in nurse anesthesia that has been approved by the board and that prepares graduates to practice as a certified registered nurse anesthetist and: (1) holds current national certification as a certified registered nurse anesthetist; and () meets all other board requirements to practice as a certified registered nurse anesthetist. (b) A registered nurse who does not have a graduate degree as enumerated in subsection (a) of this section shall be qualified for certification as a certified registered nurse anesthetist if that nurse: 0HB0PN00 - -

1 1 1 1 0 (1) meets the educational requirements for certified registered nurse anesthetists that were in effect in the Commonwealth at the time the nurse completed nurse anesthesia educational program; and () submits evidence of recertification as a certified registered nurse. (c) As a condition of biennial certificate renewal by the board, a certified registered nurse anesthetist must: (1) Demonstrate that the nurse holds current national recertification from the appropriate national recertifying body as recognized by the board. () Submit a renewal application to the board. () Pay a renewal fee as set by the board. () In the two years prior to the certification renewal, complete at least thirty (0) hours of continuing education approved by the board, as required under section.1. (d) For certification under this act, a licensed registered nurse shall file a board-prepared application with the board and pay a fee as established by the board by regulation. (e) A certified registered nurse anesthetist practicing in this Commonwealth shall maintain a level of professional liability coverage as required for a nonparticipating health care provider under the act of March, 0 (P.L., No.), known as the "Medical Care Availability and Reduction of Error (Mcare) Act," and shall not be eligible to participate in the Medical Care Availability and Reduction of Error (Mcare) Fund. Section. The State Board of Nursing shall promulgate regulations to implement the amendment or addition of sections (1), and. of the act within 1 months of the effective date of this section. 0HB0PN00 - -

Section. This act shall take effect in 0 days. 0HB0PN00 - -