3 Myths About Physician-CRNP Collaborative Agreements

Last Updated: Apr 10, 2017

On Tuesday, April 26, 2017, Senate Bill 25 – legislation that would allow CRNPs to practice medicine independently in Pennsylvania and without the education and training required of physicians – was voted out of the Senate. It now awaits consideration by the House Professional Licensure Committee.

PAMED opposes this legislation and urges physicians to contact their state Representative to ask them to oppose Senate Bill 25. Using PAMED's Voter Voice tool will provide you with talking points and the ability to email your state Senator quickly.

You're also encouraged to share the information below.

Myth 1: Access to Care

Eliminating collaborative agreements between physicians and CRNPs will increase access to care in rural and underserved areas.

Other states that have discontinued the requirement of the collaborative care still struggle with the same access-to-care issues as we see in Pennsylvania.

Myth 2: Patient Safety

CRNPs have said their graduate nursing education allows them to do almost anything that a medical doctor can do.

Medical doctors: 15,000-16,000 hours of clinical training and supervised patient care.
CRNPs: 500-1,500 hours.

That's a big difference! Do patients really want to lower patient safety by eliminating collaborative agreements? Or is a guaranteed back-up medical support from a medical doctor through a collaborative agreement best for a patient's medical care?

Myth 3: Collaborative Agreements

Collaborative agreements are unnecessary business contracts between CRNPs and physicians.

Collaborative agreements provide an essential patient safety measure, and current regulations do not restrict CRNPs from already practicing to the full extent of their training. They also allow for flexibility in how CRNPs communicate with physicians.


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